Enfermedades Infecciosas y Microbiologia Clinica
Volume 35, Issue 1, 2017, Pages 47-51

Implementing and expanding HIV testing in immigrant populations in Europe: Comparing guideline's recommendations and expert's opinions [Implementación y expansión de la prueba de VIH en población inmigrante en Europa: confrontación de las recomendaciones de las guías con las opiniones de los expertos] (Short Survey)

Álvarez-del Arco D.* , Monge S. , Rivero-Montesdeoca Y. , Burns F. , Noori T. , del Amo J.
  • a National Centre of Epidemiology, Instituto de Salud Carlos III (Madrid) and Division of Environmental and Reproductive Epidemiology, Biomedical Research Network on Epidemiology and Public Health (CIBERESP), Spain
  • b Department of Medical and Social Sciences, Alcalá University and CIBERESP, Spain
  • c National Centre of Epidemiology, Instituto de Salud Carlos III (Madrid) and CIBERESP, Spain
  • d Centre for Sexual Health & HIV Research, University College London, United Kingdom
  • e European Centre for Disease Prevention and Control (ECDC), Sweden
  • f National Centre of Epidemiology, Instituto de Salud Carlos III (Madrid) and CIBERESP, Spain

Abstract

Immigrant populations, especially those from endemic countries, living in the European Union (EU) suffer a disproportionate burden of HIV, delayed diagnosis and poorer access to antiretroviral treatment. While International Organisations are developing recommendations aimed at increasing the uptake of HIV testing, the feasibility and real outcomes of these measures remain unexplored. The aim of this review was, firstly to identify the recommendations of the main International Organisations (IO) on HIV testing in immigrants. Secondly, to describe the challenges for implementing and expanding HIV testing and counselling interventions targeting immigrants by interviewing key informants. The importance of HIV testing in immigrants is discussed, along with the appropriateness of universal HIV testing approaches vs most at risk targeted approaches. Also addressed is, pre- and post-HIV test counselling characteristics and community initiatives suitable to reach this population and, finally the legal issues regarding access to treatment for illegal immigrants. © 2015 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica

Author Keywords

qualitative research immigrants Europe Ethnic groups HIV Acquired immunodeficiency syndrome

Index Keywords

Short Survey immigrant information dissemination HIV Infections Human immunodeficiency virus infection mass screening Europe human HIV test Practice Guidelines as Topic statistics and numerical data ethnic group comparative study expert witness Expert Testimony Humans migrant undocumented immigrant Emigrants and Immigrants counseling AIDS Serodiagnosis serodiagnosis legal aspect health care access utilization practice guideline
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84951310701&doi=10.1016%2fj.eimc.2015.08.008&partnerID=40&md5=af542a7ecfdbd48735e8dc00c793fed9
DOI: 10.1016/j.eimc.2015.08.008
ISSN: 0213005X
Cited by: 4
Original Language: English; Spanish