PMID- 26246382 OWN - NLM STAT- MEDLINE DCOM- 20160215 LR - 20220408 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 15 DP - 2015 Aug 6 TI - Determinants of HIV, viral hepatitis and STI prevention needs among African migrants in Germany; a cross-sectional survey on knowledge, attitudes, behaviors and practices. PG - 753 LID - 10.1186/s12889-015-2098-2 [doi] LID - 753 AB - BACKGROUND: Migrants from sub-Saharan Africa (MisSA) are a relevant sub-group for HIV-transmission in Germany. A total of 10-15 % of all newly diagnosed cases are MisSA, and approximately one third acquired HIV in Germany. There is limited information on knowledge, attitudes, behaviors and practices (KABP) regarding sexual health in African communities residing in Germany. METHODS: From October-December 2013 we conducted a cross-sectional survey on KABP regarding HIV, viral hepatitis (HEP), and sexually transmitted infections (STI) among MisSA in Hamburg as a community-based participatory research project to identify knowledge gaps, sexual risk behavior regarding HIV/HEP/STI, HIV/STI-testing history and attitudes toward people living with HIV (PLWH). Trained peer researchers recruited participants through outreach. Questionnaires in German, English or French were either administered face-to-face or self-completed. Questions on knowledge about HIV/HEP/STI presented true statements; participants were asked if they knew the information before. To detect differences in sub-groups, unadjusted odds ratios (OR) were calculated, and a multivariate analysis for knowledge on HIV/HEP/STI was performed. RESULTS: The final sample included 569 participants of whom 57 % were men. Most participants originated from Western and Central sub-Saharan Africa. Median time living in Germany was 6 years. Overall, 28 % had a university degree and 54 % reported a good level of German language. Over 80 % knew the risks for HIV transmission. A total of 44 % of respondents wrongly assumed that an HIV-diagnosis might lead to deportation and 64 % were not aware of the free and anonymous local HIV/STI-testing service. The proportion of participants with knowledge of presented facts on HEP varied from 40-58 %. The respective proportion on STI was 28-68 % and better among women compared to men (44 % vs. 54 %; OR = 1.45; 95 % CI 1.22-1.74). Men reported more often casual sex partners than women (43 % vs. 23 %; OR = 2.6; 95 % CI 1.7-4.0), and more frequently a previous STI (58 % vs. 39 %; OR = 2.1; 95 % CI 1.1-4.1). Overall, 16 % of women reported a history of sexual violence. The majority of respondents (75 %) reported that they would treat PLWH like any other person. CONCLUSION: Study participants demonstrated good knowledge on HIV-transmission but knowledge gaps regarding HIV/STI-testing services, HEP and STI. This calls for targeted interventions providing more information about these topics in African communities in Hamburg and possibly also elsewhere. FAU - Santos-Hovener, Claudia AU - Santos-Hovener C AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. Santos-HoevenerC@rki.de. FAU - Marcus, Ulrich AU - Marcus U AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. MarcusU@rki.de. FAU - Koschollek, Carmen AU - Koschollek C AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. KoschollekC@rki.de. FAU - Oudini, Hapsatou AU - Oudini H AD - AIDS Foundation Hamburg, Lange Reihe 32, 20099, Hamburg, Germany. Hapsatou.Oudini@aidshilfe-hamburg.de. FAU - Wiebe, Mara AU - Wiebe M AD - AIDS Foundation Hamburg, Lange Reihe 32, 20099, Hamburg, Germany. Mara.Wiebe@aidshilfe-hamburg.de. FAU - Ouedraogo, Omer Idrissa AU - Ouedraogo OI AD - Youth Migration Service Hamburg, AWO Schleswig-Holstein, 20099, Hamburg, Germany. Omer-Idrissa.Ouedraogo@awo-sh.de. FAU - Thorlie, Adama AU - Thorlie A AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. ThorlieA@rki.de. FAU - Bremer, Viviane AU - Bremer V AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. BremerV@rki.de. FAU - Hamouda, Osamah AU - Hamouda O AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. HamoudaO@rki.de. FAU - Dierks, Marie-Luise AU - Dierks ML AD - Institute for Epidemiology, Social Medicine and Health Systems Research, Hanover Medical School, Carl-Neuberg-Strasse 1, 30625, Hanover, Germany. Dierks.Marie-Luise@mh-hannover.de. FAU - An der Heiden, Matthias AU - An der Heiden M AD - Department for Infectious Disease Epidemiology, Division for HIV/AIDS, STI and Blood-borne Infections, Robert Koch Institute, Seestr. 10, 13353, Berlin, Germany. AnderHeidenM@rki.de. FAU - Krause, Gerard AU - Krause G AD - Department of Epidemiology, Helmholtz Centre of Infection Research, Inhoffenstr. 7, 38124, Braunschweig, Germany. Gerard.Krause@helmholtz-hzi.de. AD - Hannover Medical School, Hannover, Germany. Gerard.Krause@helmholtz-hzi.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150806 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adult MH - Africa South of the Sahara MH - Community-Based Participatory Research MH - Cross-Sectional Studies MH - Female MH - Germany/epidemiology MH - HIV Infections/prevention & control MH - Health Promotion/*organization & administration MH - Hepatitis/epidemiology/*prevention & control MH - Humans MH - Male MH - Mass Screening/statistics & numerical data MH - Middle Aged MH - Sexual Behavior/*statistics & numerical data MH - Sexually Transmitted Diseases/epidemiology/*prevention & control MH - Transients and Migrants/*statistics & numerical data MH - Young Adult PMC - PMC4545823 EDAT- 2015/08/08 06:00 MHDA- 2016/02/16 06:00 PMCR- 2015/08/06 CRDT- 2015/08/07 06:00 PHST- 2014/12/19 00:00 [received] PHST- 2015/07/24 00:00 [accepted] PHST- 2015/08/07 06:00 [entrez] PHST- 2015/08/08 06:00 [pubmed] PHST- 2016/02/16 06:00 [medline] PHST- 2015/08/06 00:00 [pmc-release] AID - 10.1186/s12889-015-2098-2 [pii] AID - 2098 [pii] AID - 10.1186/s12889-015-2098-2 [doi] PST - epublish SO - BMC Public Health. 2015 Aug 6;15:753. doi: 10.1186/s12889-015-2098-2.