AIDS and Behavior
Volume 16, Issue 1, 2012, Pages 30-35

Reluctance to do blood testing limits HIV diagnosis and appropriate health care of sub-saharan African migrants living in Spain (Article)

Navaza B.* , Guionnet A. , Navarro M. , Estévez L. , Pérez-Molina J.A. , López-Vélez R.
  • a Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain
  • b Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain
  • c Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain
  • d Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain
  • e Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain
  • f Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department, Ramón y Cajal Hospital, Crta. de Colmenar Km 9, 1, 2834 Madrid, Spain

Abstract

This study investigates the reasons why sub-Saharan African migrants (SSAM) living in Spain may be unwilling to have their blood tested. A qualitative study was developed for 3 years (2006-2009) with the participation of 1338 SSAM. Cultural differences along with lack of information about Spanish health care system and health-related rights produced a feeling of mistrust towards medical staff. Reluctance to do blood testing may prevent SSAM from having a prompt HIV diagnosis and an appropriate health care. Linguistically and culturally adapted information is essential to overcome these barriers and achieve an equal access to health care services and HIV testing. © 2011 Springer Science+Business Media, LLC.

Author Keywords

Sub-Saharan Africa Migrants HIV/AIDS Blood test Ethnography

Index Keywords

information processing cultural anthropology Cultural Diversity Negro HIV Infections Africa south of the Sahara Human immunodeficiency virus infection psychological aspect human statistics ethnology qualitative research interview Young Adult Humans African Continental Ancestry Group Interviews as Topic male Spain female Health Knowledge, Attitudes, Practice blood examination Hematologic Tests Article adult migration patient attitude Patient Acceptance of Health Care Transients and Migrants Focus Groups Delivery of Health Care attitude to health Health Services Accessibility health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858223284&doi=10.1007%2fs10461-010-9871-0&partnerID=40&md5=7cbab92b056770ed5123a6a50361dad1

DOI: 10.1007/s10461-010-9871-0
ISSN: 10907165
Cited by: 18
Original Language: English