{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:11:59Z","timestamp":1791317519003,"version":"4.3.1"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2013,5]]},"abstract":"Objectives<\/jats:title>The objective of the study was to analyse key HIV<\/jats:styled-content>\u2010related outcomes in migrants originating from L<\/jats:styled-content>atin A<\/jats:styled-content>merica and the S<\/jats:styled-content>panish\u2010speaking C<\/jats:styled-content>aribbean (LAC<\/jats:styled-content>) or sub\u2010S<\/jats:styled-content>aharan A<\/jats:styled-content>frica (SSA<\/jats:styled-content>) living in S<\/jats:styled-content>pain compared with native S<\/jats:styled-content>paniards (NSP<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>The C<\/jats:styled-content>ohort of the S<\/jats:styled-content>panish AIDS R<\/jats:styled-content>esearch N<\/jats:styled-content>etwork (CoRIS<\/jats:styled-content>) is an open, prospective, multicentre cohort of antiretroviral\u2010na\u00efve patients representing 13 of the 17 Spanish regions. The study period was 2004\u20132010. Multivariate logistic or F<\/jats:styled-content>ine and G<\/jats:styled-content>ray regression models were fitted as appropriate to estimate the adjusted effect of region of origin on the different outcomes.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 6811 subjects in CoRIS<\/jats:styled-content>, 6278 were NSP<\/jats:styled-content> (74.2%), LAC<\/jats:styled-content> (19.4%) or SSA<\/jats:styled-content> (6.4%). For these patients, the follow\u2010up time was 15870 person\u2010years. Compared with NSP<\/jats:styled-content>, SSA<\/jats:styled-content> and LAC<\/jats:styled-content> under 35 years of age had a higher risk of delayed diagnosis [odds ratio (OR<\/jats:styled-content>) 2.0 (95% confidence interval (CI<\/jats:styled-content>) 1.5\u20132.8) and OR<\/jats:styled-content> 1.7 (95% CI<\/jats:styled-content> 1.4\u20132.1), respectively], as did LAC<\/jats:styled-content> aged 35\u201350 years [OR<\/jats:styled-content> 1.3 (95% CI<\/jats:styled-content> 1.0\u20131.6)]. There were no major differences in time to antiretroviral therapy (ART<\/jats:styled-content>) requirement or initiation. SSA<\/jats:styled-content> exhibited a poorer immunological and virological response [OR<\/jats:styled-content> 0.8 (95% CI<\/jats:styled-content> 0.7\u20131.0) and OR<\/jats:styled-content> 0.7 (95% CI<\/jats:styled-content> 0.6\u20130.9), respectively], while no difference was found for LAC<\/jats:styled-content>. SSA<\/jats:styled-content> and LAC<\/jats:styled-content> showed an increased risk of AIDS<\/jats:styled-content> for ages between 35 and 50 years [OR<\/jats:styled-content> 2.0 (95% CI<\/jats:styled-content> 1.1\u20133.7) and OR<\/jats:styled-content> 1.6 (95% CI<\/jats:styled-content> 1.1\u20132.4), respectively], which was attributable to a higher incidence of tuberculosis. However, no statistically significant differences were observed in mortality.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Migrants experience a disproportionate diagnostic delay, but no meaningful inequalities were identified regarding initiation of treatment after diagnosis. A poorer virological and immunological response was observed in SSA<\/jats:styled-content>. Migrants had an increased risk of AIDS<\/jats:styled-content>, which was mainly attributable to tuberculosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12001","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T13:41:17Z","timestamp":1353505277000},"page":"273-283","source":"Crossref","is-referenced-by-count":50,"title":["Inequalities in HIV<\/scp> disease management and progression in migrants from L<\/scp>atin A<\/scp>merica and sub\u2010S<\/scp>aharan A<\/scp>frica living in S<\/scp>pain"],"prefix":"10.1111","volume":"14","author":[{"given":"S","family":"Monge","sequence":"first","affiliation":[{"name":"AIDS Research Network National Centre of Epidemiology Carlos III Health Institute Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Alejos","sequence":"additional","affiliation":[{"name":"AIDS Research Network National Centre of Epidemiology Carlos III Health Institute Madrid 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