Advertisement

 

 

High levels of postmigration HIV acquisition within nine European countries.

High levels of postmigration HIV acquisition within nine European countries.
Author Information (click to view)

Alvarez-Del Arco D, Fakoya I, Thomadakis C, Pantazis N, Touloumi G, Gennotte AF, Zuure F, Barros H, Staehelin C, Göpel S, Boesecke C, Prestileo T, Volny-Anne A, Burns F, Del Amo J, ,


Alvarez-Del Arco D, Fakoya I, Thomadakis C, Pantazis N, Touloumi G, Gennotte AF, Zuure F, Barros H, Staehelin C, Göpel S, Boesecke C, Prestileo T, Volny-Anne A, Burns F, Del Amo J, , (click to view)

Alvarez-Del Arco D, Fakoya I, Thomadakis C, Pantazis N, Touloumi G, Gennotte AF, Zuure F, Barros H, Staehelin C, Göpel S, Boesecke C, Prestileo T, Volny-Anne A, Burns F, Del Amo J, ,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

AIDS (London, England) 31(14) 1979-1988 doi 10.1097/QAD.0000000000001571

Abstract
OBJECTIVE
We aimed to estimate the proportion of postmigration HIV acquisition among HIV-positive migrants in Europe.

DESIGN
To reach HIV-positive migrants, we designed a cross-sectional study performed in HIV clinics.

METHODS
The study was conducted from July 2013 to July 2015 in 57 clinics (nine European countries), targeting individuals over 18 years diagnosed in the preceding 5 years and born abroad. Electronic questionnaires supplemented with clinical data were completed in any of 15 languages. Postmigration HIV acquisition was estimated through Bayesian approaches combining extensive information on migration and patients’ characteristics. CD4 cell counts and HIV-RNA trajectories from seroconversion were estimated by bivariate linear mixed models fitted to natural history data. Postmigration acquisition risk factors were investigated with weighted logistic regression.

RESULTS
Of 2009 participants, 46% were MSM and a third originated from sub-Saharan Africa and Latin America & Caribbean, respectively. Median time in host countries was 8 years. Postmigration HIV acquisition was 63% (95% confidence interval: 57-67%); 72% among MSM, 58 and 51% in heterosexual men and women, respectively. Postmigration HIV acquisition was 71% for Latin America and Caribbean migrants and 45% for people from sub-Saharan Africa. Factors associated with postmigration HIV acquisition among heterosexual women and MSM were age at migration, length of stay in host country and HIV diagnosis year and among heterosexual men, length of stay in host country and HIV diagnosis year.

CONCLUSION
A substantial proportion of HIV-positive migrants living in Europe acquired HIV postmigration. This has important implications for European public health policies.

Submit a Comment

Your email address will not be published. Required fields are marked *

5 × two =

[ HIDE/SHOW ]