Van Vollenhoven Institute for Law, Governance and Society, Leiden University, Leiden, The Netherlands.
CRIR-AVS PACA, APHM, Marseille, France.
J Eur Acad Dermatol Venereol. 2023 Dec;37(12):2450-2461. doi: 10.1111/jdv.19428. Epub 2023 Aug 28.
In recent years, growing instability and conflict around the world have continued to fuel outward migration, including migration to the EU/EEA. Many migrants hail from countries and regions with a higher burden of STIs-including HIV-and are exposed to enhanced risks of sexual and gender-based violence leading to sexual health issues during their journeys. This scoping review aims to identify existing sexual health recommendations for non-European migrants in the EU/EEA and identify gaps in their implementation. Sexual health recommendations formulated in relation to the migrant population in peer- reviewed journals or by expert consensus, between 2010 and 2021, were included. A keyword search was used to retrieve relevant publications on PubMed, ScienceDirect, the Cochrane Library databases, WHO and ECDC websites. The search strategy employed was charted in a dedicated Prisma Chart. Overall, 180 publications were retrieved. Based on the abstract and after eliminating duplicates, 33 publications were included for full-text reading. The references of these publications were screened. In total, 19 publications met the inclusion criteria. Evidence-based sexual health recommendations target only newly arrived migrants and migrant children (at arrival and during stay in the country). Screening practices are mostly informed by the country of origin and related prevalence, which remains a limitation; challenges faced during migration should also be considered. Implementation and compliance with these recommendations remain uncertain, as sexual health is not funded and addressed in a uniform manner across Europe.
近年来，世界各地的不稳定和冲突加剧，继续推动人口外流，包括向欧盟/欧洲经济区迁移。许多移民来自性传播感染（包括艾滋病毒）负担较重的国家和地区，在迁徙过程中面临着更高的性暴力和基于性别的暴力风险，从而导致性健康问题。本范围界定审查旨在确定欧盟/欧洲经济区非欧洲移民的现有性健康建议，并确定其实施方面的差距。本研究纳入了 2010 年至 2021 年期间在同行评议期刊上或通过专家共识制定的、与移民人口相关的性健康建议。在 PubMed、ScienceDirect、考科兰图书馆数据库、世界卫生组织和欧洲疾病预防控制中心网站上使用关键字搜索检索相关出版物。采用专门的 Prisma 图表来规划搜索策略。共检索到 180 篇出版物。根据摘要并在消除重复后，有 33 篇出版物纳入全文阅读。筛选这些出版物的参考文献。共有 19 篇出版物符合纳入标准。基于证据的性健康建议仅针对新抵达的移民和移民儿童（抵达时和在该国逗留期间）。筛查做法主要基于原籍国和相关流行率，这仍然是一个限制；在迁徙过程中面临的挑战也应予以考虑。这些建议的实施和遵守情况仍不确定，因为性健康在整个欧洲没有得到统一的资金支持和解决。
