Sexual Health, HIV Care and Pre-exposure Prophylaxis in the African Immigrant Population: A Needs Assessment

Okoro, Olihe; Whitson, Shanasha O.

doi:10.1007/s10903-019-00873-x

Cited by 17 publications

(40 citation statements)

References 35 publications

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“…Of concern was fear that PrEP would be misconstrued as HIV treatment, thus people taking PrEP would be misconstrued as being HIV positive. 11,[27][28][29][30]39 Additionally, there were concerns that the community would make negative other assumptions about a person taking PrEP, such as promiscuity, infidelity and being involved in sex work. 27,29,30 Specific barriers were also reported for African GBM.…”

Section: Cultural Aspects Of Stigma On Discussion About Prepmentioning

confidence: 99%

“…11,[27][28][29][30]39 Additionally, there were concerns that the community would make negative other assumptions about a person taking PrEP, such as promiscuity, infidelity and being involved in sex work. 27,29,30 Specific barriers were also reported for African GBM. Taking PrEP could result in further marginalisation, due to assumptions of promiscuity and experience of homophobia from the Black community when accessing PrEP services linked to the Black community; services may be linked to the Black community through staffing, high patient case load or proximity to Black communities.…”

Section: Cultural Aspects Of Stigma On Discussion About Prepmentioning

confidence: 99%

“…Grey literature, such as non-peer reviewed reports, were not part of this search strategy; however, four papers included in this review were projects conducted in collaboration with community organisations. 11,25,27,30 Population Studies among African migrants were included. In this paper, the term 'African migrants' includes refugees and asylum seekers, economic migrants and students who have migrated to high-income countries outside of Africa.…”

Section: Study Typementioning

confidence: 99%

“…One explored views on PrEP among serodiscordant heterosexual couples in Boston through semi-structured qualitative interviews 39 and another reported on PrEP use and sexual health outcomes among African-born migrants in Minnesota through FGD, structured interviews, and self-administered questionnaires. 27 A qualitative study conducted in Australia in 2018 had several aims, including gaining insight on PrEP use as an additional HIV prevention tool through a community forum, describing the risk of HIV infection among people travelling between Africa and Australia. 30 Three qualitative studies were conducted in the UK and one, conducted in 2018, explored factors influencing acceptability of PrEP services for Black GBM through in-depth interviews.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…2,23,24 The majority of studies that have evaluated PrEP in terms of acceptability, willingness to use, barriers and facilitators for African migrants in high-income countries have been qualitative studies; there has been only a few quantitative studies. 11,[25][26][27][28][29][30] We conducted a systematic review to explore acceptability, willingness to use, and barriers and facilitators to PrEP among African migrants living in high-income countries with the aim of identifying areas to target to improve uptake in this population of which there is no existing data.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators to pre-exposure prophylaxis among African migrants in high income countries: a systematic review

et al. 2021

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Background: The aim of this review is to explore acceptability, barriers, and facilitators to PrEP use among African migrants in high-income countries. Methods: A systematic review was conducted to explore reasons that contribute to low PrEP uptake in this population. Three online databases, abstracts from key conferences and reference lists of relevant studies articles published between the 2 July 2018 and 3 March 2019 were searched. Narrative synthesis was performed on quantitative data and thematic synthesis was performed on qualitative data. Results: Of 1779 titles retrieved, two cross-sectional studies (United States (US) (n = 1), United Kingdom (UK) (n = 1)) and six qualitative studies (US (n = 2), UK (n = 3), Australia (n = 1)) met inclusion criteria. PrEP acceptability was reported in one crosssectional article and two qualitative articles. Cross-sectional studies measured acceptability and willingness to use PrEP; in one study, 46% of African migrant men found PrEP use acceptable, and following PrEP education, another study categorised 60% of participants as willing to use PrEP if it were cost-free. Qualitative studies reported mixed acceptability, with higher acceptability reported for serodiscordant couples. Barriers and facilitators to PrEP use were coded into five themes: cultural aspects of stigma; knowledge gap in health literacy; risks unrelated to HIV transmission; practical considerations for PrEP use; and the impact of PrEP use on serodiscordant couples. Conclusions: Several common barriers to PrEP use, including stigma, health literacy and risk perception and cost, were identified. Findings were limited by there being no published data on uptake. Additional work is needed to understand PrEP acceptability and uptake among African migrants.

