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Experiences of Migrants Living with HIV from HIV-Endemic Sub-Saharan African Countries: A Systematic Review of Qualitative Research Studies

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Abstract

The aim of this qualitative systematic review was to explore the experiences of migrants living with HIV from HIV endemic sub-Saharan African countries who migrated to high-income countries. In this systematic review of qualitative research studies, we focused on the experiences of migrants living with HIV and the intersections between living with HIV, migration, settlement, culture, race relations, access to health services and HIV care, treatment, and support during migration and settlement in a new host country. We searched 12 electronic databases from database inception for English-language publications. A thematic analysis of qualitative studies [n = 10] was conducted. Complexities exist across the migration and settlement trajectories of migrants living with HIV, which influenced people’s level of engagement in the HIV care cascade as well as social determinants of health and social wellbeing.

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Change history

  • 17 April 2022

    The given name and surname of author Aniela dela Cruz is corrected.

Notes

  1. For the purpose of this paper, the term migrant is used to refer to immigration applicants including persons who seek permanent residency or temporary residency, including protected persons, individuals seeking protected person status, and individuals who apply to enter a high-income country through other categories of immigration.

  2. The HIV care cascade refers to the continuum of health and social care for people living with HIV. This continuum includes testing and diagnosis of HIV, biomedical treatment and management of HIV, and ongoing health and social care of PLWH to remain engaged in the care cascade, with the overall goal to viral suppression [4].

  3. See Supplemental Material.

References

  1. Dela Cruz A. A narrative inquiry into the experiences of sub-Saharan African immigrants living with HIV in Alberta, Canada [Doctoral dissertation, University of Alberta]. University of Alberta - Education and Research Archive; 2014. https://era.library.ualberta.ca/items/d7209204-cb79-4d47-969c-97d3aa4d9893

  2. Dela Cruz A, Caine V, Mill J. Sub-Saharan African immigrants living with HIV in Canada: a narrative inquiry. Int J Migr Health Soc Care. 2016;12(3):194–210.

  3. Dela Cruz A, Patten S, Abdulmalik I, Harrowing J, Hall M, Afzal AR et al. Mandatory HIV screening, migration and HIV stigma in Canada: exploring the experiences of sub-Saharan African immigrants living with HIV in western Canada. Health Promot Chronic Dis Prev Can 2020;40(2):38–46.

  4. Hogg R. Understanding the HIV care continuum. Lancet. 2018;5(6):e269–70.

    Article  Google Scholar 

  5. Joint United Nations Programme on HIV/AIDS/World Health Organization. AIDS epidemic update. Joint United Nations Programme on HIV/AIDS; 2003. https://data.unaids.org/pub/report/2003/2003_epiupdate_en.pdf.

  6. Mill JE, Edwards N, Jackson RC, MacLean L, Chaw-Kant J. Stigmatization as a social control mechanism for persons living with HIV and AIDS. Qual Health Res. 2010;20(11):1469–83.

    Article  Google Scholar 

  7. Visser M, Kershaw T, Makin J, Forsyth B. Development of parallel scales to measure HIV-related stigma. AIDS Behav. 2008;12(5):759–71.

    Article  Google Scholar 

  8. Goffman E. Stigma: Notes on the management of spoiled identity. Englewood Cliffs: Prentice Hall; 1963.

    Google Scholar 

  9. Stangl AL, Brady L, Fritz K. Measuring HIV stigma and discrimination. International Center for Research on Women; 2021. https://www.icrw.org/wp-content/uploads/2017/07/STRIVE_stigma-brief-A4.pdf.

  10. Sweeney S, Vanable P. The association of HIV-related stigma to HIV medication adherence: a systematic review and synthesis of the literature. AIDS Behav. 2016;20(1):29–50.

    Article  Google Scholar 

  11. Joint United Nations Programme on HIV/AIDS: 90–90–90 an ambitious treatment target to help end the AIDS epidemic; 2014. https://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf.

  12. Butler A, Hall H, Copnell B. A guide to writing a qualitative systematic review protocol to enhance evidence-based practice in nursing and health care. Worldviews Evid Based Nurs. 2016;13(3):241–9.

    Article  Google Scholar 

  13. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:1–10.

    Article  Google Scholar 

  14. Moher D, Liberati A, Tetzlaff J, Altman DG. Reprint—Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement...reprinted with permission from the Annals of Internal Medicine from Mother D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Phys Ther 2009;89(9):873–80.

  15. Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12:181.

    Article  Google Scholar 

  16. Gough DA, Oliver S, Thomas J. Learning from research: Systematic reviews for informing policy decisions: a quick guide. Alliance for Useful Evidence; 2013 https://www.alliance4usefulevidence.org/assets/Alliance-final-report-08141.pdf.

