Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022

Background: International migrants are central to HIV research, but comparative data on their infection rates versus resident populations, including in Chile, are scarce. This study compares HIV incidence rates between international migrants and Chileans. Methods: A longitudinal study was conducted....

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Main Authors: Rodrigo Puentes, María Alejandra Dünner, Natalia T. Santis-Alay, Mario E. Soto-Marchant, Cecilia Canales, Janepsy Díaz
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Migration and Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666623524000862
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author Rodrigo Puentes
María Alejandra Dünner
Natalia T. Santis-Alay
Mario E. Soto-Marchant
Cecilia Canales
Janepsy Díaz
author_facet Rodrigo Puentes
María Alejandra Dünner
Natalia T. Santis-Alay
Mario E. Soto-Marchant
Cecilia Canales
Janepsy Díaz
author_sort Rodrigo Puentes
collection DOAJ
description Background: International migrants are central to HIV research, but comparative data on their infection rates versus resident populations, including in Chile, are scarce. This study compares HIV incidence rates between international migrants and Chileans. Methods: A longitudinal study was conducted. Crude and standardized rates of new HIV infections reported by the Institute of Public Health of Chile (ISP) were calculated for the period 2013 to 2022, using data from public and private health facilities nationwide. Population estimates for international migrants and Chileans were obtained from the National Institute of Statistics (INE) and the National Migration Service (SERMIG). Rates were adjusted for age and sex using the direct method. Results: A total of 51,513 validated new HIV infections were analyzed, of which 14,936 (29.0 %) occurred in international migrants and 36,577 (71.0 %) in Chileans. International migrants showed an increase in incidence rates between 2013 and 2022 (adjusted rate from 22.6 [95 % CI: 18.3 – 27.0] to 115.6 [95 % CI: 110.5 – 120.7] new HIV infections per 100,000 population). Throughout the study period, the ratio of adjusted incidence rates between international migrants and Chileans increased from 1.0 [95 % CI: 0.9 – 1.2] to 7.6 [95 % CI: 7.2 – 8.0]. Conclusions: HIV incidence rates were higher in international migrants than in Chileans and increased over the study period. This may be influenced by various exogenous factors, including social determinants of health and the COVID-19 pandemic. It is crucial to focus on HIV diagnosis, prevention, and control strategies for international migrants in Chile.
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spelling doaj-art-ca3ef41ae2dc42429863c6e5879d56332025-01-07T04:17:35ZengElsevierJournal of Migration and Health2666-62352025-01-0111100297Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022Rodrigo Puentes0María Alejandra Dünner1Natalia T. Santis-Alay2Mario E. Soto-Marchant3Cecilia Canales4Janepsy Díaz5Institute of Public Health of Chile (ISP), Santiago, Chile; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Corresponding author: 1518 Clifton Rd., Atlanta, GA, USA.Institute of Public Health of Chile (ISP), Santiago, ChileInstitute of Public Health of Chile (ISP), Santiago, Chile; Department of Medical Technology, Faculty of Medicine, University of Chile, Santiago, ChileInstitute of Public Health of Chile (ISP), Santiago, Chile; School of Medical Technology, Faculty of Health and Dentistry, Diego Portales University. Santiago, ChileInstitute of Public Health of Chile (ISP), Santiago, ChileInstitute of Public Health of Chile (ISP), Santiago, ChileBackground: International migrants are central to HIV research, but comparative data on their infection rates versus resident populations, including in Chile, are scarce. This study compares HIV incidence rates between international migrants and Chileans. Methods: A longitudinal study was conducted. Crude and standardized rates of new HIV infections reported by the Institute of Public Health of Chile (ISP) were calculated for the period 2013 to 2022, using data from public and private health facilities nationwide. Population estimates for international migrants and Chileans were obtained from the National Institute of Statistics (INE) and the National Migration Service (SERMIG). Rates were adjusted for age and sex using the direct method. Results: A total of 51,513 validated new HIV infections were analyzed, of which 14,936 (29.0 %) occurred in international migrants and 36,577 (71.0 %) in Chileans. International migrants showed an increase in incidence rates between 2013 and 2022 (adjusted rate from 22.6 [95 % CI: 18.3 – 27.0] to 115.6 [95 % CI: 110.5 – 120.7] new HIV infections per 100,000 population). Throughout the study period, the ratio of adjusted incidence rates between international migrants and Chileans increased from 1.0 [95 % CI: 0.9 – 1.2] to 7.6 [95 % CI: 7.2 – 8.0]. Conclusions: HIV incidence rates were higher in international migrants than in Chileans and increased over the study period. This may be influenced by various exogenous factors, including social determinants of health and the COVID-19 pandemic. It is crucial to focus on HIV diagnosis, prevention, and control strategies for international migrants in Chile.http://www.sciencedirect.com/science/article/pii/S2666623524000862International migrantImmigrationHIVChile
spellingShingle Rodrigo Puentes
María Alejandra Dünner
Natalia T. Santis-Alay
Mario E. Soto-Marchant
Cecilia Canales
Janepsy Díaz
Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
Journal of Migration and Health
International migrant
Immigration
HIV
Chile
title Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
title_full Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
title_fullStr Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
title_full_unstemmed Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
title_short Rate estimation and trend analysis of new HIV infections among the international migrant population in Chile from 2013 to 2022
title_sort rate estimation and trend analysis of new hiv infections among the international migrant population in chile from 2013 to 2022
topic International migrant
Immigration
HIV
Chile
url http://www.sciencedirect.com/science/article/pii/S2666623524000862
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