Sofya Panchenko, Amanda Gabster, Philippe Mayaud, Jennifer Toller Erausquin
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引用次数: 0
Abstract
Purpose of review: This article reviews recently published research on sexual health challenges and HIV and sexually transmitted infections (STIs) among migrant, immigrant and displaced people (MIDP) worldwide. We aimed to identify current evidence gaps regarding HIV/STI epidemiology, sexual health needs and interventions.
Recent findings: Incidence and prevalence of HIV, hepatitis B virus, hepatitis C virus and syphilis were higher among MIDP compared to host populations. However, research studies are limited in geographical distribution and few routine surveillance data are collected. Barriers to sexual health services use and participation in preventive interventions include low HIV/STI symptom knowledge and risk awareness, and intersectional experiences of stigma/discrimination. Better targeted promotion messages are needed to increase utilization of preventive sexual health interventions.
Summary: Access to, and use of, sexual health services and interventions are evident needs among MIDP. These needs are intertwined with social determinants of health, including cultural/language barriers and stigma. Effective interventions require involvement of multiple stakeholder groups, encouraging engagement and providing social protection. Promising directions for interventions and further research include developing sexual health supportive environments through peer-strategies and provider training in trauma-informed care.
综述目的:本文回顾了近期发表的有关全球移民、移居者和流离失所者(MIDP)中性健康挑战以及 HIV 和性传播感染(STI)的研究。我们的目的是找出目前在 HIV/STI 流行病学、性健康需求和干预措施方面的证据差距:与东道国人口相比,移民和流离失所者中艾滋病毒、乙型肝炎病毒、丙型肝炎病毒和梅毒的发病率和流行率较高。然而,研究的地理分布有限,收集到的常规监测数据也很少。使用性健康服务和参与预防性干预措施的障碍包括对艾滋病毒/性传播感染症状的了解和风险意识不足,以及遭受污名化/歧视的交叉经历。小结:获得和使用性健康服务和干预措施是中等收入群体的明显需求。这些需求与健康的社会决定因素交织在一起,包括文化/语言障碍和歧视。有效的干预措施需要多个利益相关群体的参与,鼓励参与并提供社会保护。有希望的干预和进一步研究方向包括:通过同伴策略和提供者在创伤知情护理方面的培训,营造支持性健康的环境。
期刊介绍:
This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on two topics, every issue of Current Opinion in Infectious Disease delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as HIV infection and AIDS; skin and soft tissue infections; respiratory infections; paediatric and neonatal infections; gastrointestinal infections; tropical and travel-associated diseases; and antimicrobial agents.