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23:56
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
HIV care for geographically mobile populations
Barbara S Taylor1, L Sergio Garduño, Emily V Reyes
1University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. TaylorB4@uthscsa.edu
The Mount Sinai Journal of Medicine, New York
|May 21, 2011
Summary
Geographic mobility impacts access to human immunodeficiency virus (HIV) care and antiretroviral therapy adherence. Further research is needed to define mobility and improve interventions for at-risk populations.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Geographic mobility is linked to human immunodeficiency virus (HIV) infection risk.
- Limited data exist on how mobility affects HIV care access and treatment outcomes.
Purpose of the Study:
- To review the impact of geographic mobility on HIV medical care access.
- To examine mobility's effect on antiretroviral therapy (ART) adherence.
- To explore how distance to clinics affects care and adherence.
Main Methods:
- Literature review of studies on geographic mobility and HIV care.
- Analysis of data concerning mobility definitions and treatment outcomes.
- Inclusion of studies examining clinic proximity and adherence.
Main Results:
- Varying definitions of mobility complicate research findings.
- Mobility significantly impacts access to and retention in HIV care.
- Adherence to antiretroviral therapy is affected by geographic mobility.
Conclusions:
- Existing literature is limited by inconsistent mobility definitions.
- The impact of mobility on ART outcomes requires further investigation.
- Targeted interventions are needed for mobile populations living with HIV.
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