Barriers to HIV testing for migrant black Africans in Western Europe
Barriers to HIV testing for migrant black Africans in Western Europe
复制标题
DOI：
10.1111/j.1468-1293.2008.00587.x
复制
发表时间：
2008-07-01
期刊：
影响因子：
3
通讯作者：
Shiripinda, I.
中科院分区：
文献类型：
--
作者：
Fakoya, I.;Reynolds, R.;Shiripinda, I.
非洲黑人移民在西欧受艾滋病毒的影响不成比例;我们讨论了撒哈拉以南非洲移民艾滋病毒检测的障碍，特别强调英国和荷兰。可以查明阻碍检测的文化、社会和结构性障碍，如获得检测和护理的机会、对死亡和疾病的恐惧以及对社区中的耻辱和歧视的恐惧。缺乏政治意愿、限制性移民政策以及决策过程中没有非洲人的代表，也是阻碍非洲黑人参加考试的主要因素。艾滋病毒检测战略需要立足于外联和社区动员，解决对诊断的恐惧，强调治疗的成功，并解决非洲黑人移民社区中与艾滋病毒有关的耻辱。
Migrant black Africans are disproportionately affected by HIV in Western Europe; we discuss the barriers to HIV testing for sub-Saharan migrants, with particular emphasis on the UK and the Netherlands. Cultural, social and structural barriers to testing, such as access to testing and care, fear of death and disease and fear of stigma and discrimination in the community, can be identified. Lack of political will, restrictive immigration policies and the absence of African representation in decision-making processes are also major factors preventing black Africans from testing. HIV testing strategies need to be grounded in outreach and community mobilisation, addressing fear of diagnosis, highlighting the success of treatment and tackling HIV-related stigma among black African migrant communities.