International Journal of Public Health

, Volume 56, Issue 5, pp 559–566 | Cite as

Factors associated with HIV testing among immigrants in Portugal

  • Sónia DiasEmail author
  • Ana Gama
  • Milton Severo
  • Henrique Barros
Original Article



This paper describes the uptake of HIV testing and its associated factors among a sample of immigrants in Portugal.


A questionnaire was completed by 1,513 immigrants at the National Immigrant Support Centre, in Lisbon. The magnitude of the association between ever been HIV tested and socio-demographic variables was estimated by means of crude and adjusted odds ratios, and their 95% confidence intervals, using logistic regression.


Approximately half of the participants reported having ever been HIV tested. Age, sex, educational level, region of origin, immigration status and knowing someone infected were independently associated with the HIV test uptake. Almost 90% of participants reported knowing where to obtain support on HIV-related issues. Most declared preferring doctors to get HIV information. However, only 9.2% had sought HIV information at the National Health Service.


Our results suggest differences between migrant groups regarding HIV testing. Adopting more innovative approaches to HIV testing could improve the efficacy of HIV prevention strategies, especially among vulnerable groups within immigrant population as male and undocumented.


Immigrants HIV Testing Information seeking Portugal 



The authors wish to thanks to High Commission for Immigration and Intercultural Dialogue (ACIDI), IOM and Helena Vaz, Carla Martingo, Catarina Oliveira and Raquel Lucas. The authors wish to acknowledge valuable feedback and reviews provided by Prof. Gilles Dussault.

Conflict of interest

The authors declare that they have no competing interests.


