关键词: Acquired immunodeficiency syndrome Ethnic groups Europa Europe Grupos étnicos HIV Immigrants Investigación cualitativa Migrantes Qualitative research Síndrome de inmunodeficiencia adquirida VIH

Mesh : AIDS Serodiagnosis / statistics & numerical data Emigrants and Immigrants Europe Expert Testimony HIV Infections / diagnosis prevention & control Humans Mass Screening Practice Guidelines as Topic

来  源:   DOI:10.1016/j.eimc.2015.08.008   PDF(Sci-hub)

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.
摘要:
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