title: [HIV infection and immigration].
abstract: Migrants represent around one third of patients newly diagnosed with HIV in Spain and they constitute a population with higher vulnerability to its negative consequences due to the socio-cultural, economical, working, administrative and legal contexts. Migrants are diagnosed later, which worsens their individual prognosis and facilitates the maintenance of the HIV epidemic. In spite of the different barriers they experience to access healthcare in general, and HIV-related services in particular, access to antiretroviral treatment has been similar to that of the autochthonous population. However, benefits of treatment have been not, with women in general and men from Sub-Saharan Africa exhibiting the worse response to treatment. We need to proactively promote earlier diagnosis of HIV infection, the adoption of preventive measures to avoid new infections, and to deliver accessible, adapted and high-quality health-care.
authors.affiliation: Facultad de Medicina, Universidad de Alcalá de Henares; CIBERESP, Madrid, España. Electronic address: susana.monge@uah.es.
authors.forename: Susana
authors.initials: S
authors.lastname: Monge
authors.affiliation: CSUR de Medicina Tropical, Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal; IRYCIS, Madrid, España.
authors.forename: José A
authors.initials: JA
authors.lastname: Pérez-Molina
mesh_terms: D017954:Africa South of the Sahara / Q000208:ethnology; D057210:Delayed Diagnosis; D054242:Emigrants and Immigrants; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D012959:Socioeconomic Factors; D013030:Spain; D014171:Transients and Migrants
keywords: España; Human immunodeficiency virus; Immigration; Inmigración; Spain; Virus de la inmunodeficiencia humana