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Social Factors Associated with the Knowledge About HIV of the Immigrants from China, Latin America, the Maghreb and Senegal in the Basque Country (Spain)

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Abstract

The objective of this study was to identify the social factors that explain the differences in knowledge with regards to HIV/AIDS among immigrants in the Basque Country (Spain). We conducted a cross-sectional study based on information obtained in the Basque Health Survey for 754 immigrants from: 86 China, 368 Latin America, 237 the Maghreb and 74 Senegal. Odds ratios (95% CI) were calculated from logistic regression models to measure the degree of association between inadequate knowledge regarding transmission, prevention and places where HIV testing is offered, and the independent variables. We found that this inadequate knowledge is associated with place of birth, sex, a lower level of education, immigration status, difficulties in understanding Spanish, and not receiving advice about AIDS in primary care. These findings indicate that initiatives must be developed to promote equity in the provision of healthcare through clinical guidelines, including details of the specific needs of different groups of immigrants and considering gender issues.

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References

  1. Oliva J, Perez G. Immigration and health. Gac Sanit. 2009;23:1–3. (in Spanish).

    Article  PubMed  Google Scholar 

  2. Ikuspegi. Foreing populationn in the Basque Country. Immigration Observatory 2011. Available online PDF at: http://www.ikuspegi-inmigracion.net/documentos/panoramicas/es/pan40cas.pdf (in Spanish).

  3. Castilla J, Guevara M. Immigration and HIV in Spain. Enferm Infecc Microbiol Clin. 2009;27:375–6. (in Spanish).

    Article  PubMed  Google Scholar 

  4. Caro-Murillo AM, Castilla J, Del Amo J. Epidemiology of HIV infection in immigrants in Spain: information sources, characteristics, magnitude and tendencies. Gac Sanit. 2010;24:81–8. (in Spanish).

    Article  PubMed  Google Scholar 

  5. Caro-Murillo AM, Gutiérrez F, Ramos M, Sobrino P, Miró JM, López-Cortés LF, Tural C, Moreno A, de los Santos I, Murillas J, Camino X, Salvert M, Rubio R, Moreno S, del Amo J. HIV infection in immigrants in Spain: epidemiological characteristics and clinical presentation in the CoRIS Cohort (2004–2006). Enferm Infecc Microbiol Clin. 2009;27:380–8. (in Spanish).

    Article  PubMed  Google Scholar 

  6. Condes E, Barros C, Merino J, Ruiz-Galiana J. HIV infection in the adult: epidemiological changes over 25 years (1983–2008) in an area of the community of madrid. Enferm Infecc Microbiol Clin. 2010;28:156–61. (in Spanish).

    Article  PubMed  Google Scholar 

  7. Oliva J, Galindo S, Vives N, Arrillaga A, Izquierdo A, Nicolau A, Castilla J, Lezazun ME, Alvarez M, Rivas A. Delayed diagnosis of HIV infection in Spain. Enferm Infecc Microbiol Clin. 2010;28:583–9. (in Spanish).

    Article  PubMed  Google Scholar 

  8. Pérez-Molina JA, Rillo MR, Suárez-Lozano I, Casado-Osorio JL, Cobo RT, González PR, Clotet EP, Jerez AH, Pedrol PD, Royuela A, Díaz EB, Esteban H, González-García J. Do HIV-infected immigrants initiating HAART have poorer treatment-related outcomes than autochthonous patients in Spain? Results of the GESIDA 5808 Study. Curr HIV Res. 2010;8:521–30.

    Article  PubMed  Google Scholar 

  9. Burns FM, Imrie JY, Nazroo J, Johonson AM, Fenton KA. Why the(y) wait? Key informant understandings of factors contributing to late presentations and poor utilization of HIV health and social care services by African migrants in Britain. AIDS Care. 2007;19:102–8.

    Article  PubMed  CAS  Google Scholar 

  10. European Centre for Disease Prevention and Control, Migrant Health. HIV testing an counselling in migrant populations and ethnic minorities in EUE/EEA/EFTA members states. Stockholm: ECDC 2011. Available online PDF [39p.] at: http://bit.ly/nfmqt9.

  11. Salcher A, Hu X. Epidemiologic differences between native-born and foreign-born black people diagnosed with HIV infection in 33 US States, 2001–2007. Public Health. 2010;125:61–9.