  1. ACIDI (2007) Plan for immigrant integration—The Council of Ministers Resolution no. 63-A/2007, 3rd May. Available in English at
  2. ACIDI (2009) Immigration in Portugal: useful information. ACIDI, Lisbon. Available online at
  3. Baptista-Gonçalves R (2009) HIV/AIDS in Portugal: current trends and nursing perspectives. HIV Nurs 9(4):17–19Google Scholar
  4. Burns F, Mercer C, Copas A, Johnson A, Morison L, Wellings K et al (2005) Factors associated with HIV testing among black Africans in Britain. Sex Transm Infect 81(6):494–500PubMedCrossRefGoogle Scholar
  5. Burns F, Imrie J, Nazroo J, Johnson A, Fenton K (2007) Why the(y) wait? Key informant understandings of factors contributing to late presentation and poor utilization of HIV health and social care services by African migrants in Britain. AIDS Care 19(1):102–108PubMedCrossRefGoogle Scholar
  6. Chee C, Mortier E, Dupont C, Bloch M, Simonpoli A, Rouveix E (2005) Medical and social differences between French and migrant patients consulting for the first time for HIV infection. AIDS Care 17(4):516–520PubMedCrossRefGoogle Scholar
  7. Deblonde J, De Koker P, Hamers FF, Fontaine J, Luchters S, Temmerman M (2010) Barriers to HIV testing in Europe: a systematic review. Eur J Public Health 20(4):422–432PubMedCrossRefGoogle Scholar
  8. Del Amo J, Broring G, Hamers F, Infuso A, Fenton K (2004) Monitoring HIV/AIDS in Europe’s migrant communities and ethnic minorities. AIDS 18(14):1867–1873PubMedCrossRefGoogle Scholar
  9. Derose K, Escarce J, Lurie N (2007) Immigrants and health care: sources of vulnerability. Health Aff 26(5):1258–1268CrossRefGoogle Scholar
  10. Dias S, Gonçalves A, Luck M, Fernandes M (2004) Risk of HIV/AIDS infection: access and utilization oh health services in a migrant community. Acta Med Port 17:211–218PubMedGoogle Scholar
  11. Dias S, Severo M, Barros H (2008) Determinants of health care utilization by immigrants in Portugal. BMC Health Serv Res 8:207. doi: 10.1186/1472-6963-8-207 PubMedCrossRefGoogle Scholar
  12. ECDC (2010) Technical report–migrant health: epidemiology of HIV and AIDS in migrant communities and ethnic minorities in EU/EEA countries. ECDC, StockholmGoogle Scholar
  13. Ehrlich S, Organista K, Oman D (2007) Migrant Latino day laborers and intentions to test for HIV. AIDS Behav 11:743–752PubMedCrossRefGoogle Scholar
  14. EuroHIV (2007) HIV/AIDS surveillance in Europe: end-year report 2006. Institut de Veille Sanitaire, Saint-MauriceGoogle Scholar
  15. Fenton KA, Chinouya M, Davidson O, Copas A, MAYISHA study team (2002) HIV testing and high risk sexual behaviour among London’s migrant African communities: a participatory research study. Sex Transm Infect 78(4):241–245PubMedCrossRefGoogle Scholar
  16. Fernandez M, Wilson T, Ethier K, Walter E, Gay C, Moore J (2000) Do pregnant women accept HIV tests offered during prenatal care? The Perinatal Guidelines Evaluation Project. Public Health Rep 115:460–468PubMedCrossRefGoogle Scholar
  17. Fernández MI, Collazo JB, Bowen GS, Varga LM, Hernandez N, Perrino T (2005) Predictors of HIV testing and intention to test among Hispanic farmworkers in South Florida. J Rural Health 21:56–64PubMedCrossRefGoogle Scholar
  18. Hamers FF, Devaux I, Alix J, Nardone A (2006) HIV/AIDS in Europe: trends and EU-wide priorities. Euro Surveill 11 (11):E061123–E061121Google Scholar
  19. IOM (2004) International migration law: glossary on migration. IOM, GenevaGoogle Scholar
  20. Kalichman S, Simbayi L (2003) HIV testing attitudes, AIDS stigma, and voluntary HIV counseling and testing in a black township in Cape Town, South Africa. Sex Transm Infect 79:442–447PubMedCrossRefGoogle Scholar
  21. Lai D, Chau S (2007) Predictors of health service barriers for older Chinese immigrants in Canada. Health Soc Work 32(1):57–65PubMedGoogle Scholar
  22. Levy V, Prentiss D, Balmas G, Chen S, Israelski D, Katzenstein D et al (2007) Factors in the delayed HIV presentation of immigrants in Northern California: implications for voluntary counselling and testing programs. J Immigr Minor Health 9:49–54PubMedCrossRefGoogle Scholar
  23. Manirankunda L, Loos J, Alou TA, Colebunders R, Nöstlinger C (2009) “Its better not to know”: perceived barriers to HIV voluntary counseling and testing among sub-Saharan African migrants in Belgium. AIDS Educ Prev 21(6):582–593PubMedCrossRefGoogle Scholar
  24. Mykhalovskiy E, Patten S, Sanders C, Bailey M, Taylor D (2009) Conceptualizing the integration of HIV treatment and prevention: findings from a process evaluation of a community-based, national capacity-building intervention. Int J Public Health 54:133–141PubMedCrossRefGoogle Scholar
  25. National Coordination for HIV/Aids Infection (2007) National programme for the prevention and control of the HIV/Aids infection 2007–2010: a commitment to the future. National Coordination for HIV/Aids Infection, Lisbon. Available online at
  26. Norman L, Gebre Y (2005) Prevalence and correlates of HIV testing: an analysis of university students in Jamaica. MedGenMed 7(1):70PubMedGoogle Scholar
  27. OECD (2008) International migration outlook: SOPEMI—2008 edition. OECD, ParisCrossRefGoogle Scholar
  28. Saracino A, El-Hamad I, Prato R, Cibelli D, Tartaglia A, Palumbo E et al (2005) Access to HAART in HIV-Infected immigrants: a retrospective multicenter Italian study. AIDS Patient Care STD 19(9):599–606CrossRefGoogle Scholar
  29. Scheppers E, Dongen E, Dekker J, Geertzen J, Dekker J (2006) Potential barriers to the use of health services among ethnic minorities: a review. Fam Pract 23(3):325–348PubMedCrossRefGoogle Scholar
  30. Schwarcz S, Hsu L, Dilley J, Loeb L, Nelson K, Boyd S (2006) Late diagnosis of HIV infection: trends, prevalence, and characteristics of persons whose HIV diagnosis occurred within 12 months of developing AIDS. J Acquir Immune Defic Syndr 43(4):491–494PubMedCrossRefGoogle Scholar
  31. SEF (2008) Relatório de imigração, fronteiras e asilo 2008. SEF, LisboaGoogle Scholar
  32. Shedlin M, Shulman L (2004) Qualitative needs assessment of HIV services among Dominican, Mexican and Central American immigrant populations living in the New York City area. AIDS Care 16(4):434–445PubMedCrossRefGoogle Scholar
  33. Sinka K, Mortimer J, Evans B, Morgan D (2003) Impact of the HIV epidemic in sub-Saharan Africa on the pattern of HIV in the UK. AIDS 17:1683–1690PubMedCrossRefGoogle Scholar
  34. Stolte IG, Gras M, Van Benthem BHB, Coutinho RA, Hoek JAR (2003) HIV testing behaviour among heterosexual migrants in Amsterdam. AIDS Care 15(4):563–574PubMedCrossRefGoogle Scholar
  35. Williamson LM, Rosato M, Teyhan A, Santana P, Harding S (2009) AIDS mortality in African migrants living in Portugal: evidence of large social inequalities. Sex Transm Infect 85:427–431PubMedCrossRefGoogle Scholar
  36. Wong F, Campsmith M, Nakamura G, Crepaz N, Begley E (2004) HIV testing and awareness of care-related services among a group of HIV-positive Asian Americans and Pacific Islanders in the United States: findings from a supplemental HIV/AIDS surveillance project. AIDS Educ Prev 16(5):440–447PubMedCrossRefGoogle Scholar
  37. Worthington C, Myers T (2003) Factors underlying anxiety in HIV testing: Risk perceptions, stigma, and the patient-provider power dynamic. Qual Health Res 13(5):636–655PubMedCrossRefGoogle Scholar

Copyright information

© Swiss School of Public Health 2010

Authors and Affiliations

  • Sónia Dias
    • 1
    Email author
  • Ana Gama
    • 1
  • Milton Severo
    • 2
  • Henrique Barros
    • 2
  1. 1.Instituto de Higiene e Medicina TropicalUniversidade Nova de LisboaLisbonPortugal
  2. 2.Department of Hygiene and Epidemiology, Institute of Public HealthUniversity of Porto Medical SchoolPortoPortugal

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