Journal
JOURNAL OF PERSONALIZED MEDICINE
Volume 12, Issue 9, Pages -Publisher
MDPI
DOI: 10.3390/jpm12091497
Keywords
HIV; migrants; B/F/TAF; antiretroviral; rapid ART initiation; multidisciplinary; cost-covered treatment; HIV care cascade; patient experiences
Funding
- Gilead Investigator Sponsored Research Program [IN-US-380-4670]
- Fonds de la Recherche Quebec-Sante (FRQ-S) Reseau SIDA/Maladies infectieuses [164064]
- Canadian Institutes of Health Research (CIHR)
- Fonds de la Recherche du Quebec-Sante (FRQ-S) [311200]
- Quebec's Ministry of Health for researchers in Family Medicine [LE 250]
- Vanier Canada Graduate Scholarship from the Canadian Institutes of Health Research
- Fonds de la Rrecherche du Quebec-Sante (FRQS) [296306]
Ask authors/readers for more resources
This study explores the experiences of migrant people living with HIV in a Montreal-based multidisciplinary HIV care clinic, finding that rapid initiation of antiretroviral treatment and cost coverage may help alleviate patients' concerns, address their bio-psycho-social challenges, and ultimately contribute to positive experiences.
This study aimed to explore the experiences of migrant people living with HIV (MLWH) enrolled in a Montreal-based multidisciplinary HIV care clinic with rapid antiretroviral treatment (ART) initiation and cost-covered ART. Between February 2020 and March 2022, 32 interviews were conducted with 16 MLWH at three time-points (16 after 1 week of ART initiation, 8 after 24 weeks, 8 after 48 weeks). Interviews were analyzed via the Framework Method. Thirty categories were identified, capturing experiences across the HIV care cascade. At diagnosis, most MLWH described initially experiencing distress. At linkage, almost all MLWH discussed navigating the health system with difficulty. At treatment initiation, almost all MLWH expressed being satisfied with treatment, particularly due to a lack of side effects. Regarding care retention, all MLWH noted facing psychosocial or health-related challenges beyond HIV. Regarding ART adherence, most MLWH expressed being satisfied with treatment with emphasis on their taking control of HIV. At viral suppression, MLWH mentioned finding more peace of mind since becoming undetectable. Regarding their perceived health-related quality of life, most MLWH indicated being helped by a supportive social network. Efficient, humanizing, and holistic approaches to care in a multidisciplinary setting, coupled with rapid and free ART initiation, seemed to help alleviate patients' concerns, address their bio-psycho-social challenges, encourage their initial and sustained engagement with HIV care and treatment, and ultimately contribute to positive experiences.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available