HIV infection and engagement in the care continuum among migrants and refugees from Venezuela in Colombia: a cross-sectional, biobehavioural survey

Wirtz, Andrea L.; Guillén, José Rafael; Stevenson, Megan; Ortiz, J. V.; Talero, Miguel Ángel Barriga; Page, Kathleen R.; López, Jhon Jairo; Porras, Damary Martínez; Correa, Jhon Fredy Ramirez; Núñez, Ricardo Luque; Fernández-Niño, Julián Alfredo; Spiegel, Paul

doi:10.1016/s2352-3018(23)00085-1

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…In prior reports, we estimated that only 7.9% of the Venezuelan refugees and migrants residing in four urban settings of Colombia were food secure in 2021-2022. The remainder were experiencing low (26.5%) or very low (65.7%) food security [14]. These reports also demonstrated significant material hardships [14,15].…”

Section: Introductionmentioning

confidence: 85%

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Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Wirtz,

Stevenson,

Guillén

et al. 2024

Nutrients

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The causes and conditions of displacement often increase the vulnerability of migrant and refugee populations to food insecurity, alongside other material hardships. We aimed to examine the multidimensional aspects and patterns of food insecurity and other material hardships in a cross-sectional sample of 6221 Venezuelan refugees and migrants in urban Colombia using a latent class analysis. Using multinomial and logistic regression models, we investigated the demographic and migratory experiences associated with identified classes and how class membership is associated with multiple health outcomes among Venezuelan refugees and migrants, respectively. Approximately two thirds of the sample was comprised cisgender women, and the participants had a median age of 32 years (IQR: 26–41). Four heterogeneous classes of food insecurity and material hardships emerged: Class 1—low food insecurity and material hardship; Class 2—high food insecurity and material hardship; Class 3—high income hardship with insufficient food intake; and Class 4—income hardship with food affordability challenges. Class 2 reflected the most severe food insecurity and material hardships and had the highest class membership; Venezuelans with an irregular migration status were almost 1.5 times more likely to belong to this class. Food insecurity and material hardship class membership was independently associated with self-rated health, mental health symptoms, and recent violence victimization and marginally associated with infectious disease outcomes (laboratory-confirmed HIV and/or syphilis infection). Social safety nets, social protection, and other interventions that reduce and prevent material hardships and food insecurity among refugees and migrants, alongside the host community, may improve public health, support development, and reduce healthcare costs. In the long term, regularization and social policies for migrants aimed at enhancing refugees’ and migrants’ social and economic inclusion may contribute to improving food security in this population.

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Section: Introductionmentioning

confidence: 85%

“…The remainder were experiencing low (26.5%) or very low (65.7%) food security [14]. These reports also demonstrated significant material hardships [14,15]. However, estimates of food security-the ability of households or individuals to consistently access safe, culturally acceptable, and nutritious foods [16]-vary by measure.…”

Section: Introductionmentioning

confidence: 99%

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Wirtz,

Stevenson,

Guillén

et al. 2024

Nutrients

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“…Detailed results for RDS sampling have been reported elsewhere. 22 Briefly, we enrolled 21 seeds (10–11 per site) who reached a maximum recruitment depth of 17 waves and a median recruitment depth of 9 waves. 21 , 22 Convergence was met for key variables of interest.…”

Section: Methodsmentioning

confidence: 99%

“… 22 Briefly, we enrolled 21 seeds (10–11 per site) who reached a maximum recruitment depth of 17 waves and a median recruitment depth of 9 waves. 21 , 22 Convergence was met for key variables of interest. We enrolled participants between July 2021 and February 2022.…”

Section: Methodsmentioning

confidence: 99%

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Syphilis prevalence and correlates of infection among Venezuelan refugees and migrants in Colombia: findings of a cross-sectional biobehavioral survey

Stevenson,

Guillén,

Ortíz

et al. 2024

The Lancet Regional Health - Americas

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Factors associated with attendance to and completion of prenatal care visits in Colombia among urban-residing Venezuelan refugee and migrant women

Unternaher,

Guillén,

Ortíz

et al. 2024

Journal of Migration and Health

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HIV infection and engagement in the care continuum among migrants and refugees from Venezuela in Colombia: a cross-sectional, biobehavioural survey

Cited by 8 publications

References 14 publications

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Syphilis prevalence and correlates of infection among Venezuelan refugees and migrants in Colombia: findings of a cross-sectional biobehavioral survey

Factors associated with attendance to and completion of prenatal care visits in Colombia among urban-residing Venezuelan refugee and migrant women

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