Access to HIV prevention, testing and care among people with a migration background in Euregio Meuse-Rhine: a needs and assets assessment

AIDS Care, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 24

Published: Jan. 8, 2025

This study addresses disparities among people with a migration background (PMB) and those in less-urban regions, across the HIV prevention care continuum (HIVPCC). We conducted needs assessment assets to identify gaps between existing initiatives persisting barriers. The research was Euregio Meuse-Rhine (EMR), encompassing bordering regions Belgium, Germany, Netherlands, involved in-depth interviews fifteen first-generation PMB, including nine HIV. Six factors influencing PMB access HIVPCC were identified: past experiences sexually transmitted infections (STIs) or HIV; stigma social dynamics; confidence communication healthcare providers workers; system navigation; precarity; knowledge beliefs about HIV/STIs. Existing mostly target individual interpersonal levels, are often inaccessible due language barriers, inadequately match PMB's living conditions culture, irregular hyperlocal. Recommendations include enhancing cultural sensitivity, adopting participatory approaches, tailoring outreach activities legal situations context, fostering cooperation work institutions. underscores importance of considering societal institutional dynamics bridging for advocating targeted interventions that promote inclusivity equity.

Language: Английский

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Black Women’s Sexual Well-being in the Age of Pre-Exposure Prophylaxis (PrEP): a Systematic Review of the Literature

Current Sexual Health Reports, Journal Year: 2024, Volume and Issue: 16(3), P. 138 - 176

Published: June 17, 2024

Abstract Purpose of Review Black women’s sexual well-being is predicated upon having the autonomy, resources, and access to define, explore, safely enjoy their sexuality intimacy. cisgender transgender women have been placed at disproportional risk for HIV due structural health specific inequities. Pre-exposure prophylaxis (PrEP), an effective biomedical intervention, reduces transmission from sex or injection drug use by 99%, however uptake PrEP remains low among women. Using PRISMA technique, we conducted a review literature on women, transgender, PrEP. We used Google Scholar PubMed conduct search. Recent Findings Our initial search garnered 2,221 sources across two databases. However, n = 197 articles were included in this based screening process our inclusion criteria. Socio-cultural factors, provider awareness, limited awareness knowledge, communication, motivation, concerns about PrEP, barriers, agency, power, pleasure may impact utilization facilitators highlighted as well interventions, though limited. Summary To adequately meet needs increase uptake, there need address these factors that develop interventions surrounding

Language: Английский

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Pre-exposure prophylaxis (PrEP) use trajectories and incidence of HIV and other sexually transmitted infections among PrEP users in Belgium: a cohort analysis of insurance claims data from 2017 to 2019

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 23, 2024

Since June 2017, oral pre-exposure prophylaxis (PrEP) has been reimbursed in Belgium for people at substantial risk of HIV. To inform the national PrEP programme, we described sociodemographic characteristics users, dispensing practices, testing HIV and sexually transmitted infections (STIs; gonorrhoea, chlamydia syphilis), incidence STIs. Analysis routinely collected social health insurance claims data from all individuals who were dispensed least one prescription between 2017 December 2019. Using logistic regression adjusted age, examined associations having only once first six months use. Overall, 4559 PrEP. Almost users male (99.2%, 4522/4559), with a median age 37 years (IQR 30–45). A minority entitled to an increased healthcare allowance (11.4%, 514/4559). 18% (657/3636) younger than 25 years, unemployed, allowance, initiated January 2019 more likely have had no after initiation compared their counterparts. The rates bacterial STIs 4.2 tests per person-year (95% CI 4.1–4.2) 3.6 3.5–3.6), respectively. Twelve identified seroconverted during study period, resulting rate 0.21/100 person-years 0.12–0.36). was 81.2/100 78.7–83.8). highlights challenges persistence high among receiving Tailored prevention support is crucial ongoing optimise effectiveness. Integrated STI interventions within care are necessary mitigate acquisition transmission users.

Language: Английский

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Knowledge, Attitudes, and Perspectives of Women Who Have Migrated from Sub-Saharan Africa to France Toward HIV Pre-Exposure Prophylaxis in a Family Planning Center

AIDS Patient Care and STDs, Journal Year: 2024, Volume and Issue: 38(11), P. 507 - 516

Published: Nov. 1, 2024

Women who have migrated from sub-Saharan Africa (SSA) are underrepresented among HIV pre-exposure prophylaxis (PrEP) users in France (∼2%), yet they account for around 20% of new infections annually. We conducted focus groups to explore the knowledge, attitudes, and perspectives these women toward PrEP a French family planning center (FPC). Focus occurred November 2023 February 2024 within Lariboisière Hospital FPC Paris. The social ecological model informed discussion guide, which explored women's experiences determinants uptake on various levels. Five were (

Language: Английский

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Sexual health challenges in migrant, immigrant, and displaced populations 2022–2023

Current Opinion in Infectious Diseases, Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 7, 2023

Purpose of review This article reviews recently published research on sexual health challenges and HIV sexually transmitted infections (STIs) among migrant, immigrant displaced people (MIDP) worldwide. We aimed to identify current evidence gaps regarding HIV/STI epidemiology, needs interventions. Recent findings Incidence prevalence HIV, hepatitis B virus, C virus syphilis were higher MIDP compared host populations. However, studies are limited in geographical distribution few routine surveillance data collected. Barriers services use participation preventive interventions include low symptom knowledge risk awareness, intersectional experiences stigma/discrimination. Better targeted promotion messages needed increase utilization Summary Access to, of, evident MIDP. These intertwined with social determinants health, including cultural/language barriers stigma. Effective require involvement multiple stakeholder groups, encouraging engagement providing protection. Promising directions for further developing supportive environments through peer-strategies provider training trauma-informed care.

Language: Английский

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Femmes ignorantes, femmes ignorées ? Comprendre le non-usage des nouvelles technologies de prévention du VIH

Nouvelles Questions Féministes, Journal Year: 2024, Volume and Issue: Vol. 43(1), P. 88 - 103

Published: May 14, 2024

L’objectif de cet article à deux voix est réfléchir manière critique la production du savoir et l’ignorance associée aux femmes noires et, ou d’ascendance africaine dans l’épidémie VIH/sida. Nous partirons d’un cas d’étude spécifique, PrEP (prophylaxie pré-exposition), qui devenue une technologie prévention majeure le contexte actuel réagencement autour combinée. Or, les africaine, constituent second groupe plus touché par en Europe, ne l’utilisent toujours pas. Cette absence renvoie des logiques complexes l’articulation genre, sexualité, classe race que nous questionnerons partant classification formes d’ignorance proposée Nancy Tuana.

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