Enfermedades infecciosas y microbiologia clinica 2016 3 22() pii 10.1016/j.eimc.2016.02.027
Immigrants represent around one third of patients newly diagnosed with HIV in Spain, and they a population with higher vulnerability due to its negative consequences in the socio-cultural, economical, occupational, administrative, and legal contexts. Immigrants are diagnosed later, which worsens their individual prognosis and facilitates the maintenance of the HIV epidemic. In spite of the different barriers, they do have access to healthcare in general, and HIV-related services in particular. Their access to antiretroviral treatment has been similar to that of the autochthonous population. However, the benefits of treatment have been less, with those from Sub-Saharan Africa and women with a poorer response to treatment. We need to proactively promote an earlier diagnosis of HIV infection, with the adoption of preventive measures to avoid new infections, and to deliver accessible and adaptable high-quality health-care.