  17. Central Intelligence Agency. The World Factbook. n.d. https://www.cia.gov/the-world-factbook/countries/.

  18. The World Bank. New country classifications by income level: 2019–2020; 2019 https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups

  19. Joanna Briggs Institute. Critical appraisal tools. n.d. https://jbi.global/critical-appraisal-tools

  20. Arrey AE, Bilsen J, Lacor P, Deschepper R. “HIV changed my life forever”: an illustrative case of a sub-Saharan African migrant woman living with HIV in Belgium. Trop Med Infect Dis. 2017;2(2):12.

    Article  Google Scholar 

  21. Henrickson M, Fouché C, Poindexter CC, Brown DB, Scott K. Host country responses to Black African migrants and refugees living with HIV. Aotearoa N Z Soc Work Rev. 2014;26(4):25–36.

    Article  Google Scholar 

  22. Herrmann S, Wardrop J, John M, Gaudieri S, Lucas M, Mallal S, et al. The impact of visa status and Medicare eligibility on people diagnosed with HIV in Western Australia: a qualitative report. Sex Health. 2012;9(5):407–13.

    Article  Google Scholar 

  23. Mehdiyar M, Andersson R, Hjelm K, Povlsen L. HIV-positive migrants’ encounters with the Swedish health care system. Glob Health Action. 2016;9:31753.

    Article  Google Scholar 

  24. Poindexter CC. HIV stigma and discrimination in medical settings: stories from African Women in New Zealand. Soc Work Health Care. 2013;52(8):704–27.

    Article  Google Scholar 

  25. Poindexter CC, Henrickson M, Fouché C, Brown D, Scott K. “They don’t even greet you”: HIV stigma and diagnosis disclosure experienced by HIV-positive African immigrants and refugees in New Zealand. J HIV AIDS Soc Serv. 2013;12(1):99–120.

    Article  Google Scholar 

  26. Pourette D. Migratory paths, experiences of HIV/AIDS, and sexuality: African women living with HIV/AIDS in France. Fem Econ. 2008;14(4):149–81.

    Article  Google Scholar 

  27. Worth H, Denholm N, Bannister J. HIV/AIDS and the African refugee education program in New Zealand. AIDS Educ Prev. 2003;15(4):346–56.

    Article  Google Scholar 

  28. Barter-Godfrey S, Taket A. Othering, marginalisation and pathways to exclusion in health. In: Taket A, Crisp B, Nevill A, Lamaro G, Graham M, Barter-Godfrey S, editors. Theorising social exclusion. Abingdon: Routledge; 2009. p. 166–72.

    Google Scholar 

  29. Canales MK. Othering: toward an understanding of difference. ANS. 2000;22(4):16–31.

    CAS  Google Scholar 

  30. Canales MK. Othering: difference understood? A 10-year analysis and critique of the nursing literature. ANS. 2010;33(1):15–34.

    Google Scholar 

  31. Clarke V, Braun V. Successful qualitative research: a practical guide for beginners. London: Sage; 2013.

    Google Scholar 

  32. Grant C, Osanloo A. Understanding, selecting, and integrating a theoretical framework in dissertation research: developing a ‘blueprint’ for your “house.” Admin Issues J Educ Pract Res. 2014. https://doi.org/10.5929/2014.4.2.9.

    Article  Google Scholar 

  33. Chamie J. International migration amid a world in crisis. J Migration Hum Security. 2020;8(3):230–45.

    Article  Google Scholar 

  34. Benach J, Mentaner C, Chung H, Benavides F. Immigration, employment relations, and health: developing a research agenda. Am J Ind Med. 2010;53:338–43.

    Article  Google Scholar 

  35. Bhopal R. Research agenda for tackling inequalities related to migration and ethnicity in Europe. J Public Health. 2012;34(2):167–73.

    Article  Google Scholar 

  36. Gottlieb N, Trummer U, Davidovitch D, Krasnik A, Juárez S, Rostila M, Biddle L, Bozorgmehr K. Economic arguments in migrant health policymaking: proposing a research agenda. Glob Health. 2020;16:113.

    Article  Google Scholar 

  37. Gunn V, Somani R, Muntaner C. Health care workers and migrant health: pre- and post-COVID-19 considerations for reviewing and expanding the research agenda. J Migration Health. 2021. https://doi.org/10.1016/j.jmh.2021.100048.

    Article  Google Scholar 

  38. Roura M. Unravelling migrants’ health paradoxes: a transdisciplinary research agenda. J Epidemiol Community Health. 2017;71:870–3.

    Article  Google Scholar 

  39. The Global Database on HIV-Specific Travel and Residence Restrictions. Regulations of entry, stay, and residence for PLHIV. n.d. http://hivtravel.org/Default.aspx?PageId=143&Mode=list&StateId=1.

