Post-migration acquisition of hiv: Estimates from four european countries, 2007 to 2016

Zheng Yin; Alison E. Brown; Brian D. Rice; Gaetano Marrone; Anders Sonnerborg; Barbara Suligoi; Andre Sasse; Dominique Van Beckhoven; Teymur Noori; Vincenza Regine; Valerie C. Delpech

doi:10.2807/1560-7917.ES.2021.26.33.2000161

Post-migration acquisition of hiv: Estimates from four european countries, 2007 to 2016

Zheng Yin
, Alison E. Brown^*
, Brian D. Rice
, Gaetano Marrone
, Anders Sonnerborg
, Barbara Suligoi
, Andre Sasse
, Dominique Van Beckhoven
, Teymur Noori
, Vincenza Regine
, Valerie C. Delpech

^*Corresponding author for this work

HIV & AIDS

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

38 Downloads (Pure)

Abstract

Background: The assumption that migrants acquire human immunodeficiency virus (HIV) before migration, particularly those from high prevalence areas, is common.

Aim: We assessed the place of HIV acquisition of migrants diagnosed in four European countries using surveillance data.

Methods: Using CD4+ T-cell count trajectories modelled to account for seroconversion bias, we estimated infection year of newly HIV diagnosed migrants residing in the United Kingdom (UK), Belgium, Sweden and Italy with a known arrival year and CD4+ T-cell count at diagnosis. Multivariate analyses identified predictors for post-migration acquisition.

Results: Between 2007 and 2016, migrants constituted 56% of people newly diagnosed with HIV in the UK, 62% in Belgium, 72% in Sweden and 29% in Italy. Of 23,595 migrants included, 60% were born in Africa and 70% acquired HIV heterosexually. An estimated 9,400 migrants (40%; interquartile range (IQR): 34-59) probably acquired HIV post-migration. This proportion was similar by risk group, sex and region of birth. Time since migration was a strong predictor of post-migration HIV acquisition: 91% (IQR: 87-95) among those arriving 10 or more years prior to diagnosis; 30% (IQR: 21-37) among those 1-5 years prior. Younger age at arrival was a predictor: 15-18 years (81%; IQR: 74-86), 19-25 years (53%; IQR: 45-63), 26-35 years (37%; IQR: 30-46) and 36 years and older (25%; IQR: 21-33).

Conclusions: Migrants, regardless of origin, sex and exposure to HIV are at risk of acquiring HIV post-migration to Europe. Alongside accessible HIV testing, prevention activities must target migrant communities.

Original language	English
Article number	2000161
Number of pages	11
Journal	Eurosurveillance
Volume	26
Issue number	33
DOIs	https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161
Publication status	Published - 19 Aug 2021

Bibliographical note

Funding Information: European Centre for Disease Prevention and Control. Belgium: National Institute for Sickness and Invalidity
Insurance. Sweden: Association of Local Authorities and
Regions. Italy: Ministry of Health. UK: Department of Health.

Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate
credit to the source, provide a link to the licence and indicate
if changes were made.

Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2021.

Citation: Yin Zheng, Brown Alison E, Rice Brian D, Marrone Gaetano, Sönnerborg Anders, Suligoi Barbara, Sasse Andre, Van Beckhoven Dominique, Noori Teymur, Regine Vincenza, Delpech Valerie C. Post-migration acquisition of HIV: Estimates from four European countries, 2007 to 2016. Euro Surveill. 2021;26(33):pii=2000161.

