Dublin Lgbtq+ Asylum Seekers • Mick Quinlan • Dr. Axel J

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Dublin Lgbtq+ Asylum Seekers • Mick Quinlan • Dr. Axel J HIDDEN LIVES -HIDDEN STRESS FINDINGS FROM EMIS-2017 EUROPE AND IRELAND PRESENTATION TO THE DUBLIN LGBTQ+ ASYLUM SEEKERS ONLINE CONFERENCE DUBLIN CITY UNIVERSITY 9TH/10TH APRIL 2021 • MICK QUINLAN ( GHN-EMIS-2017 COMMUNITY REPORT 2) & • DR. AXEL J. SCHMIDT (STUDY LEAD EMIS-2017) • DANIEL MCCARTNEY: (RESEARCHER GHN AND DR. PH STUDENT, • LONDON SCHOOL OF HYGIENE & TROPICAL MEDICINE, UNITED KINGDOM) PRESENTATION FORMAT PRESENTATION FORMAT 1ST HALF: MICK QUINLAN ‘MIGRANCY INEQUALITIES’ OUTLINE OF EMIS-2017 FINDINGS 2ND HALF: DANIEL MCCARTNEY ‘MEN NOT BORN IN REPUBLIC OF IRELAND’ OUTLINE OF EMIS-2017 IRELAND COMMUNITY REPORT 4 EMIS-2010 REPORT (2013) EMIS-2017 REPORT (2019) Questionnaire in 25 languages Questionnaire in 33 languages EMIS-2017 COMMUNITY REPORTS VOL.1 AUGUST 2019 WWW.EMIS2017.EU VOL.2 Nov 2020 OVERVIEW OF EMIS-2017 SAMPLE 127 792 Men in 48 European Countries completed the survey between December 2017 and end January 2018. Of these: • 13% WERE MIGRANT MEN 19 COUNTRIES HAD HIGHER THAN 13%, WITH 11 OVER 20% (IRELAND, LUXEMBOURG, MALTA, ICELAND, SWITZERLAND, SWEDEN, AND LEBANON HAD OVER 24%) • 0.6% OF TOTAL SAMPLE WERE REFUGEES OR ASYLUM SEEKERS 13 COUNTRIES HAD HIGHER THAN 0.6% , WITH 8 OF THESE OVER 1% AND 3 OF THESE HAD OVER 2% (SWEDEN, SERBIA AND LEBANON WITH 7%) • 13% OF TOTAL SAMPLE HAD A SELF-PERCEIVED ETHNICITY 22 HAD HIGHER THAN 13% WITH 8 OF THESE OVER 20% AND OF THESE TURKEY, LEBANON AND MOLDOVA HAD OVER 30%) • 4.5% OF ALL MIGRANT MEN WERE REFUGEES OR ASYLUM SEEKERS WHERE BORN (3.6 Migration History EMIS-2017 Report Page 60) COUNTRY OF BIRTH % OF % OF RECODED TO CONTINENTS ALL MEN MIGRANT MEN (Table 3.4) (n=127,403, (n=17,050, missing missing 389) 226) Europe 95 62 (including Russia, Turkey and Israel) South America 2 13 Asia (incl. Lebanon) 2 10 North America & Caribbean 1 8 Africa 1 5 Oceania 0.2 1 HOW MANY YEARS LIVING IN COUNTRY NOT BORN IN Of the 17 180 men not born in the country they lived in, the following % had lived in that country for; 9% LESS THAN ONE YEAR 32% LESS THAN FIVE YEARS 48%(Figure 3.3 EMIS-2017 LESS Report THAN illustrates TENthe responses. YEARS P31) WHY CAME TO PRESENT COUNTRY N=17 180 44% To work 27% To study 20% I was brought as a child 16% To live more openly as gay/bisexual/trans 13% To be with a partner 3% I came as a refugee 2% To seek asylum 1% I was brought against my will 9% Other answer EMIS-2017 IRELAND PROMOTION MIGRANCY INEQUALITIES (Chapter 8.6 EMIS-2017 page125) indicators for three migrancy groups Of those who came to their current country of residence; as a refugee or asylum seeker to live more openly as a gay or bisexual man for other reasons (other migrants) • Men who reported seeking refuge or asylum and desiring to live more openly as gay or bisexual, or any other reason were assigned to the asylum and refugee category first. • Men who reported desiring to live more openly as gay or bisexual and another reason were assigned