Casting Light on an Underserved Population: Evidence Review of HIV Among Migrants in the EU/EEA

Abstract
HIV epidemics in the EU/EEA (European Union/European Economic Area ) are increasingly diverse in terms of transmission modes and people affected. This systematic search and review synthesize the evidence on vulnerable migrants living in this region (including but not limited to people with irregular status).  Review findings show that many migrants carry a higher HIV burden than the general population.  Of concern are high proportions of post-migration HIV acquisition (about 40% across various studies), a high risk of remaining undiagnosed or being diagnosed late, and challenges in accessing and staying on treatment. Multi-level and intersecting factors were shown to reduce access to HIV services along the HIV continuum of care (PrEP, timely HIV testing, and access to treatment for irregular migrants). Ensuring equitable access to HIV prevention, testing, and treatment services for all migrants at increased risk for HIV is needed to meet global targets for ending AIDS by 2030.