Factors Associated With Access to HIV Testing and Primary Care Among Migrants Living in Europe: Cross-Sectional Survey.

摘要: Background: There is a heavy and disproportionate burden of human immunodeficiency virus (HIV) infection among migrant communities living in Europe. Despite this, the published evidence related to HIV testing, prevention, treatment needs for migrants sparse. Objective: The aim this study was identify factors associated with access primary care testing groups Methods: A Web-based survey (available 14 languages) open all people aged 18 years older, outside their country birth World Health Organization (WHO) European area. Community organizations 9 countries promoted groups, focusing on those at higher risk (sub-Saharan Africans, Latin Americans, gay or bisexual men, who inject drugs). Multivariable analysis examined previous history an test. Results: In total, 559 women, 395 heterosexual 674 men were included analysis, 68.1% (359/527) 59.5% (220/371) 89.6% (596/664) had tested HIV. Low perceived reason given not by 62.3% (43/69) 83.3% (140/168) women reported never having Access >60% groups. strongly positively Northern Europe compared Southern (women: adjusted odds ratio, aOR 34.56 [95% CI 11.58-101]; men: 6.93 2.49-19.35], 2.53 1.23-5.19]), whereas temporary residency permits less likely have 0.41 0.21-0.80] 0.24 0.10-0.54] only). Women experience forced sex (aOR 3.53 1.39-9.00]) postmigration antenatal 3.07 1.55-6.07]) more as 3.13 1.58-6.13]) “Good” health status 2.94 1.41-5.88]). Conclusions: limited structural determinants such immigration policy, which varies across For can other services, missed opportunities remain barrier earlier diagnosis Clinicians should be aware these potential barriers well low perception [JMIR Public Surveill 2017;3(4):e84]