Increasing HIV Testing Among African Immigrants in Ireland: Challenges and Opportunities

Increasing HIV Testing Among African Immigrants in Ireland: Challenges and Opportunities
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DOI:
10.1007/s10903-014-9986-x
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发表时间:
2015-02-01
影响因子:
1.9
通讯作者:
Calderon, Yvette
Calderon, Yvette
中科院分区:
医学4区
文献类型:
--
作者:
Adedimeji, Adebola A.;Asibon, Aba;Calderon, Yvette

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2012年,在爱尔兰以外出生的个人中,移民占异性性传播艾滋病毒新病例的63%。如果移民认为他们对文化不敏感,目前鼓励检测的战略可能无效。我们获得了定性数据,以探讨在爱尔兰的移民自愿艾滋病毒检测的挑战。进行了内容分析,以确定和描述相关主题。人们普遍认为艾滋病毒主要是非洲移民的疾病,这被认为是限制获得检测和护理的挑战。还查明了检测服务的组织和地点、卫生工作者的态度以及对寻求获得福利的移民进行强制性艾滋病毒检测的看法。爱尔兰的移民在艾滋病毒检测方面遇到各种结构、文化和个人方面的限制。爱尔兰卫生系统有机会通过更多地承认移民群体的文化敏感性来增加对移民的检测。
In 2012, immigrants constitute 63 % of new cases of heterosexually transmitted HIV among individuals born outside Ireland. Current strategies to encourage testing can be ineffective if immigrants perceive them as culturally insensitive. We obtained qualitative data to explore challenges to voluntary HIV-testing for immigrants in Ireland. Content analysis was undertaken to identify and describe pertinent themes. Widespread beliefs that HIV is primarily a disease of African immigrants were identified as challenges that constrain access to testing and care. The organization and location of testing services, attitude of health workers, and beliefs regarding mandatory HIV-testing for immigrants seeking access to welfare benefits were also identified. Immigrants in Ireland encounter a variety of structural, cultural and personal constraints to HIV testing. Opportunities exist in the Irish Health system to increase testing among immigrants through greater acknowledgement of cultural sensitivities of immigrant groups.