Skip to main content Accessibility help
×
Home

The impact in the UK of the Central and Eastern European HIV epidemics

  • V. C. DELPECH (a1), Z. YIN (a1), J. ABERNETHY (a1), C. HILL (a1), L. LOGAN (a1), T. R. CHADBORN (a1) and B. D. RICE...

Summary

Despite increasing migration, the impact of HIV epidemics from Central and Eastern Europe (C&EE) on the UK HIV epidemic remains small. C&EE-born adults comprised 1·2% of adults newly diagnosed with HIV in the UK between 2000 and 2007. Most C&EE-born women probably acquired their infection heterosexually in C&EE. In contrast, 59% of C&EE-born men reported sex with men, half of whom probably acquired their infection in the UK. Previously undiagnosed HIV prevalence in C&EE-born sexual-health-clinic attendees was low (2007, 0·5%) as was overall HIV prevalence in C&EE-born women giving birth in England (2007, <0·1%). The high proportion of men who have sex with men (MSM) suggests under-reporting of this group in C&EE HIV statistics and/or migration of MSM to the UK. In addition to reducing HIV transmission in injecting drug users, preventative efforts aimed at C&EE-born MSM both within their country of origin and the UK are required.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      The impact in the UK of the Central and Eastern European HIV epidemics
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      The impact in the UK of the Central and Eastern European HIV epidemics
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      The impact in the UK of the Central and Eastern European HIV epidemics
      Available formats
      ×

Copyright

Corresponding author

*Author for correspondence: Dr V. C. Delpech, Department of HIV and STI, Centre for Infection, Health Protection Agency, 61 Colindale Avenue, Colindale, London, NW9 5EQ, UK.(Email: valerie.delpech@hpa.org.uk)

