A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy

Background: Migrant populations from countries with generalised HIV epidemics make up a significant proportion of all HIV/AIDS cases in many European Union and European Economic Area (EU/EEA) countries, with heterosexual transmission the predominant mode of HIV acquisition. While most of these infec...

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Autores: Fakoya, Ibidun, Alvarez-del Arco, Debora, Woode-Owusu, Melvina, Monge Corella, Susana, Rivero-Montesdeoca, Yaiza, Delpech, Valerie, Rice, Brian, Noori, Teymur, Pharris, Anastasia, Amato-Gauci, Andrew J, Amo, Julia del, Burns, Fiona M
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/4817
Acceso en línea:http://hdl.handle.net/20.500.12105/4817
Access Level:acceso abierto
Palabra clave:Migrants
Sexually transmitted diseases
Surveillance
Epidemiology
HIV prevention
Europe
Prevention & control
Migrant MSM
Sexual behaviour
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spelling A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policyFakoya, IbidunAlvarez-del Arco, DeboraWoode-Owusu, MelvinaMonge Corella, SusanaRivero-Montesdeoca, YaizaDelpech, ValerieRice, BrianNoori, TeymurPharris, AnastasiaAmato-Gauci, Andrew JAmo, Julia delBurns, Fiona MMigrantsSexually transmitted diseasesSurveillanceEpidemiologyHIV preventionEuropePrevention & controlMigrant MSMSexual behaviourBackground: Migrant populations from countries with generalised HIV epidemics make up a significant proportion of all HIV/AIDS cases in many European Union and European Economic Area (EU/EEA) countries, with heterosexual transmission the predominant mode of HIV acquisition. While most of these infections are diagnosed for the first time in Europe, acquisition is believed to have predominantly occurred in the home country. A proportion of HIV transmission is believed to be occurring post-migration, and many countries may underestimate the degree to which this is occurring. Our objectives were to review the literature estimating the proportion of migrants believed to have acquired their HIV post-migration and examine which EU member states are able to provide estimates of probable country of HIV acquisition through current surveillance systems. Methods: A systematic review was undertaken to gather evidence of sexual transmission of HIV within Europe among populations from countries with a generalised epidemic. In addition, national surveillance focal points from 30 EU/EEA Member States were asked to complete a questionnaire about surveillance methods and monitoring of the likely place of HIV acquisition among migrants. Results & discussion: Twenty-seven papers from seven countries were included in the review and 24 countries responded to the survey. Estimates of HIV acquisition post-migration ranged from as low as 2% among sub Saharan Africans in Switzerland, to 62% among black Caribbean men who have sex with men (MSM) in the UK. Surveillance methods for monitoring post-migration acquisition varied across the region; a range of methods are used to estimate country or region of HIV acquisition, including behavioural and clinical markers. There is little published evidence addressing this issue, although Member States highlight the importance of migrant populations in their epidemics. Conclusions: There is post-migration HIV acquisition among migrants in European countries but this is difficult to quantify accurately with current data. Migrant MSM appear at particular risk of HIV acquisition post-migration. Countries that identify migrants as an important part of their HIV epidemic should focus on using an objective method for assigning probable country of HIV acquisition. Robust methods to measure HIV incidence should be considered in order to inform national prevention programming and resource allocation.BioMed Central (BMC)Unión Europea. European Centre for Disease Prevention and Control (ECDC)20172017-09-0420152015-06-1920152015-06-19review articlehttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/4817reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/48172026-06-12T12:43:37Z
dc.title.none.fl_str_mv A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
title A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
spellingShingle A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
Fakoya, Ibidun
Migrants
Sexually transmitted diseases
Surveillance
Epidemiology
HIV prevention
Europe
Prevention & control
Migrant MSM
Sexual behaviour
title_short A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
title_full A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
title_fullStr A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
title_full_unstemmed A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
title_sort A systematic review of post-migration acquisition of HIV among migrants from countries with generalised HIV epidemics living in Europe: mplications for effectively managing HIV prevention programmes and policy
dc.creator.none.fl_str_mv Fakoya, Ibidun
Alvarez-del Arco, Debora
Woode-Owusu, Melvina
Monge Corella, Susana
Rivero-Montesdeoca, Yaiza
Delpech, Valerie
Rice, Brian
Noori, Teymur
Pharris, Anastasia
Amato-Gauci, Andrew J
Amo, Julia del
Burns, Fiona M
author Fakoya, Ibidun
author_facet Fakoya, Ibidun
Alvarez-del Arco, Debora
Woode-Owusu, Melvina
Monge Corella, Susana
Rivero-Montesdeoca, Yaiza
Delpech, Valerie
Rice, Brian
Noori, Teymur
Pharris, Anastasia
Amato-Gauci, Andrew J
Amo, Julia del
Burns, Fiona M
author_role author
author2 Alvarez-del Arco, Debora
Woode-Owusu, Melvina
Monge Corella, Susana
Rivero-Montesdeoca, Yaiza
Delpech, Valerie
Rice, Brian
Noori, Teymur
Pharris, Anastasia
Amato-Gauci, Andrew J
Amo, Julia del
Burns, Fiona M
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Unión Europea. European Centre for Disease Prevention and Control (ECDC)
dc.subject.none.fl_str_mv Migrants
Sexually transmitted diseases
Surveillance
Epidemiology
HIV prevention
Europe
Prevention & control
Migrant MSM
Sexual behaviour
topic Migrants
Sexually transmitted diseases
Surveillance
Epidemiology
HIV prevention
Europe
Prevention & control
Migrant MSM
Sexual behaviour
description Background: Migrant populations from countries with generalised HIV epidemics make up a significant proportion of all HIV/AIDS cases in many European Union and European Economic Area (EU/EEA) countries, with heterosexual transmission the predominant mode of HIV acquisition. While most of these infections are diagnosed for the first time in Europe, acquisition is believed to have predominantly occurred in the home country. A proportion of HIV transmission is believed to be occurring post-migration, and many countries may underestimate the degree to which this is occurring. Our objectives were to review the literature estimating the proportion of migrants believed to have acquired their HIV post-migration and examine which EU member states are able to provide estimates of probable country of HIV acquisition through current surveillance systems. Methods: A systematic review was undertaken to gather evidence of sexual transmission of HIV within Europe among populations from countries with a generalised epidemic. In addition, national surveillance focal points from 30 EU/EEA Member States were asked to complete a questionnaire about surveillance methods and monitoring of the likely place of HIV acquisition among migrants. Results & discussion: Twenty-seven papers from seven countries were included in the review and 24 countries responded to the survey. Estimates of HIV acquisition post-migration ranged from as low as 2% among sub Saharan Africans in Switzerland, to 62% among black Caribbean men who have sex with men (MSM) in the UK. Surveillance methods for monitoring post-migration acquisition varied across the region; a range of methods are used to estimate country or region of HIV acquisition, including behavioural and clinical markers. There is little published evidence addressing this issue, although Member States highlight the importance of migrant populations in their epidemics. Conclusions: There is post-migration HIV acquisition among migrants in European countries but this is difficult to quantify accurately with current data. Migrant MSM appear at particular risk of HIV acquisition post-migration. Countries that identify migrants as an important part of their HIV epidemic should focus on using an objective method for assigning probable country of HIV acquisition. Robust methods to measure HIV incidence should be considered in order to inform national prevention programming and resource allocation.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-06-19
2015
2015-06-19
2017
2017-09-04
dc.type.none.fl_str_mv review article
http://purl.org/coar/resource_type/c_dcae04bc
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/4817
url http://hdl.handle.net/20.500.12105/4817
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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