School of Public Health, Imperial College London, London, UK.
Preventive Medicine, National University Hospital, Singapore.
Epidemiol Infect. 2024 Mar 1;152:e49. doi: 10.1017/S0950268824000372.
Migrants in Europe face a disproportionate burden of HIV infection; however, it remains unclear if this can be prevented through public health interventions in host countries. We undertake a systematic review and meta-analysis to estimate post-migration HIV acquisition (PMHA) as a proportion of all HIV cases in European migrants. MEDLINE, EMBASE, Global Health, HMIC, and Cochrane Library were searched with terms capturing 'HIV', 'migration', and 'Europe'. Data relating to the proportion of HIV acquired following migration were extracted and random-effects model (REM) meta-analysis was undertaken to calculate a pooled estimate for the proportion of PMHA in European countries. Subgroup meta-analysis was undertaken for PMHA by migrant demographic characteristics and host country. Fifteen articles were included for systematic review following retrieval and screening of 2,320 articles. A total of 47,182 migrants in 11 European countries were included in REM meta-analysis, showing an overall PMHA proportion of 0.30 (95% CI: 0.23-0.38). Subgroup analysis showed no significant difference in PMHA between host country and migrant demographic characteristics. This work illustrates that migrants continue to be at high risk of HIV acquisition in Europe. This indicates the need for targeted screening and HIV prevention interventions, ensuring resources are appropriately directed to combat the spread of HIV.
欧洲的移民面临不成比例的艾滋病毒感染负担；然而，目前尚不清楚在东道国通过公共卫生干预措施是否可以预防这种情况。我们进行了系统评价和荟萃分析，以估计欧洲移民的移民后 HIV 获得（PMHA）占所有 HIV 病例的比例。使用包含“HIV”、“移民”和“欧洲”的术语对 MEDLINE、EMBASE、全球健康、HMIC 和 Cochrane 图书馆进行了搜索。提取了与移民后获得的 HIV 比例相关的数据，并进行了随机效应模型（REM）荟萃分析，以计算欧洲国家 PMHA 比例的汇总估计值。根据移民人口统计学特征和东道国进行了 PMHA 的亚组荟萃分析。在检索和筛选了 2320 篇文章后，有 15 篇文章被纳入系统评价。11 个欧洲国家的 47182 名移民被纳入 REM 荟萃分析，结果显示总体 PMHA 比例为 0.30（95%CI：0.23-0.38）。亚组分析表明，PMHA 在东道国和移民人口统计学特征之间没有显著差异。这项工作表明，移民在欧洲继续面临高艾滋病毒感染风险。这表明需要有针对性的筛查和艾滋病毒预防干预措施，确保资源得到适当引导，以遏制艾滋病毒的传播。
