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Treatment and care of HIV positive asylum seekers
  1. Penny A Cook1,
  2. Jennifer Downing1,
  3. Pauline Rimmer1,
  4. Qutub Syed2,
  5. Mark A Bellis1
  1. 1Liverpool John Moores University, Liverpool, UK
  2. 2Health Protection Agency North West, Liverpool, UK
  1. Correspondence to:
 Dr P A Cook
 Centre for Public Health, Liverpool John Moores University, Castle House, North Street, Liverpool L3 2AY, UK; p.a.cook{at}ljmu.ac.uk

Abstract

Background: Enhanced regional surveillance in north west England suggests that the proportion of HIV positive people who are asylum seekers (AS) is increasing. Nationally, there is no empirical evidence that HIV positive AS use HIV services to a greater or lesser extent than HIV positive non-AS. This report compares stage of disease and use of services between HIV positive non-AS and AS.

Methods: Data on those accessing HIV treatment and care (from hospitals and non-governmental organisations (NGOs)) in the north west of England for the first time January 2001–June 2004 (total 2204; AS 409) were extracted from the regional enhanced surveillance system.

Results: Compared with non-AS, AS did not differ in stage of HIV disease on first contact (p>0.05), were no more likely to stay overnight in hospital (p>0.05), but had an average of one extra outpatient appointment per year (median seven compared with six, p = 0.014). AS were much more likely to have accessed NGOs for support (43% compared with 27%: p<0.001).

Conclusions: Use of specialist hospital services by HIV positive AS differs little from HIV positive persons who are not AS. However, HIV positive AS rely more on NGOs at a time when such voluntary services are under increasing financial pressures.

  • asylum seeker
  • migrant
  • HIV
  • AIDS
  • NGO

Statistics from Altmetric.com

Footnotes

  • Funding: the North West regional HIV surveillance system is funded by the North West primary care trusts.

  • Competing interests: none.

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