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Journal of Immigrant and Minority Health

, Volume 17, Issue 1, pp 89–95 | Cite as

Increasing HIV Testing Among African Immigrants in Ireland: Challenges and Opportunities

  • Adebola A. AdedimejiEmail author
  • Aba Asibon
  • Gerard O’Connor
  • Richard Carson
  • Ethan Cowan
  • Philip McKinley
  • Jason Leider
  • Patrick Mallon
  • Yvette Calderon
Original Paper

Abstract

In 2012, immigrants constitute 63 % of new cases of heterosexually transmitted HIV among individuals born outside Ireland. Current strategies to encourage testing can be ineffective if immigrants perceive them as culturally insensitive. We obtained qualitative data to explore challenges to voluntary HIV-testing for immigrants in Ireland. Content analysis was undertaken to identify and describe pertinent themes. Widespread beliefs that HIV is primarily a disease of African immigrants were identified as challenges that constrain access to testing and care. The organization and location of testing services, attitude of health workers, and beliefs regarding mandatory HIV-testing for immigrants seeking access to welfare benefits were also identified. Immigrants in Ireland encounter a variety of structural, cultural and personal constraints to HIV testing. Opportunities exist in the Irish Health system to increase testing among immigrants through greater acknowledgement of cultural sensitivities of immigrant groups.

Keywords

HIV Testing Immigrants Ireland 

Notes

Acknowledgments

The authors gratefully acknowledge the support from the leadership of African immigrant communities in Dublin and Navan and the individuals who participated in the study. Funding for this study was made possible by the Albert Einstein College of Medicine Center for Global Health Micro and Pilot Grants in 2011 and 2013.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Adebola A. Adedimeji
    • 1
    Email author
  • Aba Asibon
    • 2
  • Gerard O’Connor
    • 3
    • 5
  • Richard Carson
    • 4
  • Ethan Cowan
    • 1
  • Philip McKinley
    • 4
  • Jason Leider
    • 2
  • Patrick Mallon
    • 5
    • 6
  • Yvette Calderon
    • 1
    • 2
  1. 1.Department of Epidemiology and Population HealthAlbert Einstein College of MedicineNew YorkUSA
  2. 2.Departments of Emergency Medicine and Internal MedicineJacobi Medical CenterBronx, New YorkUSA
  3. 3.Department of Emergency MedicineMater Misericordiae University HospitalDublinIreland
  4. 4.AIDS Care Education and TrainingDublinIreland
  5. 5.HIV Molecular Research Group, School of Medicine and Medical ScienceUniversity CollegeDublinIreland
  6. 6.Department of Infectious DiseasesMater Misericordiae University HospitalDublinIreland

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