HIV and other Sexually Transmitted Infections among Migrant Population in Spain. A sending Review

Background: Migration flows have the ability to disperse infectious agents and alter local epidemiologies. The aim of the study is to describe the socio-epiderniological, clinical and microbiology molecular epidemiology, of HIV/AIDS infection in the Umnigrant pcipulation. Methods: Review of the literature foliating the methodology Scoping review. A literature search in Medline and MEDES, original items made in Spain, published between 1998-2012, with people from Latin America, sub-Saharan Africa, Ncirth Africa, Asia and or Eastern I1urope was conducted. Results: 41 articles were selected. The most studied populafroir was from Latin America (48.8XO). Iligher HIV prevalence than in native was observed in men who have sex with men from Latin ckmerica (18.1%), transvestite and transsexual sex workers from Latin America (23.3%), pregnant women (0.9%) and men and women from sub-Saharan Africa (9.1% and 7.500). Risk behavicks were different depending on the country of origin and sex. The cliagnostic delay of HIV infections reached 43%, with higher prevalence in immigrants from sub-Saharan Africa, which showed delayed diagncisis in 41% and resistance to ati-retroviral heat ment in 13%. Immigrant women had more losses to follow up, worse irnrnuri,iI,io response to antiretroviralueatment and shorter Mite treatment failure. Conclusion: Higher prevalence of HIV is presented by subject from sub-Saharan Africa, men who have sex with men and transgender and transvestite sex workers from Latin America. Also pregnant women. Delayed diagnosis and resistance bi treatment are more common in individuals from sub-Saharan Africa. Immigant women presented poorer response to iretros treatment