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Section: Cultural Aspects Of Stigma On Discussion About Prepmentioning

confidence: 99%

Section: Cultural Aspects Of Stigma On Discussion About Prepmentioning

confidence: 99%

Section: Study Typementioning

confidence: 99%

Section: Qualitative Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators to pre-exposure prophylaxis among African migrants in high income countries: a systematic review

et al. 2021

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Assessing HIV risk and the social and behavioural characteristics of gay and bisexual men who have recently migrated to Australia: an analysis of national, behavioural surveillance data 2019–2021

Yu,

Bavinton,

Chan

et al. 2024

J Int AIDS Soc.

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Introduction:Overseas‐born gay and bisexual men (GBM) are overrepresented in HIV diagnoses in Australia. We assessed social and sexual behaviours, and the use of HIV prevention and testing, by region of birth and length of residence in Australia. We sought to identify similarities and differences between recently arrived and non‐recently arrived GBM from non‐English‐speaking countries to improve targeting and engagement with HIV testing and prevention.Methods:Data were collected in national repeated, behavioural surveillance surveys conducted across Australia during 2019–2021. Logistic regression was used to identify factors that differentiated between recently arrived (<2 years) and non‐recently arrived (≥2 years in Australia) GBM from non‐English‐speaking countries.ResultsAmong 24,707 participants in 2019–21, 2811 (11.4%) were from high‐income English‐speaking countries, 714 (2.9%) were recently arrived overseas‐born GBM and 3833 (15.5%) were non‐recently arrived migrants. Recently arrived GBM were most likely to be born in Asia (36.1%) and Europe (21.1%). Compared with non‐recently arrived GBM, recently arrived GBM from non‐English‐speaking countries were younger (aOR = 0.95, 95% CI = 0.94–0.96, p<0.001), more likely to be students (aOR = 1.43, 95% CI = 1.11–1.85, p = 0.005), less likely to be in full‐time employment (aOR = 0.56, 95% CI = 0.46–0.69, p <0.001), more likely to report consistent condom use (aOR = 1.30, 95% CI = 1.01–1.66, p = 0.039), but had lower awareness (aOR = 0.62, 95% CI = 0.48–0.80, p<0.001) and use of pre‐exposure prophylaxis (PrEP) (22.8%, vs. 32.3%, χ2(1, 4185) = 23.78, p<0.001), and similar levels of casual sex with a risk of HIV acquisition or transmission (aOR = 1.29, 95% CI = 0.98–1.69, p = 0.066). Recently arrived GBM reported similar levels of lifetime HIV testing (aOR = 0.97, 95% CI = 0.54–1.74, p = 0.915) and recent HIV testing (OR = 1.03, 95% CI = 0.86–1.22, p = 0.779), but were much less likely to have tested at general practitioners (aOR = 0.53, 95% CI = 0.41–0.68, p<0.001) and more likely to report testing at hospitals (aOR = 3.35, 95% CI = 2.53–4.43, p<0.001), at home (aOR = 2.85, 95% CI = 1.63–4.99, p<0.001), or community‐based services (aOR = 1.36, 95% CI = 1.01–1.84, p = 0.043).ConclusionsRecently arrived GBM from non‐English‐speaking countries reported similar levels of risk of HIV acquisition to longer‐term residents in Australia, but lower levels of PrEP awareness and use, and more reliance on HIV testing services which are free or low cost. It is necessary to enhance access to HIV testing and prevention among recently arrived GBM in Australia.

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Achieving Health Equity Among US Communities of Color at Risk for or Living with HIV

Ojikutu

Stone

2020

HIV in US Communities of Color

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Sexual Health, HIV Care and Pre-exposure Prophylaxis in the African Immigrant Population: A Needs Assessment

Cited by 17 publications

References 35 publications

Barriers and facilitators to pre-exposure prophylaxis among African migrants in high income countries: a systematic review

Barriers and facilitators to pre-exposure prophylaxis among African migrants in high income countries: a systematic review

Assessing HIV risk and the social and behavioural characteristics of gay and bisexual men who have recently migrated to Australia: an analysis of national, behavioural surveillance data 2019–2021

Achieving Health Equity Among US Communities of Color at Risk for or Living with HIV

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