Dagny C. Krankowska, Panagiota Lourida, Siobhan M. Quirke, Melvina Woode Owusu, Nina Weis, EACS/WAVE Migrant Women Working Group
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As a follow-up to a previously published systematic review revealing a range of barriers to HIV testing among migrant women, the aim of the present study was to identify barriers to HIV testing from the perspective of service providers and to formulate possible interventions to improve access to HIV healthcare among migrants in Europe, with an emphasis on migrant women.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Between November 2021 and February 2022 an online survey, consisting of 20 questions, was forwarded to 178 stakeholders and non-governmental organizations (NGOs) working with migrant populations in 33 countries from the World Health Organization (WHO) European region.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Forty-three responses from 14 countries were analysed. Most respondents (70%) judged migrants’ access to healthcare as worse than that for the resident native population. Only 2/11 prevention interventions were available to all in at least 50% of participating countries. The three main barriers to accessing healthcare for migrant women and reasons for late HIV diagnosis among migrant women were stigma and discrimination, language barriers, and cultural barriers.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Many HIV prevention interventions are not free of charge for all within Europe. The results of this survey show that migrant women face many barriers to accessing healthcare and that these might contribute to late HIV diagnosis. Simplification of access to free healthcare for all, more awareness raising about HIV screening and prevention among migrant women, and more migrant-focused outreach programmes are suggested to improve migrant women's access to HIV healthcare in Europe.</p>\n </section>\n </div>","PeriodicalId":13176,"journal":{"name":"HIV Medicine","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hiv.13606","citationCount":"0","resultStr":"{\"title\":\"Barriers to HIV testing and possible interventions to improve access to HIV healthcare among migrants, with a focus on migrant women: Results from a European survey\",\"authors\":\"Dagny C. Krankowska, Panagiota Lourida, Siobhan M. Quirke, Melvina Woode Owusu, Nina Weis, EACS/WAVE Migrant Women Working Group\",\"doi\":\"10.1111/hiv.13606\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>According to European Centre for Disease Prevention and Control (ECDC) reports, women and migrants are more likely to have delayed HIV diagnosis (CD4 <350 cells/mm<sup>3</sup>). 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Only 2/11 prevention interventions were available to all in at least 50% of participating countries. The three main barriers to accessing healthcare for migrant women and reasons for late HIV diagnosis among migrant women were stigma and discrimination, language barriers, and cultural barriers.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Many HIV prevention interventions are not free of charge for all within Europe. The results of this survey show that migrant women face many barriers to accessing healthcare and that these might contribute to late HIV diagnosis. 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引用次数: 0
摘要
背景:根据欧洲疾病预防与控制中心(ECDC)的报告,妇女和移民更有可能被延迟诊断为艾滋病病毒感染者(CD4 3)。之前发表的一篇系统综述揭示了移民妇女在接受 HIV 检测时遇到的一系列障碍,作为该综述的后续研究,本研究旨在从服务提供者的角度确定 HIV 检测的障碍,并制定可能的干预措施,以改善欧洲移民(重点是移民妇女)获得 HIV 医疗保健的机会:在 2021 年 11 月至 2022 年 2 月期间,我们向世界卫生组织(WHO)欧洲地区 33 个国家的 178 个利益相关者和从事移民人口工作的非政府组织发送了一份在线调查,其中包括 20 个问题:对来自 14 个国家的 43 份答复进行了分析。大多数受访者(70%)认为,移民获得医疗保健的情况比本地常住人口差。在至少 50%的参与国中,只有 2/11 项预防干预措施可供所有人使用。移民妇女在获得医疗服务方面的三大障碍以及移民妇女艾滋病毒诊断较晚的原因分别是耻辱和歧视、语言障碍以及文化障碍:在欧洲,许多艾滋病预防干预措施并非对所有人都是免费的。这项调查的结果表明,移民妇女在获得医疗保健服务方面面临着许多障碍,而这些障碍可能会导致艾滋病诊断的延迟。建议简化所有人获得免费医疗服务的程序,提高移民妇女对艾滋病筛查和预防的认识,并开展更多针对移民的外展项目,以改善欧洲移民妇女获得艾滋病医疗服务的情况。
Barriers to HIV testing and possible interventions to improve access to HIV healthcare among migrants, with a focus on migrant women: Results from a European survey
Background
According to European Centre for Disease Prevention and Control (ECDC) reports, women and migrants are more likely to have delayed HIV diagnosis (CD4 <350 cells/mm3). As a follow-up to a previously published systematic review revealing a range of barriers to HIV testing among migrant women, the aim of the present study was to identify barriers to HIV testing from the perspective of service providers and to formulate possible interventions to improve access to HIV healthcare among migrants in Europe, with an emphasis on migrant women.
Methods
Between November 2021 and February 2022 an online survey, consisting of 20 questions, was forwarded to 178 stakeholders and non-governmental organizations (NGOs) working with migrant populations in 33 countries from the World Health Organization (WHO) European region.
Results
Forty-three responses from 14 countries were analysed. Most respondents (70%) judged migrants’ access to healthcare as worse than that for the resident native population. Only 2/11 prevention interventions were available to all in at least 50% of participating countries. The three main barriers to accessing healthcare for migrant women and reasons for late HIV diagnosis among migrant women were stigma and discrimination, language barriers, and cultural barriers.
Conclusions
Many HIV prevention interventions are not free of charge for all within Europe. The results of this survey show that migrant women face many barriers to accessing healthcare and that these might contribute to late HIV diagnosis. Simplification of access to free healthcare for all, more awareness raising about HIV screening and prevention among migrant women, and more migrant-focused outreach programmes are suggested to improve migrant women's access to HIV healthcare in Europe.
期刊介绍:
HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.