HIV prevalence ratio of international migrants compared to their native-born counterparts: A systematic review and meta-analysis

作者：Devy Santoso, Siti Khadijah Binti Mohamad Asfia, Maeve B. Mello, Rachel Baggaley, Cheryl Johnson, Eric P. F. Chow, Christopher K. Fairley, Jason J. Ong · 发表于：EClinicalMedicine · 年份：2022 · DOI：10.1016/j.eclinm.2022.101661 · 被引用次数：68 · 研究领域：Migration, Health and Trauma、HIV, Drug Use, Sexual Risk、HIV/AIDS Research and Interventions

Background People on the move, including international migrants, may face health inequities that expose them to a higher risk for HIV than native-born populations. We conducted a systematic review to calculate the HIV prevalence ratio of international migrants compared with native-born populations. Methods We searched five databases between January 2010 and March 2022. Using random-effects meta-analysis, we calculated the pooled HIV prevalence ratios (PR) by comparing the HIV prevalence of migrants with native-born populations. Our research protocol is registered in the International prospective register of systematic reviews (PROSPERO, CRD42021250867). Findings In total, 5,121 studies were screened, and 38 were included in the final analysis: 7,121,699 migrants and more than 270 million natives were included in the analysis. The pooled PR for any foreign-born migrants was 1·70 (95% CI 1·11 – 2·61, I 2 =99·67%, n = 33 studies), refugees was 2·37 (95% CI 0·33–16·99, I 2 =99·5%, n = 5), undocumented people was 3·98 (95% CI 0·11–143·01, I 2 =94·6%, n = 3), whilst asylum seekers was 54·79 (95% CI 17·23–174·23, I 2 =90·2%, n = 2). Meta-regression revealed that population type (adjusted R-squared 11.5%), region of origin (11.3%) and migrant type (10.8%) accounted for heterogeneity more than country-income (2.4%) and study setting (2.3%). Interpretation Although it was not possible to assess if HIV infection occurred in the country of origin or destination, the HIV prevalence ratio ...