Nikolopoulos Georgios, Arvanitis Michail, Masgala Aikaterini, Paraskeva Dimitra
HIV Infection Office, Hellenic Centre for Infectious Diseases Control, Athens, Greece.
Eur J Public Health. 2005 Jun;15(3):296-9. doi: 10.1093/eurpub/cki064. Epub 2005 May 27.
Over the last decade, Greece has experienced a massive influx of migrants from countries in South Eastern/Central Europe, the Middle East, Asia and Africa. This study aimed to estimate the percentage and the specific characteristics of HIV-positive migrants reported in Greece, and to describe the secular trend of migrants' proportion among HIV-infected individuals.
Secondary analysis of data reported to the Hellenic Centre for Infectious Diseases Control (HCIDC) during the years 1989-2003.
From 1989 to 2003, 6292 HIV-positive cases were reported to HCIDC. Data show that 749 people (439 males, 303 females) originated from countries other than Greece. Most HIV-positive migrants come from Sub-Saharan Africa (32.44%) and nearly 20% from Central and Eastern Europe. In the Greek population, men who have sex with men (MSM) constitute 50.47% of cases, while 16.15% are heterosexuals. The epidemic profile follows a different pattern among migrants (P<0.05). Heterosexual transmission accounts for 41.52% of HIV-positive reported migrants, while 19.09% are MSM. An 11% increase for each subsequent year in the rate of HIV-positive migrants reported in Greece has been estimated using a Poisson regression model fitted to the data (IR 1.11; 95% confidence interval 1.08-1.13).
The results suggest an increasing trend of HIV-seropositive migrants in Greece during recent years. Group-based interventions, better access to health care and a comprehensive public approach should be applied to migrants.
在过去十年中，希腊经历了来自东南欧/中欧、中东、亚洲和非洲国家的大量移民涌入。本研究旨在估计希腊报告的艾滋病毒阳性移民的百分比和具体特征，并描述艾滋病毒感染者中移民比例的长期趋势。
对1989年至2003年期间报告给希腊传染病控制中心（HCIDC）的数据进行二次分析。
1989年至2003年，HCIDC报告了6292例艾滋病毒阳性病例。数据显示，749人（439名男性，303名女性）来自希腊以外的国家。大多数艾滋病毒阳性移民来自撒哈拉以南非洲（32.44%），近20%来自中欧和东欧。在希腊人群中，男男性行为者（MSM）占病例的50.47%，而异性恋者占16.15%。移民中的流行情况呈现出不同的模式（P<0.05）。异性传播占报告的艾滋病毒阳性移民的41.52%，而男男性行为者占19.09%。使用拟合数据的泊松回归模型估计，希腊报告的艾滋病毒阳性移民率每年增加11%（发病率比值1.11；95%置信区间1.08-1.13）。
结果表明近年来希腊艾滋病毒血清阳性移民呈上升趋势。应针对移民采取基于群体的干预措施、更好地提供医疗保健服务以及全面的公共卫生方法。
