Post-migration HIV acquisition: A systematic review and meta-analysis.

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Simran Mann, Zeenathnisa Mougammadou, Jan Wohlfahrt, Rahma Elmahdi
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Abstract

Migrants in Europe face a disproportionate burden of HIV infection; however, it remains unclear if this can be prevented through public health interventions in host countries. We undertake a systematic review and meta-analysis to estimate post-migration HIV acquisition (PMHA) as a proportion of all HIV cases in European migrants. MEDLINE, EMBASE, Global Health, HMIC, and Cochrane Library were searched with terms capturing 'HIV', 'migration', and 'Europe'. Data relating to the proportion of HIV acquired following migration were extracted and random-effects model (REM) meta-analysis was undertaken to calculate a pooled estimate for the proportion of PMHA in European countries. Subgroup meta-analysis was undertaken for PMHA by migrant demographic characteristics and host country. Fifteen articles were included for systematic review following retrieval and screening of 2,320 articles. A total of 47,182 migrants in 11 European countries were included in REM meta-analysis, showing an overall PMHA proportion of 0.30 (95% CI: 0.23-0.38). Subgroup analysis showed no significant difference in PMHA between host country and migrant demographic characteristics. This work illustrates that migrants continue to be at high risk of HIV acquisition in Europe. This indicates the need for targeted screening and HIV prevention interventions, ensuring resources are appropriately directed to combat the spread of HIV.

移民后感染艾滋病毒:系统回顾和元分析。
欧洲移民面临着不成比例的艾滋病毒感染负担;然而,是否可以通过东道国的公共卫生干预措施来预防这种情况,目前仍不清楚。我们进行了一项系统回顾和荟萃分析,以估算移民后感染艾滋病病毒(PMHA)在欧洲移民所有艾滋病病例中所占的比例。我们使用 "HIV"、"移民 "和 "欧洲 "等术语对 MEDLINE、EMBASE、Global Health、HMIC 和 Cochrane Library 进行了检索。提取了与移民后感染艾滋病毒的比例有关的数据,并进行了随机效应模型(REM)荟萃分析,以计算欧洲国家 PMHA 比例的汇总估计值。按移民人口特征和东道国对 PMHA 进行了分组荟萃分析。在对 2320 篇文章进行检索和筛选后,有 15 篇文章被纳入系统综述。REM荟萃分析共纳入了11个欧洲国家的47 182名移民,结果显示PMHA的总体比例为0.30(95% CI:0.23-0.38)。分组分析显示,东道国和移民人口特征之间在 PMHA 方面没有明显差异。这项工作表明,在欧洲,移民仍然是艾滋病毒感染的高危人群。这表明有必要采取有针对性的筛查和艾滋病预防干预措施,确保将资源适当用于遏制艾滋病的传播。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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