AIDS and Behavior
Volume 19, Issue 11, 2015, Pages 2012-2024

Barriers and Facilitators to HIV Testing in Migrants in High-Income Countries: A Systematic Review (Review)

Blondell S.J.* , Kitter B. , Griffin M.P. , Durham J.
  • a School of Public Health, The University of Queensland, Herston, QLD 4006, Australia
  • b School of Public Health, The University of Queensland, Herston, QLD 4006, Australia
  • c Australian Development Agency for Statistics and Information Systems (ADASIS), 1 Kythira Street, Sunnybank, Brisbane, QLD 4109, Australia
  • d School of Public Health, The University of Queensland, Herston, QLD 4006, Australia

Abstract

Migrants, particularly from low- and middle-income countries, are at a heightened risk of adverse HIV outcomes. HIV testing may improve these outcomes. We reviewed and synthesised studies into migrants and HIV testing (outcome variable), published between January 1997 and April 2014. Papers using quantitative, qualitative and mixed methods designs, and samples with adult (≥18 years) migrants from low- and middle-income countries in high-income countries were included in the paper. Of 3155 papers retrieved, 31 met the inclusion criteria and are included in the review. A large number of barriers and facilitators to HIV testing were identified across the individual, social and structural levels. A number of study design and methodological issues, however, inhibited a comprehensive synthesis. There is no doubt that addressing HIV testing in migrants in high-income countries is complex; however, it has important implications for individual, community and population health, and a strong, empirically based response is warranted. © 2015, Springer Science+Business Media New York.

Author Keywords

Low- and middle-income countries Migrants HIV testing VCT High-income countries HIV/AIDS prevention

Index Keywords

HIV Infections human delayed diagnosis Developed Countries ethnology income Humans psychology male counseling risk factor Risk Factors Health Knowledge, Attitudes, Practice adult migration developed country Transients and Migrants attitude to health Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943348394&doi=10.1007%2fs10461-015-1095-x&partnerID=40&md5=b21247bad65abc2ee5dee33f3803a74c
DOI: 10.1007/s10461-015-1095-x
ISSN: 10907165
Cited by: 38
Original Language: English