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Meta-Analysis
. 2024 Mar 1:152:e49.
doi: 10.1017/S0950268824000372.

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

Simran Mann  1 , Zeenathnisa Mougammadou  2 , Jan Wohlfahrt  3 , Rahma Elmahdi  4   5
Affiliations
Meta-Analysis

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

Simran Mann et al. Epidemiol Infect. .

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.

Keywords: HIV; epidemiology; migrant; migration; public health.

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Conflict of interest statement

All authors have no competing interests to declare.

Figures

Figure 1.
Figure 1.
PRISMA flowchart of process for final inclusion of articles.
Figure 2.
Figure 2.
Forest plot of individual article and pooled average estimates for PMHA.
Figure 3.
Figure 3.
Forest plots for individual and pooled average PMHA estimates by host country.
Figure 4.
Figure 4.
Forest plots for individual and pooled average PMHA estimates by migrant region of origin.
Figure 5.
Figure 5.
Forest plots for individual and pooled average PMHA estimates by migrant sex.
Figure 6.
Figure 6.
Forest plots for individual and pooled average PMHA estimates by migrant sexuality.
Figure 7.
Figure 7.
Forest plots for individual and pooled average PMHA estimates by method of PMHA classification.
See this image and copyright information in PMC

References

    1. Seedat F, Hargreaves S and Friedland JS (2014) Engaging new migrants in infectious disease screening: A qualitative semi-structured interview study of UK migrant community health-care leads. PLoS One 9(10), e108261. - PMC - PubMed
    1. Nkulu-Kalengayi FK, Jonzon R, Deogan C and Hurtig AK (2021) Evidence and gaps in the literature on HIV/STI prevention interventions targeting migrants in receiving countries: A scoping review. Global Health Action 14(1), 1962039. - PMC - PubMed
    1. Kärki T, et al. (2014) Screening for infectious diseases among newly arrived migrants in EU/EEA countries—Varying practices but consensus on the utility of screening. International Journal of Environmental Research and Public Health 11(10), 11004–11014. - PMC - PubMed
    1. Noori T, et al. (2021) Strengthening screening for infectious diseases and vaccination among migrants in Europe: What is needed to close the implementation gaps? Travel Medicine & Infectious Disease 39, 101715. - PubMed
    1. Alvarez-Del Arco D, et al. (2017) High levels of postmigration HIV acquisition within nine European countries. AIDS 31(14), 1979–1988. - PubMed

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