    Google Scholar 

  12. Starfield B. Pathways of influence on equity in health. Soc Sci Med. 2007;64:1355–62.

    Article  PubMed  Google Scholar 

  13. Steel J, Herlitz C, Matthews J, Snyder W, Mazzaferro K, Baum A, Theorell T. Pre-migration trauma and HIV-risk behavior. Transcult Psychiatry. 2003;40:91–108.

    Article  PubMed  Google Scholar 

  14. Tugwel P, Pottie K, Welch V, Ueffing E, Chambers A. Canadian collaboration for immigrant and refugee health (CCIRH). Evaluation of evidence-based literature and formulation of recommendations for the clinical preventive guidelines for immigrants and refugees in Canada. CMAJ. 2011;183:933–8.

    Article  Google Scholar 

  15. Genber BL, Hlavka Z, konda KA, Maman S, Chariyalertsak S, Chingono A, Mbwambo J, Modiba P, Van Rooyen H, Celentano DD. Comparison of HIV/AIDS-related stigma in four countries: negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS. Soc Sci Med. 2009;68:2279–87.

    Article  Google Scholar 

  16. Giuliano M, Velles M. inequalities in healt: access to treatment for HIV/AIDS. Ann Inst Super Sanita. 2007;43:313–6.

    Google Scholar 

  17. Bärnighaussen T, Bloom DE, Humair S. Human resources for treating HIV/AIDS: needs, capacities and gaps. AIDS Patient Care STDS. 2007;21:799–812.

    Article  Google Scholar 

  18. Castillo Rodríguez S. Health of the immigrant population and HIV infection. In: The HIV/AIDS prevention in the immigrant population, pp. 35–47. Secretariat of National AIDS Plan, Spain. Ministry of Health and Consumer Affairs, 2006. Available online PDF [167p.] at: http://www.msc.es/ciudadanos/enfLesiones/enfTransmisibles/sida/docs/PMS200812.pdf (in Spanish).

  19. Rodríguez E, Lanborena N, Martín U, Bacigalupe A. Health Survey of the immigrant population in the Basque Country, Bilbao 2009. IMISIATE 2011. Available online PDF [163p.] at: http://imisate.eu/ (in Spanish).

  20. Monitoring the Declaration of Commitment on HIV/AIDS: guidelines on construction of core indicators: 2010 reporting. Available online PDF [135p.] at: http://data.unaids.org/pub/manual/2009/jc1676_core_indicators_2009_en.pdf.

  21. Halperin D, Steiner M, Cassel M, Green EC, Hearst N, Kirby D, Gayle HD, Cates W. The time has come for common ground on preventing sexual transmission of HIV. Lancet. 2004;364:1913–5.

    Article  PubMed  Google Scholar 

  22. Ríos E, Ferrer L, Casabona J, Caylá J, Avecilla A, Gómez J, Edison J, Pérez O, García S, Toran P, Ruiz M, Gros T, Rodríguez L, Arribas D, Folch C, Esteve A. Knowledge of HIV and sexually-transmitted diseases in Latin American and Maghrebi immigrants in Catalonia (Spain). Gac Sanit. 2009;23:533–8. (in Spanish).

    Article  PubMed  Google Scholar 

  23. Manirankunda L, Loos J, Alou TA, Colenbunders R, Nöstlinger C. “It’s better not to know”: perceived barriers to HIV voluntary counseling and testing among sub-Saharan African migrants in Belgium. AIDS Educ Preven. 2009;21:582–93.

    Article  Google Scholar 

  24. Gama A, Fraga S, Dias S. Impact of sociodemographic factor on HIV testing among african inmigrants in Portugal. J Immigr Minor Health. 2010;12:841–6.

    Article  PubMed  Google Scholar 

  25. Yu J. Young people of Chinese origin in western countries: a systematic review of their sexual attitudes and behaviour. Health Soc Care Community. 2010;18:117–28.

    Article  PubMed  Google Scholar 

  26. Amirkhanian YA, Kuznetsiva AV, Kelly JA, Di Franceisco WJ, Musatov VB, Avsukevich NA, Chaica NA, Mcauliffe TL. Male labour migrants in Russia HIV risk behaviour levels contextual factors, and prevention needs. J Immigr Minor Health. 2011;13:919–28.

    Article  PubMed  Google Scholar 

  27. Pulerwitz J, Michaelis A, Weiss E. Reducing HIV-related stigma: lessons learned from horizons research and programs. Public Health Rep. 2010;125:272–81.

