Are opportunities being missed? Burden of HIV, STI and TB, and unawareness of HIV among african migrants

S Dias, Ana Gama, Ana Maria Tavares, Vera Reigado, Daniel Simões, Emília Carreiras, Cristina Mora, Andreia Pinto Ferreira

Research output: Contribution to journalArticle

Abstract

Sub-Saharan African migrants (SSAMs) have been disproportionately affected by infectious disease burden. We aimed to identify correlates of HIV, past sexually transmitted infection (STI) and past Tuberculosis infection (TB), as well as examine HIV seropositivity unawareness and testing history among SSAMs. A venue-based sample of 790 SSAMs completed a cross-sectional biobehavioral survey on sexual practices, HIV testing and self-reported infectious diseases; an HIV rapid test was offered. Overall, 5.4% of participants were HIV-positive and 16.7% reported a past STI. Odds of being HIV positive or having a past STI were higher among participants with low socioeconomic status and who experienced violence from a partner. Increased odds of having a past STI were also found among long-term migrants and those who reported sexual risk behaviors. In total, 4.1% of participants had TB in the past; these were more likely male and HIV positive. Unawareness of HIV-positive status was notably high (35%). Half of the participants had never been tested for HIV before, including over a third of those who had STI or TB in the past. Efforts are needed to reduce missed opportunities for HIV/STIs prevention and uptake of HIV testing among SSAMs through more integrated care, while addressing social determinants of infectious diseases.
Original languageEnglish
Pages (from-to)E2710-E2725
Number of pages15
JournalInternational Journal of Environmental Research and Public Health
VolumeVol. 16
Issue numbern.º 15
DOIs
Publication statusPublished - 30 Jul 2019

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Sexually Transmitted Diseases
HIV Infections
Tuberculosis
HIV
Communicable Diseases
Infection
HIV Seropositivity
Risk-Taking
Violence
Social Class
Sexual Behavior
Cross-Sectional Studies
History

Keywords

  • HIV
  • HIV testing
  • STI
  • TB
  • sub-Saharan African migrants
  • Unawareness of HIV

Cite this

Dias, S ; Gama, Ana ; Tavares, Ana Maria ; Reigado, Vera ; Simões, Daniel ; Carreiras, Emília ; Mora, Cristina ; Pinto Ferreira, Andreia. / Are opportunities being missed? Burden of HIV, STI and TB, and unawareness of HIV among african migrants. In: International Journal of Environmental Research and Public Health. 2019 ; Vol. Vol. 16, No. n.º 15. pp. E2710-E2725.
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Dias, S, Gama, A, Tavares, AM, Reigado, V, Simões, D, Carreiras, E, Mora, C & Pinto Ferreira, A 2019, 'Are opportunities being missed? Burden of HIV, STI and TB, and unawareness of HIV among african migrants' International Journal of Environmental Research and Public Health, vol. Vol. 16, no. n.º 15, pp. E2710-E2725. https://doi.org/10.3390/ijerph16152710

Are opportunities being missed? Burden of HIV, STI and TB, and unawareness of HIV among african migrants. / Dias, S; Gama, Ana; Tavares, Ana Maria; Reigado, Vera; Simões, Daniel ; Carreiras, Emília; Mora, Cristina; Pinto Ferreira, Andreia.

In: International Journal of Environmental Research and Public Health, Vol. Vol. 16, No. n.º 15, 30.07.2019, p. E2710-E2725.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Are opportunities being missed? Burden of HIV, STI and TB, and unawareness of HIV among african migrants

AU - Dias, S

AU - Gama, Ana

AU - Tavares, Ana Maria

AU - Reigado, Vera

AU - Simões, Daniel

AU - Carreiras, Emília

AU - Mora, Cristina

AU - Pinto Ferreira, Andreia

PY - 2019/7/30

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N2 - Sub-Saharan African migrants (SSAMs) have been disproportionately affected by infectious disease burden. We aimed to identify correlates of HIV, past sexually transmitted infection (STI) and past Tuberculosis infection (TB), as well as examine HIV seropositivity unawareness and testing history among SSAMs. A venue-based sample of 790 SSAMs completed a cross-sectional biobehavioral survey on sexual practices, HIV testing and self-reported infectious diseases; an HIV rapid test was offered. Overall, 5.4% of participants were HIV-positive and 16.7% reported a past STI. Odds of being HIV positive or having a past STI were higher among participants with low socioeconomic status and who experienced violence from a partner. Increased odds of having a past STI were also found among long-term migrants and those who reported sexual risk behaviors. In total, 4.1% of participants had TB in the past; these were more likely male and HIV positive. Unawareness of HIV-positive status was notably high (35%). Half of the participants had never been tested for HIV before, including over a third of those who had STI or TB in the past. Efforts are needed to reduce missed opportunities for HIV/STIs prevention and uptake of HIV testing among SSAMs through more integrated care, while addressing social determinants of infectious diseases.

AB - Sub-Saharan African migrants (SSAMs) have been disproportionately affected by infectious disease burden. We aimed to identify correlates of HIV, past sexually transmitted infection (STI) and past Tuberculosis infection (TB), as well as examine HIV seropositivity unawareness and testing history among SSAMs. A venue-based sample of 790 SSAMs completed a cross-sectional biobehavioral survey on sexual practices, HIV testing and self-reported infectious diseases; an HIV rapid test was offered. Overall, 5.4% of participants were HIV-positive and 16.7% reported a past STI. Odds of being HIV positive or having a past STI were higher among participants with low socioeconomic status and who experienced violence from a partner. Increased odds of having a past STI were also found among long-term migrants and those who reported sexual risk behaviors. In total, 4.1% of participants had TB in the past; these were more likely male and HIV positive. Unawareness of HIV-positive status was notably high (35%). Half of the participants had never been tested for HIV before, including over a third of those who had STI or TB in the past. Efforts are needed to reduce missed opportunities for HIV/STIs prevention and uptake of HIV testing among SSAMs through more integrated care, while addressing social determinants of infectious diseases.

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KW - HIV testing

KW - STI

KW - TB

KW - sub-Saharan African migrants

KW - Unawareness of HIV

UR - https://www.mdpi.com/1660-4601/16/15/2710

U2 - 10.3390/ijerph16152710

DO - 10.3390/ijerph16152710

M3 - Article

VL - Vol. 16

SP - E2710-E2725

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - n.º 15

ER -