TY - JOUR A1 - Fakoya, Ibidun A1 - Álvarez-del Arco, Débora A1 - Monge, Susana A1 - Copas, Andrew J. A1 - Gennotte, Anne-Francoise A1 - Volny-Anne, Alain A1 - Wengenroth, Claudia A1 - Touloumi, Giota A1 - Prins, Maria A1 - Barros, Henrique A1 - Darling, Katharine E. A. A1 - Prestileo, Tullio A1 - Del Amo Valero, Julia A1 - Burns, Fiona M. T1 - HIV testing history and access to treatment among migrants living with HIV in Europe T2 - Journal of the International AIDS Society N2 - Introduction: Migrants are overrepresented in the European HIV epidemic. We aimed to understand the barriers and facilitators to HIV testing and current treatment and healthcare needs of migrants living with HIV in Europe. Methods: A cross‐sectional study was conducted in 57 HIV clinics in nine countries (Belgium, Germany, Greece, Italy, The Netherlands, Portugal, Spain, Switzerland and United Kingdom), July 2013 to July 2015. HIV‐positive patients were eligible for inclusion if they were as follows: 18 years or older; foreign‐born residents and diagnosed within five years of recruitment. Questionnaires were completed electronically in one of 15 languages and linked to clinical records. Primary outcomes were access to primary care and previous negative HIV test. Data were analysed using random effects logistic regression. Outcomes of interest are presented for women, heterosexual men and gay/bisexual men. Results: A total of 2093 respondents (658 women, 446 heterosexual men and 989 gay/bisexual men) were included. The prevalence of a previous negative HIV test was 46.7%, 43.4% and 82.0% for women, heterosexual and gay/bisexual men respectively. In multivariable analysis previous testing was positively associated with: receipt of post‐migration antenatal care among women, permanent residency among heterosexual men and identifying as gay rather than bisexual among gay/bisexual men. Access to primary care was found to be high (>83%) in all groups and was strongly associated with country of residence. Late diagnosis was common for women and heterosexual men (60.8% and 67.1%, respectively) despite utilization of health services prior to diagnosis. Across all groups almost three‐quarters of people on antiretrovirals had an HIV viral load <50 copies/mL. Conclusions: Migrants access healthcare in Europe and while many migrants had previously tested for HIV, that they went on to test positive at a later date suggests that opportunities for HIV prevention are being missed. Expansion of testing beyond sexual health and antenatal settings is still required and testing opportunities should be linked with combination prevention measures such as access to PrEP and treatment as prevention. KW - HIV KW - migrants KW - HIV serodiagnosis KW - primary healthcare KW - health services accessibility Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/47174 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-471740 SN - 1758-2652 N1 - © 2018 The Authors. Journal of the International AIDS Society published by John Wiley & sons Ltd on behalf of the International AIDS Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. VL - 21 IS - S4, e25123 SP - 60 EP - 73 PB - Springer CY - Berlin ; Heidelberg ER -