References

Hide All
1. UK Collaborative Group for HIV and STI Surveillance. HIV in the United Kingdom: 2008 Report. London: Health Protection Agency, 2008.
2. UK Collaborative Group for HIV and STI Surveillance. Testing times – HIV and other sexually transmitted infections in the United Kingdom: 2007. London: Health Protection Agency, 2007.
3. EuroHIV. HIV/AIDS surveillance in Europe. Mid-year report 2007. Saint-Maurice: Institut de Veille Sanitaire, 2007, No. 76.
4. European Centre for Disease Prevention and Control/WHO Regional Office for Europe: HIV/AIDS Surveillance in Europe 2007. Stockholm: European Centre for Disease Prevention and Control, 2008 (http://ecdc.europa.eu/en/files/pdf/Publications/20081201_Annual_HIV_Report.pdf). Accessed 2 December 2008.
5. Hamers, FF. HIV diagnoses are increasing in the European Union. Eurosurveillance 2003; 7.
6. White, RG. What can we make of an association between human immunodeficienty virus prevalence and population mobility? [Commentary]. International Journal of Epidemiology 2003; 32: 753754.
7. Rachlis, B, et al. Migration and transmission of blood-borne infections among injection drug users: understanding the epidemiologic bridge. Drug and Alcohol Dependence 2007; 90: 107119.
8. Hawkes, SJ, Hart, GJ. Travel, migration and HIV. AIDS Care 1993; 5: 207214.
9. Gyarmathy, VA, Neaigus, A. Marginalized and socially integrated groups of IDUs in Hungary: Potential bridges of HIV infection. Journal of Urban Health 2005; 82: iv101iv112.
10. Office for National Statistics. Labour Force Survey (http://www.statistics.gov.uk/statbase/Source.asp?vlnk=358&ComboState=Show+Links&More=Y&Btn.x=27&Btn.y=14). Accessed 15 December 2008.
11. Office for National Statistics. International migration 2006 – Series MN No. 33 (http://www.statistics.gov.uk/downloads/theme_population/MN33.pdf). Accessed 20 July 2008.
12. European Commission. From 6 to 27 members and beyond (http://ec.europa.eu/enlargement/the-policy/from-6-to-27-members/index_en.htm). Accessed 17 July 2008.
13. Jones, G, Brogan, B. Blair bid to avoid immigrant rush. The Daily Telegraph, 18 February 2004.
14. Clark, R. The great British migration scandal: did no one plan for the influx of Eastern Europeans? The Times, 20 September 2007.
15. Morton, E. HIV fears from Euro ten. The Sun, 23 April 2004.
16. Morton, E. Eastern Europeans harm NHS. The Sun, 27 March 2007.
17. Roberts, B. The true cost to Britain. Daily Mirror, 18 October 2007.
18. Office for National Statistics. Mid-2007 Population estimates for UK, England and Wales, Scotland and Northern Ireland (http://www.statistics.gov.uk/statbase/Product.asp?vlnk=15106). Accessed 1 October 2008.
19. Chadborn, TR, et al. No time to wait: how many HIV-infected homosexual men are diagnosed late and consequently die? (England and Wales, 1993–2002). AIDS 2005; 19: 513520.
20. Chadborn, TR, et al. The late diagnosis and consequent short-term mortality of HIV-infected heterosexuals (England and Wales, 2000–2004). AIDS 2006; 20: 23712379.
21. Office for National Statistics. Focus on people and migration. 2005 (http://www.statistics.gov.uk/statbase/Product.asp?vlnk=12899). Accessed 23 July 2008.
22. Bobrova, N, et al. Obstacles in provision of anti-retroviral treatment to drug users in Central and Eastern Europe and Central Asia: a regional overview. International Journal of Drug Policy 2007; 18: 313318.
23. Aceijas, C, et al. Access and coverage of needle and syringe programmes (NSP) in Central and Eastern Europe and Central Asia. Addiction 2007; 102: 12441250.
24. Renton, A, et al. HIV infection associated with drug injecting in the Newly Independent States, eastern Europe: the social and economic context of epidemics. Addiction 1999; 94: 13231336.
25. Hickman, M, et al. Injecting drug use in Brighton, Liverpool, and London: best estimates of prevalence and coverage of public health indicators. Journal of Epidemiology and Community Health 2004; 58: 766771.
26. Trace, M, Riley, D, Stimson, G. UNAIDS and the prevention of HIV infection through injecting drug use 2005. The Beckley Foundation Drug Policy Programme (www.internationaldrugpolicy.net/reports/BeckleyFoundation_BriefingPaper_09.pdf). Accessed 7 August 2008.
27. Danziger, R. Compulsory testing for HIV in Hungary. Social Science Medicine 1996; 43: 11991204.
28. Amirkhanian, YA, et al. Evaluation of a social network HIV prevention intervention program for young men who have sex with men in Russia and Bulgaria. AIDS Education and Prevention 2003; 15: 205220.
29. Mahalingam, P, et al. Stigma and discrimination affect access to medical care of HIV-infected men who have sex with men (MSM) in Chennai, India. International Conference on AIDS 2004, Thailand.
30. World Health Orgnisation. HIV and other STIs among MSM in the European Region – Report on a consultation. 2008 (http://www.euro.who.int/document/SHA/bled_report.pdf). Accessed 17 November 2008.
31. EuroHIV. HIV/AIDS surveillance in Europe. End-year report2006. Saint-Maurice: Institut de Veille Sanitaire, 2007, No. 75.
32. Office for National Statistics. Labour Force Survey User Guide – Volume 1: Background & Methodology. London: Office for National Statistics, 2007 (http://www.statistics.gov.uk/downloads/theme_labour/LFSUG_vol1_2007.pdf). Accessed 15 December 2008.

Keywords

The impact in the UK of the Central and Eastern European HIV epidemics

  • V. C. DELPECH (a1), Z. YIN (a1), J. ABERNETHY (a1), C. HILL (a1), L. LOGAN (a1), T. R. CHADBORN (a1) and B. D. RICE...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed