Gosselin Anne
Sante Publique. 2018 March-April;30(2):197-201. doi: 10.3917/spub.182.0197.
Various associations in France have denounced for a long time the difficulties encountered by foreigners with a residence permit for medical reasons to access permanent residence status (10-year resident's card or French nationality). The objective of this study was to determine whether there is a real discrimination towards foreigners with a residence permit for medical reasons, with all other things being equal.
This study was based on data from the retrospective quantitative ANRS Parcours survey, conducted in 2012-2013 among 1,705 Sub-Saharan immigrants with HIV/AIDS or Hepatitis B in Ile-de-France. This life-event survey reconstructed the immigrant's permit history. Discrete time logistic models were then used to model the factors associated with obtaining a permanent residence permit and the impact of a residence permit for medical reasons on this probability. Control variables were used to take into account the level of education, the reason for arrival in France, the period of arrival, the duration of stay.
A residence permit for medical reasons has a negative impact on access to permanent residence status (aOr between 0.15 and 0.27 across subgroups, P < 0.01). Additionally, the time required to obtain permanent residence status has increased since 2005 compared to before 1996 for all foreigners participating in the survey.
The results of this study suggest discrimination towards people with a residence permit for medical reasons in terms of access to permanent residence status, thereby placing their access to health care at stake.
长期以来,法国的多个协会一直谴责因医疗原因持有居留许可的外国人在获得永久居留身份(10年居留卡或法国国籍)时所遇到的困难。本研究的目的是确定在其他条件相同的情况下,对于因医疗原因持有居留许可的外国人是否存在实际的歧视。
本研究基于2012 - 2013年在法兰西岛对1705名感染艾滋病毒/艾滋病或乙型肝炎的撒哈拉以南移民进行的回顾性定量ANRS历程调查数据。这项生活事件调查重构了移民的居留许可历史。然后使用离散时间逻辑模型来模拟与获得永久居留许可相关的因素以及因医疗原因获得的居留许可对这一概率的影响。使用控制变量来考虑教育水平、抵达法国的原因、抵达时间、停留时长。
因医疗原因获得的居留许可对获得永久居留身份有负面影响(各亚组的调整后比值比在0.15至0.27之间,P < 0.01)。此外,与1996年之前相比,自2005年以来,参与调查的所有外国人获得永久居留身份所需的时间都增加了。
本研究结果表明,在获得永久居留身份方面,对因医疗原因持有居留许可的人存在歧视,从而使其获得医疗保健的机会受到威胁。