    PubMed  Google Scholar 

  28. Mahajan AP, Sayles JN, Patel VA, Remien RH, Sawires SR, Ortiz DJ, Szekeres G, Coates TJ. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS. 2008;22:67–79.

    Article  Google Scholar 

  29. Sinding SW. Does “CNN” (condoms, needles, negotiation) work better than “ABC” (Abstinence, Being faithful and Condom use) in attacking the AIDS epidemic? Int Fam Plann Perspect. 2005;31:38–40.

    Article  Google Scholar 

  30. Murphy EM, Greene ME, Mihailovic A. Olupot–Olupot. Was the “ABC” approach (abstinence, being faithful, using condoms) responsible for Uganda’s decline in HIV? PLoS Med. 2006;3:e379. doi:10.1371/journal.pmed.0030379.

    Article  PubMed  Google Scholar 

  31. Krishnan S, Dunbar M, Minnis A, Medlin CA, Gerdts CE, Padian NS. Poverty, gender inequities, and women’s risk of human immunodeficiency virus/AIDS. Ann N Y Acad Sci. 2008;1136:101–10.

    Article  PubMed  Google Scholar 

  32. Castillo-Mancia J, Allshouse A, Collins C, Hanstings-Tolsma M, Campbell TB. Ma Whinney S. Differences in sexual risk behavior and HIV/AIDS risk factors among foreign-born and US-born Hispanic women. J Immigr Minor Health. 2012;14:89–99.

    Article  Google Scholar 

  33. Snelling D, Omariba WR, Hong S, Georgiades K, Racine Y, Boyle MH. HIV/AIDS knowledge, women′s education, epidemic severity an protective sexual behaviour in low, and middle income, countries. J Biosoc Sci. 2007;39:421–42. doi:10.1017/S0021932006001465.

    Article  PubMed  Google Scholar 

  34. Hong H, Qin QR, Li LH, Ji GP, Ye DQ. Condom use among married women at risk for sexually transmitted infections and HIV in rural China. Int J Gynaecol Obstet. 2009;106:262–5.

    Article  PubMed  Google Scholar 

  35. Bertens MG, Wolfers ME, van den Borne B, Schaalma HP. Negotiating safe sex among women of Afro-Surinamese and Dutch Antillean descent in the Netherlands. Aids Care. 2008;20:1211–6.

    Article  PubMed  Google Scholar 

  36. Scheppers E, van Dongen E, Dekker J, Geertzen J, Dekker J. Potential barriers to the use of health services among ethnic minorities: a review. Fam Pract. 2006;23:325–48.

    Article  PubMed  Google Scholar 

  37. Malmusi D, Borrell C, Benach J. Migration-related health inequalities: showing the complex interaction between gender, social class and place of origin. Soc Sci Med. 2010;71:1610–9.

    Article  PubMed  Google Scholar 

  38. Sudarshi D, Pao D, Murphy G, Parry J, Fisher M. Missed opportunities for diagnosing primary HIV infection. Sex Transm Infect. 2008;84:14–6.

    Article  PubMed  CAS  Google Scholar 

  39. Burns F, Johnson AM, Nazroo J, Ainsworth J, Anderson J, Fakoya A, Fakoya I, Hughes A, Jungmann E, Sadiq ST, Sullivan AK, Fenton KA. SONHIA Colaboration group. Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK. AIDS. 2008;22:115–22.

    Article  PubMed  Google Scholar 

  40. Garcia San Miguel L, Busto Martinez MJ, Bermudez Moreno E. Delay in the diagnosis of HIV infection in Spain: can we tackle this epidemic in primary care? Aten Prim. 2009;41:215–7. (in Spanish).

    Google Scholar 

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Acknowledgments

This work has been financed by the project GIU08/28 of the University of the Basque Country (UPV/EHU).

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Correspondence to Elena Rodríguez-Álvarez.

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Rodríguez-Álvarez, E., Lanborena, N., Bacigalupe, A. et al. Social Factors Associated with the Knowledge About HIV of the Immigrants from China, Latin America, the Maghreb and Senegal in the Basque Country (Spain). J Immigrant Minority Health 15, 24–33 (2013). https://doi.org/10.1007/s10903-012-9597-3

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  • DOI: https://doi.org/10.1007/s10903-012-9597-3

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