Cook Penny A, Downing Jennifer, Rimmer Pauline, Syed Qutub, Bellis Mark A
Centre for Public Health, Liverpool John Moores University, Castle House, North Street, Liverpool L3 2AY, UK.
J Epidemiol Community Health. 2006 Oct;60(10):836-8. doi: 10.1136/jech.2005.044776.
Enhanced regional surveillance in north west England suggests that the proportion of HIV positive people who are asylum seekers (AS) is increasing. Nationally, there is no empirical evidence that HIV positive AS use HIV services to a greater or lesser extent than HIV positive non-AS. This report compares stage of disease and use of services between HIV positive non-AS and AS.
Data on those accessing HIV treatment and care (from hospitals and non-governmental organisations (NGOs)) in the north west of England for the first time January 2001-June 2004 (total 2204; AS 409) were extracted from the regional enhanced surveillance system.
Compared with non-AS, AS did not differ in stage of HIV disease on first contact (p>0.05), were no more likely to stay overnight in hospital (p>0.05), but had an average of one extra outpatient appointment per year (median seven compared with six, p = 0.014). AS were much more likely to have accessed NGOs for support (43% compared with 27%: p<0.001).
Use of specialist hospital services by HIV positive AS differs little from HIV positive persons who are not AS. However, HIV positive AS rely more on NGOs at a time when such voluntary services are under increasing financial pressures.
英格兰西北部加强的区域监测表明，寻求庇护者中艾滋病毒呈阳性的比例正在上升。在全国范围内，没有实证证据表明艾滋病毒呈阳性的寻求庇护者比艾滋病毒呈阳性的非寻求庇护者更多或更少地使用艾滋病毒服务。本报告比较了艾滋病毒呈阳性的非寻求庇护者和寻求庇护者之间的疾病阶段和服务使用情况。
从区域强化监测系统中提取2001年1月至2004年6月首次在英格兰西北部接受艾滋病毒治疗和护理的人员（来自医院和非政府组织）的数据（共2204人；寻求庇护者409人）。
与非寻求庇护者相比，寻求庇护者首次接触时的艾滋病毒疾病阶段没有差异（p>0.05），住院过夜的可能性也没有更高（p>0.05），但每年平均多一次门诊预约（中位数分别为7次和6次，p = 0.014）。寻求庇护者更有可能向非政府组织寻求支持（43% 对27%：p<0.001）。
艾滋病毒呈阳性的寻求庇护者对专科医院服务的使用与非寻求庇护的艾滋病毒呈阳性者差异不大。然而，在这类志愿服务面临越来越大的财政压力之际，艾滋病毒呈阳性的寻求庇护者更多地依赖非政府组织。