to the category ‘live more openly as a gay or bisexual’. • We might assume that all the other migrants came to their current country of residence for work, or to study but we did not ask this. INDICATORS FOR THIS PRESENTATION • The indicators and following tables cover the migrants vs. non- migrants and total sample (ALL). • The notes and tables from chapter 8 are available in the pdf of this presentation and in main EMIS-2017 Report • indicators will outline migrant men in 1st three columns followed by non-migrants and total sample (ALL) REFUGEES/ DESCRIPTION TO LIVE AS OTHER NON- ASYLUM All GAY/BI MIGRANTS MIGRANTS SEEKERS MIGRANCY STATUS & WHERE BORN REFUGEES/ All DESCRIPTION LIVE AS ASYLUM MIGRANT GAY/BI ALL SEEKERS MEN Europe (including, Russia, Turkey and 35 65 62 95 Israel) South America 11 12 13 2 Asia, incl. Lebanon 40 10 10 2 North America & Caribbean 5 6 82 Africa 9 5 51 Oceania 0 1 1 0.2 OUTNESS REFUGEES/ LIVE AS OTHER NON- DESCRIPTION ASYLUM ALL GAY/BI MIGRANTS MIGRANTS SEEKERS % out to almost all of friends, family & work 25 41 44 41 59 colleagues SEX WITH MEN IN LAST 12 MONTHS REFUGEES/ DESCRIPTIONS LIVE AS OTHER NON- ASYLUM ALL GAY/BI MIGRANTS MIGRANTS SEEKERS Number (median) of non-steady sex 3 5 5 34 partners % having had condomless intercourse with non- steady partners of unknown 27 28 26 23 24 HIV status % with 2+ condomless steady sex partners 12 11 9 9 9 TESTING & VACCINATIONS LAST 12 MONTHS REFUGEES NON- LIVE AS OTHER DESCRIPTION /ASYLUM MIGRANTS ALL GAY/BI MIGRANTS SEEKERS % with full course of HEPATITIS A vaccination, 34 47 50 43 43 excluding men with a history of hepatitis A % with full course of 39 53 55 49 49 HEPATITIS B vaccination, excluding men with a history of hepatitis B % with full STI SCREEN (HIV, STI blood test, rectal swab, 14 26 19 12 13 urethral swab or urine) excluding men with diagnosed HIV more than 12 months ago % TESTED FOR HIV, 56 70 63 54 56 last 12 months, excluding men diagnosed prior to this STI DIAGNOSES IN PREVIOUS YEAR REFUGEES/ DESCRIPTIONS LIVE AS OTHER NON- ASYLUM ALL GAY/BI MIGRANTS MIGRANTS SEEKERS % HAD 6 7 5 4 4 SYPHILIS % HAD GONORRHOEA 6 12 7 55 % HAD 6 8 6 45 CHLAMYDIA LIVING WITH HIV Descriptions REFUGEES OTHER LIVE AS NON- /ASYLUM MIGRANTS ALL GAY/BI MIGRANTS SEEKERS % ever diagnosed with HIV 13 15 13 10 10 % with HIV monitoring ever, among HIV- diagnosed 91 99 99 99 99 % taking ART, among men 72 90 91 90 90 with diagnosed HIV % with undetectable 64 83 84 82 82 viral load, among HIV- diagnosed PREVENTION STRATEGIES LAST 12 MONTHS REFUGEES LIVE AS OTHER NON- /ASYLUM ALL Descriptions GAY/BI MIGRANTS MIGRANTS SEEKERS % saw or heard 68 80 76 74 74 information about HIV or STIs for MSM % with free condoms 39 46 39 31 32 from civil society organisations, clinics, bars or saunas SEXUAL HEALTH KNOWLEDGE NEEDS REFUGEES NON- DESCRIPTIONS LIVE AS OTHER /ASYLUM MIGRANTS ALL GAY/BI MIGRANTS SEEKERS Number (mean) of six HIV/STI transmission 1 1 1 11 facts NOT already known % UNAWARE of PEP 56 31 31 40 39 % UNAWARE of PrEP 53 27 28 38 37 % NOT knowing U=U (THAT A PERSON WITH 51 37 39 43 43 