Between a quarter to a third of HIV-positive African residents in the UK, and nearly half of HIV-positive African men who have sex with men, may have acquired their HIV infection in the UK, which is substantially higher than previously estimated. These estimates are likely to worsen given the increasing HIV prevalence and assortative sexual mixing in this community, especially among heterosexuals. HIV prevention interventions for Africans must focus on reducing transmission within the UK as well as addressing infections acquired abroad.
aCentre for Sexual Health and HIV Research, Research Department of Infection and Population Health, University College London, London, UK
bSociology, School of Social Sciences, University of Manchester, Manchester, UK.
Received 19 February, 2008
Revised 16 September, 2008
Accepted 29 September, 2008
Correspondence to Dr Fiona Burns, Centre for Sexual Health & HIV Research, Mortimer Market Centre, Off Capper Street, London WC1E 6JB, UK. Tel: +44 20 8451555000x8185; fax: +44 20 73809778; e-mail: email@example.com