PDF(Pubmed)
Abstract：
BackgroundRecent migration trends have shown a notable entry of Latin American asylum seekers to Madrid, Spain.AimTo characterise the profile of asylum-seeking Latin American migrants who are living with HIV in Spain and to outline the barriers they face in accessing HIV treatment.MethodsA prospective cohort study was conducted between 2022 and 2023 with a 6-month follow-up period. Latin American asylum seekers living with HIV were recruited mainly from non-governmental organisations and received care at an HIV clinic in a public hospital in Madrid.ResultsWe included 631 asylum seekers. The primary countries of origin were Colombia (30%), Venezuela (30%) and Peru (18%). The median age was 32 years (interquartile range (IQR): 28-37), and 553 (88%) were cis men of which 94% were men who have sex with men. Upon their arrival, 49% (n = 309) lacked social support, and 74% (n = 464) faced barriers when attempting to access the healthcare system. Upon entry in Europe, 500 (77%) participants were taking antiretroviral therapy (ART). At their first evaluation at the HIV clinic, only 386 (61%) had continued taking ART and 33% (n = 209) had detectable plasma HIV-1 RNA levels. Six months later, 99% took ART and 98% had achieved an undetectable viral load.ConclusionsLatin American asylum seekers living with HIV in Madrid, Spain encountered barriers to healthcare and to ART. One-third of these individuals presented detectable HIV viral load when assessed in the HIV clinic, highlighting this as an important public health issue.
摘要：
背景最近的移民趋势表明，拉丁美洲寻求庇护者明显进入马德里，西班牙。Aimto描述在西班牙感染艾滋病毒的寻求庇护的拉丁美洲移民的概况，并概述他们在获得艾滋病毒治疗方面面临的障碍。方法2022年至2023年进行前瞻性队列研究，随访6个月。感染艾滋病毒的拉丁美洲寻求庇护者主要从非政府组织招募，并在马德里一家公立医院的艾滋病毒诊所接受护理。结果我们包括631名寻求庇护者。主要来源国是哥伦比亚（30%），委内瑞拉（30%）和秘鲁（18%）。中位年龄为32岁(四分位距(IQR)：28-37)，553名(88%)为顺式男性，其中94%为男男性行为者。他们的到来,49%(n=309)缺乏社会支持，74%(n=464)在尝试进入医疗系统时面临障碍。一进入欧洲，500名（77%）参与者正在接受抗逆转录病毒治疗（ART）。在艾滋病毒诊所的第一次评估中，只有386例(61%)继续服用ART,33%(n=209)的人可检测到血浆HIV-1RNA水平.六个月后,99%的人接受了ART，98%的人获得了检测不到的病毒载量。结论在马德里感染艾滋病毒的拉丁美洲寻求庇护者，西班牙在医疗保健和ART方面遇到了障碍。在HIV诊所评估时，这些人中的三分之一表现出可检测的HIV病毒载量，强调这是一个重要的公共卫生问题。