DOI: https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Cite this

@article{84939bfceb504751807c011b3ca9b2f1,

title = "Post-migration acquisition of hiv: Estimates from four european countries, 2007 to 2016",

abstract = "Background: The assumption that migrants acquire human immunodeficiency virus (HIV) before migration, particularly those from high prevalence areas, is common. Aim: We assessed the place of HIV acquisition of migrants diagnosed in four European countries using surveillance data. Methods: Using CD4+ T-cell count trajectories modelled to account for seroconversion bias, we estimated infection year of newly HIV diagnosed migrants residing in the United Kingdom (UK), Belgium, Sweden and Italy with a known arrival year and CD4+ T-cell count at diagnosis. Multivariate analyses identified predictors for post-migration acquisition. Results: Between 2007 and 2016, migrants constituted 56\% of people newly diagnosed with HIV in the UK, 62\% in Belgium, 72\% in Sweden and 29\% in Italy. Of 23,595 migrants included, 60\% were born in Africa and 70\% acquired HIV heterosexually. An estimated 9,400 migrants (40\%; interquartile range (IQR): 34-59) probably acquired HIV post-migration. This proportion was similar by risk group, sex and region of birth. Time since migration was a strong predictor of post-migration HIV acquisition: 91\% (IQR: 87-95) among those arriving 10 or more years prior to diagnosis; 30\% (IQR: 21-37) among those 1-5 years prior. Younger age at arrival was a predictor: 15-18 years (81\%; IQR: 74-86), 19-25 years (53\%; IQR: 45-63), 26-35 years (37\%; IQR: 30-46) and 36 years and older (25\%; IQR: 21-33). Conclusions: Migrants, regardless of origin, sex and exposure to HIV are at risk of acquiring HIV post-migration to Europe. Alongside accessible HIV testing, prevention activities must target migrant communities.",

author = "Zheng Yin and Brown, \{Alison E.\} and Rice, \{Brian D.\} and Gaetano Marrone and Anders Sonnerborg and Barbara Suligoi and Andre Sasse and \{Van Beckhoven\}, Dominique and Teymur Noori and Vincenza Regine and Delpech, \{Valerie C.\}",

note = "Funding Information: European Centre for Disease Prevention and Control. Belgium: National Institute for Sickness and Invalidity Insurance. Sweden: Association of Local Authorities and Regions. Italy: Ministry of Health. UK: Department of Health. Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence and indicate if changes were made. Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2021. Citation: Yin Zheng, Brown Alison E, Rice Brian D, Marrone Gaetano, S{\"o}nnerborg Anders, Suligoi Barbara, Sasse Andre, Van Beckhoven Dominique, Noori Teymur, Regine Vincenza, Delpech Valerie C. Post-migration acquisition of HIV: Estimates from four European countries, 2007 to 2016. Euro Surveill. 2021;26(33):pii=2000161. DOI: https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161",

year = "2021",

month = aug,

day = "19",

doi = "10.2807/1560-7917.ES.2021.26.33.2000161",

language = "English",

volume = "26",

journal = "Eurosurveillance",

issn = "1025-496X",

publisher = "European Centre for Disease Prevention and Control (ECDC)",

number = "33",

}

TY - JOUR

T1 - Post-migration acquisition of hiv

T2 - Estimates from four european countries, 2007 to 2016

AU - Yin, Zheng

AU - Brown, Alison E.

AU - Rice, Brian D.

AU - Marrone, Gaetano

AU - Sonnerborg, Anders

AU - Suligoi, Barbara

AU - Sasse, Andre

AU - Van Beckhoven, Dominique

AU - Noori, Teymur

AU - Regine, Vincenza

AU - Delpech, Valerie C.

N1 - Funding Information: European Centre for Disease Prevention and Control. Belgium: National Institute for Sickness and Invalidity Insurance. Sweden: Association of Local Authorities and Regions. Italy: Ministry of Health. UK: Department of Health. Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence and indicate if changes were made. Publisher Copyright: This article is copyright of the authors or their affiliated institutions, 2021. Citation: Yin Zheng, Brown Alison E, Rice Brian D, Marrone Gaetano, Sönnerborg Anders, Suligoi Barbara, Sasse Andre, Van Beckhoven Dominique, Noori Teymur, Regine Vincenza, Delpech Valerie C. Post-migration acquisition of HIV: Estimates from four European countries, 2007 to 2016. Euro Surveill. 2021;26(33):pii=2000161. DOI: https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161

