Migrants represent around one third of patients newly diagnosed with HIV in Spain and they constitute a population with higher vulnerability to its negative consequences due to the socio-cultural, economical, working, administrative and legal contexts. Migrants are diagnosed later, which worsens their individual prognosis and facilitates the maintenance of the HIV epidemic. In spite of the different barriers they experience to access healthcare in general, and HIV-related services in particular, access to antiretroviral treatment has been similar to that of the autochthonous population. However, benefits of treatment have been not, with women in general and men from Sub-Saharan Africa exhibiting the worse response to treatment. We need to proactively promote earlier diagnosis of HIV infection, the adoption of preventive measures to avoid new infections, and to deliver accessible, adapted and high-quality health-care. © 2016 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica

Immigration Human immunodeficiency virus Spain

treatment response HIV Infections Africa south of the Sahara Human immunodeficiency virus infection human delayed diagnosis immigration health service nonhuman ethnology Human immunodeficiency virus prognosis Humans migrant male Emigrants and Immigrants Spain female Socioeconomic Factors socioeconomics Article epidemic migration health care quality health care access Transients and Migrants social class anti human immunodeficiency virus agent antiviral therapy early diagnosis