Allan C L, Clarke J
University of Leeds Medical School, University of Leeds, Leeds, UK.
Public Health. 2005 Apr;119(4):305-11. doi: 10.1016/j.puhe.2004.05.015.
The Yorkshire and Humberside region of England ranks second only to London for reception of those seeking asylum in the UK. Human immunodeficiency virus (HIV) prevalence amongst asylum seekers is likely to mirror that in the country of origin. In 2001, the city of Leeds received 1100 asylum seekers, including dependents. Many of these were from areas with high seroprevalence of HIV, and HIV-infected asylum seekers require medical and social support. Are the current services for HIV-infected persons in Leeds appropriate and adequate for this new patient group? Provision of sexual health services for this client group needs to be evaluated.
To determine whether existing HIV/acquired immunodeficiency syndrome (AIDS) services in Leeds meet the needs of HIV-positive asylum seekers.
This was a qualitative study using semi-structured interviews. Seven service providers and 14 HIV-positive patients at Leeds Centre for Sexual Health, six of whom were asylum seekers, took part in the study.
Asylum seekers and UK residents were equally satisfied with HIV/AIDS services at Leeds Centre for Sexual Health. Other agencies such as the Health Access Team and Terrence Higgins Trust had different strengths that provided valuable support for this client group. Unmet needs of asylum seekers were identified, such as specialist services for torture victims and educational opportunities. In areas of asylum seeker dispersal with increased case loads, this methodology may inform development of client-centred care networks.
在英国，寻求庇护者接收数量仅次于伦敦的地区是英格兰的约克郡和亨伯赛德地区。寻求庇护者中的人类免疫缺陷病毒（HIV）流行率可能与原籍国情况相似。2001年，利兹市接收了1100名寻求庇护者，包括其家属。其中许多人来自HIV血清阳性率高的地区，感染HIV的寻求庇护者需要医疗和社会支持。利兹目前为HIV感染者提供的服务对这个新的患者群体是否合适且充分？需要对为这个客户群体提供性健康服务的情况进行评估。
确定利兹现有的HIV/获得性免疫缺陷综合征（AIDS）服务是否满足HIV阳性寻求庇护者的需求。
这是一项采用半结构式访谈的定性研究。利兹性健康中心的7名服务提供者和14名HIV阳性患者参与了研究，其中6名是寻求庇护者。
寻求庇护者和英国居民对利兹性健康中心的HIV/AIDS服务同样满意。健康接入团队和特伦斯·希金斯信托等其他机构有不同的优势，为这个客户群体提供了宝贵的支持。确定了寻求庇护者未得到满足的需求，如为酷刑受害者提供的专科服务和教育机会。在寻求庇护者分散且病例数增加的地区，这种方法可能为以客户为中心的护理网络的发展提供参考。