UNDETECTABLE VIRAL LOAD CANNOT PASS ON HIV) SEXUAL HEALTH & WELLBEING OUTCOMES REFUGEES/ LIVE AS OTHER NON- DESCRIPTIONS ASYLUM GAY/BI MIGRANTSMIGRANTS ALL SEEKERS % sexually unhappy 31 20 20 23 23 (scoring less than 5 on the 1 to 10 scale) % lacking control 10 10 9 9 9 over unwanted sex % not sure of own 10 4 4 44 HIV status % not knowing where to get 51 43 43 41 42 HIV TEST, among never tested % not knowing where to get HEPATITIS A vaccination, 73 62 57 54 54 among those vulnerable % not knowing where to get HEPATITIS B vaccination, 75 63 57 54 54 among those vulnerable SEXUAL SAFETY REFUGEES NON- LIVE AS OTHER Descriptions /ASYLUM MIGRANTS ALL GAY/BI MIGRANTS SEEKERS % lacking control 11 13 12 11 11 over safer sex % having had condomless intercourse 37 26 26 26 26 due to lack of condoms, % without confidence to access PEP, 70 55 56 61 60 excluding men with diagnosed HIV MINORITY STRESS REFUGEES/ LIVE AS OTHER NON- Descriptions ASYLUM ALL GAY/BI SEEKERS MIGRANTS MIGRANTS % experiencing VERBAL INSULTS because someone knew/presumed attraction to 33 24 19 21 21 men, last 12 months % NOT OUT 50 23 27 31 30 or only out to a few people Lacking Social Support 24 15 12 12 12 (scoring less than 10 in sub scale SPS) MENTAL HEALTH REFUGEES NON- LIVE AS OTHER Descriptions /ASYLUM MIGRANTS ALL GAY/BI MIGRANTS SEEKERS % with severe anxiety and depression, 12 10 7 8 8 last two weeks (PHQ-4) % with self-harm thoughts, last two weeks 27 24 20 21 21 DRUG USE REFUGEES/ LIVE AS OTHER NON- Description ASYLUM ALL GAY/BI MIGRANTS MIGRANTS SEEKERS % who injected drugs (excluding steroids), 2 2 2 11 last 12 months % who used stimulant drugs 7 9 7 55 to make sex more intense or last longer, last four weeks SUBSTANCE USE CONCERNS REFUGEES NON- LIVE AS OTHER Descriptions /ASYLUM MIGRANT ALL GAY/BI MIGRANTS SEEKERS S % concerned about own 21 18 15 12 13 drug use % with potential alcohol dependency 21 21 19 18 18 (CAGE4) DUBLIN PRIDE 2010 Many Thanks for your attention: Appreciation to these migrant men and the 137,000 men who completed EMIS-2017. This and the national reports are available at WWW.EMIS2017.EU Mick Quinlan, Gay Health Network and Axel J Schmidt EMIS-2017 core team: Axel J. Schmidt, Ford Hickson, David Reid, Peter Weatherburn (Sigma Research, London School of Hygiene & Tropical Medicine, UK) in association with Ulrich Marcus and Susanne B. Schink (Robert Koch Institute, Berlin, DE) Acknowledgements Contact: [email protected] Primary Funding: As part of ESTICOM, EMIS 2017 was carried out under the service contract 2015 71 01 with The Consumers, Health, Agriculture and Food Executive Agency (Chafea), acting under powers delegated by the Commission of the European Union. Other international financial contributions: Swedish Ministry of Health for recruitment in the Nordic Countries; The Arctic University of Norway and University Hospital of North Norway for Russia; Israel Ministry of Health for Israel; Public Health Agency of Canada for Canada; Office of the WHO Representative in the Philippines for the Philippines.
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