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Differences between migrants and Spanish-born population through the HIV care cascade, Catalonia: an analysis using multiple data sources

  • J. REYES-URUEÑA (a1) (a2) (a3), C. CAMPBELL (a1) (a2), C. HERNANDO (a1) (a2) (a3), N. VIVES (a1) (a2) (a3) (a4), C. FOLCH (a1) (a2) (a3) (a4), L. FERRER (a1) (a2) (a3), L. FERNÁNDEZ-LÓPEZ (a1) (a2) (a3), A. ESTEVE (a1) (a2) (a3) (a4) and J. CASABONA (a1) (a2) (a3) (a4)...
Summary

Migrants are considered a key group at risk for HIV infection. This study describes differences between migrants and the Spanish-born population as they progress through the HIV care cascade in Catalonia, Spain. This study found that among people reached by prevention activities, migrants had a higher number of barriers to access HIV testing services than Spanish-born people, driven primarily by shared risk factors. Between 2001 and 2013, 9829 new HIV diagnoses were reported in Catalonia, the proportion of migrants increasing from 24% in 2001 to 41% in 2013. Compared with Spanish-born people, migrants had a higher proportion of women at diagnosis (24·6% vs. 16·7%), and were younger (median age of 33 vs. 37). The most frequent at-risk population was MSM (men who have sex with men) in both migrants and Spanish-born people, (40% and 43%, respectively), although there were significant differences by region of origin. People from sub-Saharan Africa had the highest proportion of late diagnosis (63·7%). Compared with the Spanish-born population, migrants on follow-up had a lower proportion of people on antiretroviral therapy (ART) (93·7% vs. 90·8%, P < 0·001) and with viral suppression (87·2% vs. 82·9%, P < 0·001). Migrants have higher number of barriers to access HIV testing services, lower retention rates and proportions on ART as compared with Spanish-born people, these differences not being uniform between migrants from different regions.

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Corresponding author
*Author for correspondence: J. Reyes-Urueña, Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain. (Email: jmreyes@iconcologia.net)
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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