140 lines
4.3 KiB
YAML
140 lines
4.3 KiB
YAML
|
abstract: 'Purpose of review
|
||
|
|
|
||
|
|
Health policy makers aspire to achieve an HIV treatment `cascade'' in
|
||
|
|
|
||
|
|
which diagnostic and treatment services are accessed early and routinely
|
||
|
|
|
||
|
|
by HIV-infected individuals. However, migrants and highly mobile
|
||
|
|
|
||
|
|
individuals are likely to interact with HIV treatment programs and the
|
||
|
|
|
||
|
|
healthcare system in ways that reflect their movement through time and
|
||
|
|
|
||
|
|
place, affecting their successful progression through the HIV treatment
|
||
|
|
|
||
|
|
cascade. We review recent research that has examined the challenges in
|
||
|
|
|
||
|
|
effective and sustained HIV treatment for migrants and mobile
|
||
|
|
|
||
|
|
populations.
|
||
|
|
|
||
|
|
Recent findings
|
||
|
|
|
||
|
|
Mobility is associated with increased risk of antiretroviral therapy
|
||
|
|
|
||
|
|
(ART) nonadherence, lost to follow-up, deterioration in CD4 count,
|
||
|
|
|
||
|
|
HIV-related death, development of drug resistance and general
|
||
|
|
|
||
|
|
noncontinuity of HIV care. Migrants'' slow progression through the HIV
|
||
|
|
|
||
|
|
treatment cascade can be attributed to feelings of confusion,
|
||
|
|
|
||
|
|
helplessness; an inability to effectively communicate in the native
|
||
|
|
|
||
|
|
language; poor knowledge about administrative or logistical requirements
|
||
|
|
|
||
|
|
of the healthcare system; the possibility of deportation or expulsion
|
||
|
|
|
||
|
|
based on the legal status of the undocumented migrant; fear of
|
||
|
|
|
||
|
|
disclosure and social isolation from the exile or compatriot group.
|
||
|
|
|
||
|
|
Travel or transition to the host country commonly makes it difficult for
|
||
|
|
|
||
|
|
migrants to remain enrolled in ART programs and to maintain adherence to
|
||
|
|
|
||
|
|
treatment.
|
||
|
|
|
||
|
|
Summary
|
||
|
|
|
||
|
|
Existing public health systems fail to properly account for migration,
|
||
|
|
|
||
|
|
and actionable knowledge of the health requirements of migrants is still
|
||
|
|
|
||
|
|
lacking. A large body of research has shown that migrants are more
|
||
|
|
|
||
|
|
likely to enter into the healthcare system late and are less likely to
|
||
|
|
|
||
|
|
be retained at successive stages of the HIV treatment cascade.
|
||
|
|
|
||
|
|
HIV-infected migrants are especially vulnerable to a wide range of
|
||
|
|
|
||
|
|
social, economic and political factors that include a lack of direct
|
||
|
|
|
||
|
|
access to healthcare services; exposure to difficult or oppressive work
|
||
|
|
|
||
|
|
environments; the separation from family, friends and a familiar
|
||
|
|
|
||
|
|
sociocultural environment. Realizing the full treatment and preventive
|
||
|
|
|
||
|
|
benefits of the UNAIDS 90-90-90 strategy will require reaching all
|
||
|
|
|
||
|
|
marginalized subpopulations of which migrants are a particularly large
|
||
|
|
|
||
|
|
and important group.'
|
||
|
|
affiliation: 'Tanser, F (Corresponding Author), Univ KwaZulu Natal, Africa Ctr Hlth
|
||
|
|
\& Populat Studies, POB 198, ZA-3935 Mtubatuba, South Africa.
|
||
|
|
|
||
|
|
Tanser, Frank; Baernighausen, Till; Vandormael, Alain, Univ KwaZulu Natal, Wellcome
|
||
|
|
Trust Africa Ctr Hlth \& Populat Studies, Mtubatuba, South Africa.
|
||
|
|
|
||
|
|
Tanser, Frank, Univ KwaZulu Natal, Sch Nursing \& Publ Hlth, Durban, South Africa.
|
||
|
|
|
||
|
|
Baernighausen, Till, Harvard TH Chan Sch Publ Hlth, Dept Global Hlth \& Populat,
|
||
|
|
Boston, MA USA.
|
||
|
|
|
||
|
|
Dobra, Adrian, Univ Washington, Dept Stat, Seattle, WA 98195 USA.
|
||
|
|
|
||
|
|
Dobra, Adrian, Univ Washington, Ctr Studies Demog \& Ecol, Ctr Stat \& Social Sci,
|
||
|
|
Dept Biobehav Nursing \& Hlth Syst, Seattle, WA 98195 USA.'
|
||
|
|
author: Tanser, Frank and Baernighausen, Till and Vandormael, Alain and Dobra, Adrian
|
||
|
|
author-email: ftanser@gmail.com
|
||
|
|
author_list:
|
||
|
|
- family: Tanser
|
||
|
|
given: Frank
|
||
|
|
- family: Baernighausen
|
||
|
|
given: Till
|
||
|
|
- family: Vandormael
|
||
|
|
given: Alain
|
||
|
|
- family: Dobra
|
||
|
|
given: Adrian
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1097/COH.0000000000000192
|
||
|
|
eissn: 1746-6318
|
||
|
|
files: []
|
||
|
|
issn: 1746-630X
|
||
|
|
journal: CURRENT OPINION IN HIV AND AIDS
|
||
|
|
keywords: antiretroviral therapy; HIV epidemiology; key populations; migration
|
||
|
|
keywords-plus: 'MIDDLE-INCOME COUNTRIES; ANTIRETROVIRAL THERAPY; STRUCTURAL BARRIERS;
|
||
|
|
|
||
|
|
UNITED-STATES; PUBLIC-HEALTH; CARE SERVICES; BLACK-PEOPLE; SOUTH-AFRICA;
|
||
|
|
|
||
|
|
FOLLOW-UP; SCALE-UP'
|
||
|
|
language: English
|
||
|
|
month: NOV
|
||
|
|
number: '6'
|
||
|
|
number-of-cited-references: '89'
|
||
|
|
orcid-numbers: 'Tanser, Frank/0000-0001-9797-0000
|
||
|
|
|
||
|
|
Vandormael, Alain/0000-0002-5742-0511'
|
||
|
|
pages: 430-438
|
||
|
|
papis_id: 82fd0ad5334c393bef7ada2502e66858
|
||
|
|
ref: Tanser2015hivtreatment
|
||
|
|
researcherid-numbers: 'Bärnighausen, Till/Y-2388-2019
|
||
|
|
|
||
|
|
Tanser, Frank/ABE-8326-2021
|
||
|
|
|
||
|
|
'
|
||
|
|
tags:
|
||
|
|
- review
|
||
|
|
times-cited: '75'
|
||
|
|
title: HIV treatment cascade in migrants and mobile populations
|
||
|
|
type: Review
|
||
|
|
unique-id: WOS:000369718800006
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '22'
|
||
|
|
volume: '10'
|
||
|
|
web-of-science-categories: Immunology; Infectious Diseases
|
||
|
|
year: '2015'
|