  40. Canadian HIV/AIDS Legal Network. Immigration and travel to Canada for people living with HIV. 2018. http://www.hivlegalnetwork.ca/site/canadas-immigration-policy-as-it-affects-people-living-with-hiv-questions-and-answers/?lang=en.

  41. The Global Database on HIV-Specific Travel and Residence Restrictions. New Zealand- Regulations on entry, stay and residence for PLHIV. 2018. n.d. http://hivtravel.org/Default.aspx?PageId=143&Mode=list&StateId=1.

  42. Government of New Zealand. Countries with risk factors for HIV. New Zealand Immigration; 2021; https://www.immigration.govt.nz/new-zealand-visas/apply-for-a-visa/tools-and-information/medical-info/countries-with-risk-factors-for-hiv-aids.

  43. HIV Justice Network. 2020. Sweden. https://www.hivjustice.net/country/se/.

  44. Canadian HIV/AIDS Legal Network. The criminalization of HIV non-disclosure in Canada: current status and the need for change; 2019 https://www.hivlegalnetwork.ca/site/the-criminalization-of-hiv-non-disclosure-in-canada-report/?lang=en.

  45. Braveman P, Gottlieb L. The social determinants of health: It’s time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19–31.

    Article  Google Scholar 

  46. Mikkonen J, Raphael D. Social determinants of health: the Canadian facts. York University School of Health Policy and Management; 2010. https://www.thecanadianfacts.org/The_Canadian_Facts.pdf.

  47. Shubert V, Bernstine N. Moving from fact to policy: Housing is HIV prevention and health care. AIDS Behav. 2007;11:172–81.

    Article  Google Scholar 

  48. United Nations Human Rights Office of the High Commissioner. Fact Sheet No. 2 [Rev.1]. The International Bill of Human Rights; 1948. https://www.ohchr.org/documents/publications/factsheet2rev.1en.pdf.

  49. Cho S, Crenshaw KW, McCall L. Toward a field of intersectionality studies: Theory, applications, and praxis. Signs: Journal of Women in Culture & Society. 2013;38(4):785–810.

    Article  Google Scholar 

  50. Blake Helms C, Turan JM, Atkins G, Kempf M, Clay OJ, Raper JL, et al. Interpersonal mechanisms contributing to the association between HIV-related internalized stigma and medication adherence. AIDS Behav. 2017;21(1):238–47.

    Article  CAS  Google Scholar 

  51. Sayles JN, Wong MD, Kinsler JJ, Martins D, Cunningham WE. The association of stigma with self-reported access to medical care and antiretroviral therapy adherence in persons living with HIV/AIDS. J Gen Intern Med. 2009;24(10):1101–8.

    Article  Google Scholar 

  52. Turan B, Stringer KL, Onono M, Bukusi EA, Weiser SD, Cohen CR, et al. Linkage to HIV care, postpartum depression, and HIV-related stigma in newly diagnosed pregnant women living with HIV in Kenya: a longitudinal observational study. BMC Pregnancy Childbirth. 2014;14(1):1–10.

    Article  Google Scholar 

  53. Turan B, Smith W, Cohen MH, Wilson TE, Adimora AA, Merenstein D, et al. Mechanisms for the negative effects of internalized HIV-related stigma on antiretroviral therapy adherence in women: the mediating roles of social isolation and depression. J Acquir Immune Defic Syndr. 2016;72(2):198–205.

    Article  CAS  Google Scholar 

  54. Turan B, Browning W, Budhwani H, Turan J, Fazeli P, Raper J, et al. How does stigma affect people living with HIV? The mediating roles of internalized and anticipated HIV stigma in the effects of perceived community stigma on health and psychosocial outcomes. AIDS Behav. 2017;21(1):283–91.

    Article  Google Scholar 

  55. Arrey AE, Bilsen J, Lacor P, Deschepper R. Perceptions of stigma and discrimination in health care settings towards sub-Saharan African migrant women living with HIV/AIDS in Belgium: a qualitative study. J Biosoc Sci. 2017;49(5):578–96.

    Article  Google Scholar 

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Authors and Affiliations

  1. Faculty of Nursing, University of Calgary, 2500 University Drive N.W., Calgary, AB, T2N 1N4, Canada

    Aniela dela Cruz, Roshani Puri & Alix Hayden

  2. Faculty of Nursing, University of Alberta, Edmonton, AB, Canada

    Jose Benito Tovillo & Vera Caine

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  1. Aniela dela Cruz
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Correspondence to Aniela dela Cruz.

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dela Cruz, A., Puri, R., Tovillo, J.B. et al. Experiences of Migrants Living with HIV from HIV-Endemic Sub-Saharan African Countries: A Systematic Review of Qualitative Research Studies. J Immigrant Minority Health 25, 219–231 (2023). https://doi.org/10.1007/s10903-022-01340-w

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