PY - 2021/8/19

Y1 - 2021/8/19

N2 - Background: The assumption that migrants acquire human immunodeficiency virus (HIV) before migration, particularly those from high prevalence areas, is common. Aim: We assessed the place of HIV acquisition of migrants diagnosed in four European countries using surveillance data. Methods: Using CD4+ T-cell count trajectories modelled to account for seroconversion bias, we estimated infection year of newly HIV diagnosed migrants residing in the United Kingdom (UK), Belgium, Sweden and Italy with a known arrival year and CD4+ T-cell count at diagnosis. Multivariate analyses identified predictors for post-migration acquisition. Results: Between 2007 and 2016, migrants constituted 56% of people newly diagnosed with HIV in the UK, 62% in Belgium, 72% in Sweden and 29% in Italy. Of 23,595 migrants included, 60% were born in Africa and 70% acquired HIV heterosexually. An estimated 9,400 migrants (40%; interquartile range (IQR): 34-59) probably acquired HIV post-migration. This proportion was similar by risk group, sex and region of birth. Time since migration was a strong predictor of post-migration HIV acquisition: 91% (IQR: 87-95) among those arriving 10 or more years prior to diagnosis; 30% (IQR: 21-37) among those 1-5 years prior. Younger age at arrival was a predictor: 15-18 years (81%; IQR: 74-86), 19-25 years (53%; IQR: 45-63), 26-35 years (37%; IQR: 30-46) and 36 years and older (25%; IQR: 21-33). Conclusions: Migrants, regardless of origin, sex and exposure to HIV are at risk of acquiring HIV post-migration to Europe. Alongside accessible HIV testing, prevention activities must target migrant communities.

AB - Background: The assumption that migrants acquire human immunodeficiency virus (HIV) before migration, particularly those from high prevalence areas, is common. Aim: We assessed the place of HIV acquisition of migrants diagnosed in four European countries using surveillance data. Methods: Using CD4+ T-cell count trajectories modelled to account for seroconversion bias, we estimated infection year of newly HIV diagnosed migrants residing in the United Kingdom (UK), Belgium, Sweden and Italy with a known arrival year and CD4+ T-cell count at diagnosis. Multivariate analyses identified predictors for post-migration acquisition. Results: Between 2007 and 2016, migrants constituted 56% of people newly diagnosed with HIV in the UK, 62% in Belgium, 72% in Sweden and 29% in Italy. Of 23,595 migrants included, 60% were born in Africa and 70% acquired HIV heterosexually. An estimated 9,400 migrants (40%; interquartile range (IQR): 34-59) probably acquired HIV post-migration. This proportion was similar by risk group, sex and region of birth. Time since migration was a strong predictor of post-migration HIV acquisition: 91% (IQR: 87-95) among those arriving 10 or more years prior to diagnosis; 30% (IQR: 21-37) among those 1-5 years prior. Younger age at arrival was a predictor: 15-18 years (81%; IQR: 74-86), 19-25 years (53%; IQR: 45-63), 26-35 years (37%; IQR: 30-46) and 36 years and older (25%; IQR: 21-33). Conclusions: Migrants, regardless of origin, sex and exposure to HIV are at risk of acquiring HIV post-migration to Europe. Alongside accessible HIV testing, prevention activities must target migrant communities.

UR - https://www.scopus.com/pages/publications/85114391999

U2 - 10.2807/1560-7917.ES.2021.26.33.2000161

DO - 10.2807/1560-7917.ES.2021.26.33.2000161

M3 - Article

AN - SCOPUS:85114391999

SN - 1025-496X

VL - 26

JO - Eurosurveillance

JF - Eurosurveillance

IS - 33

M1 - 2000161

ER -

Post-migration acquisition of hiv: Estimates from four european countries, 2007 to 2016

Abstract

Bibliographical note

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