The effect of mobility on HIV-related healthcare access and use for female sex workers: A systematic review

Davey, Calum; Cowan, Frances M; Hargreaves, James

doi:10.1016/j.socscimed.2018.06.017

Cited by 25 publications

(23 citation statements)

References 106 publications

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“…As of 2018, adolescents and young adults aged 15 to 24, particularly girls in SSA, have been among the highest risk of HIV infection in the world and are estimated to contribute to nearly 20% of all new infections annually [37]. Immigration and mobility patterns have been an emerging area of research for understanding risk of transmission as well as access to testing and treatment services [38,39].…”

Section: Discussionmentioning

confidence: 99%

Evidence of sociodemographic heterogeneity across the HIV treatment cascade and progress towards 90‐90‐90 in sub‐Saharan Africa – a systematic review and meta‐analysis

et al. 2020

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Introduction Heterogeneity of sociodemographics and risk behaviours across the HIV treatment cascade could influence the public health impact of universal ART in sub‐Saharan Africa if those not virologically suppressed are more likely to be part of a risk group contributing to onward infections. Sociodemographic and risk heterogeneity across the treatment cascade has not yet been comprehensively described or quantified and we seek to systematically review and synthesize research on this topic among adults in Africa. Methods We conducted a systematic review of peer‐reviewed literature in Embase and MEDLINE databases as well as grey literature sources published in English between 2014 and 2018. We included studies that included people living with HIV (PLHIV) aged ≥15 years, and reported a 90‐90‐90 outcome: awareness of HIV‐positive status, ART use among those diagnosed or viral suppression among those on ART. We summarized measures of association between sociodemographics, within each outcome, and as a composite measure of population‐wide viral suppression. Results and discussion From 3533 screened titles, we extracted data from 92 studies (50 peer‐reviewed, 42 grey sources). Of included studies, 32 reported on awareness, 53 on ART use, 32 on viral suppression and 23 on population‐wide viral suppression. The majority of studies were conducted in South Africa, Uganda, and Malawi and reported data for age and gender. When stratified, PLHIV ages 15 to 24 years had lower median achievement of the treatment cascade (60‐49‐81), as compared to PLHIV ≥25 years (70‐63‐91). Men also had lower median achievement of the treatment cascade (66‐72‐85), compared to women (79‐76‐89). For population‐wide viral suppression, women aged ≥45 years had achieved the 73% target, while the lowest medians were among 15‐ to 24‐year‐old men (37%) and women (49%). Conclusions Considerable heterogeneity exists by age and gender for achieving the HIV 90‐90‐90 treatment goals. These results may inform delivery of HIV testing and treatment in sub‐Saharan Africa, as targeting youth and men could be a strategic way to maximize the population‐level impact of ART.

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Section: Discussionmentioning

confidence: 99%

Evidence of sociodemographic heterogeneity across the HIV treatment cascade and progress towards 90‐90‐90 in sub‐Saharan Africa – a systematic review and meta‐analysis

et al. 2020

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“…Previous studies have indicated differences in occupation, income, and education level in different populations (5,7,(33)(34)(35)(36) and have demonstrated that migrant populations lack awareness of HIV prevention and treatment (16,37). Therefore, migrant patients are at higher risk of having HIV infection and of spreading the disease.…”

Section: Discussionmentioning

confidence: 99%

The associations of population mobility in HIV disease severity and mortality rate in China

Wang

Yang

et al. 2021

Ann Transl Med

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Background: Human immunodeficiency virus (HIV) infection has become a chronic disease and attracted public attention globally. Population migration was considered hindering the control and management of HIV infection, but limited studies have explored how population mobility could influence the development of HIV-related complications and overall prognosis.Methods: We enrolled hospitalized HIV patients in this cross-sectional study between January 1, 2006, and December 31, 2016. We extracted demographic, hospitalization, and patient diagnosis data. Patients were divided into three groups according to the population type: (I) resident of Guangzhou City (local resident);(II) migrant outside of Guangzhou City but within Guangdong Province (migrant within the province); and(III) migrant outside of Guangdong Province (migrant outside the province). To represent the prognosis of HIV, in-hospital death was defined as the worst outcome, whereas vision-related events were considered moderate-to-severe complications. Logistic regression models were used to analyze factors influencing the prognosis of HIV.Results: Eight thousand and six hundred thirty-one inpatients (14,954 cases) were enrolled. The overall mortality was 7.9%, decreasing from 21.5% in 2006 to 3.8% in 2016. The prevalence of vision-related events was 14.4% between 2015 and 2016. Compared to local patients, migrant patients (within and outside the province) were younger, had significantly less access to health insurance, fewer hospitalization admissions, longer hospital stays, and a higher proportion of physical work (P<0.01). Furthermore, they had a higher prevalence of vision-related events (16.2% and 17.4% in migrant patients within the province and outside the province, respectively vs. 9.5%) and infectious diseases, but lower in-hospital mortality (5.9% and 7.0% vs. 12.3%) than local patients. Migrants correlated negatively with in-hospital death [odds ratio (OR) 95%

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“…A previous qualitative study in this cohort reported that participants commonly moved to fishing communities for extended periods in search of clients. 15 These communities have been linked with high HIV prevalence and incidence, yet the fishermen usually preferred condomless sex, thus increasing HIV vulnerabilities for the mobile participants. 33 Other findings in this cohort are a signal to the potential economic pressures facing participants to not only deter them from accessing the much-needed clinic services but also affecting their ability to refuse sex with a client paying more for noncondom use.…”

Section: Structural Factorsmentioning

confidence: 99%

“…[11][12][13] The most commonly identified contextual factors are stigma, discrimination, and criminalization and their associated consequences. [14][15][16] However, other contextual factors such as the high mobility among sex workers have been identified to delay the utilization of services. 16,17 These contextual factors typically act through the individual factors such as perceptions of HIV risk and importance of services as well as behavioral (sexual and substance abuse), reproductive, and biological characteristics (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Missed Study Visits and Subsequent HIV Incidence Among Women in a Predominantly Sex Worker Cohort Attending a Dedicated Clinic Service in Kampala, Uganda

Kasamba

Nash

Shahmanesh

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: There is limited evidence on the relationship between sustained exposure of female sex workers (FSWs) to targeted HIV programmes and HIV incidence. We investigate the relationship between the number of missed study visits (MSVs) within each episode of 2 consecutively attended visits (MSVs) and subsequent HIV risk in a predominantly FSW cohort. Methods: Women at high risk of HIV are invited to attend an ongoing dedicated clinic offering a combination HIV prevention intervention in Kampala, Uganda. Study visits are scheduled once every 3 months. The analysis included HIV-seronegative women with $1 follow-up visit from enrollment (between April 2008 and May 2017) to August 2017. Cox regression models were fitted adjusted for characteristics on sociodemographic, reproductive, behavioral, and sexually transmitted infections (through clinical examination and serological testing for syphilis).

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The effect of mobility on HIV-related healthcare access and use for female sex workers: A systematic review

Cited by 25 publications

References 106 publications

Evidence of sociodemographic heterogeneity across the HIV treatment cascade and progress towards 90‐90‐90 in sub‐Saharan Africa – a systematic review and meta‐analysis

Evidence of sociodemographic heterogeneity across the HIV treatment cascade and progress towards 90‐90‐90 in sub‐Saharan Africa – a systematic review and meta‐analysis

The associations of population mobility in HIV disease severity and mortality rate in China

Missed Study Visits and Subsequent HIV Incidence Among Women in a Predominantly Sex Worker Cohort Attending a Dedicated Clinic Service in Kampala, Uganda

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