期刊
CURRENT HIV/AIDS REPORTS
卷 16, 期 4, 页码 314-323出版社
SPRINGER
DOI: 10.1007/s11904-019-00457-2
关键词
Migration; Mobility; HIV; Gender; HIV treatment; HIV prevention; Sub-Saharan Africa
资金
- NIMH NIH HHS [P30 MH062246, R01 MH104132] Funding Source: Medline
Purpose of ReviewWe reviewed literature across multiple disciplines to describe issues with the measurement of population mobility in HIV research and to summarize evidence of causal pathways linking mobility to HIV acquisition risks and treatment engagement, with a focus on sub-Saharan Africa.Recent FindingsWhile the literature on mobility and HIV remains hampered by problems and inconsistency in measures of mobility, the recent research reveals a turn towards a greater attentiveness to measurement and gender. Theoretical and heuristic models for the study of mobility and HIV acquisition and treatment outcomes have been published, but few studies have used longitudinal designs with clear ascertainment of exposures and outcomes for measurement of causal pathways. Notwithstanding these limitations, evidence continues to accumulate that mobility is linked to higher HIV incidence, and that it challenges optimal treatment engagement. Gender continues to be important: while men are more mobile than women, women's mobility particularly heightens their HIV acquisition risks. Recent large-scale efforts to find, test, and treat the individuals in communities who are most at risk of sustaining local HIV transmission have been severely challenged by mobility. Novel interventions, policies, and health systems improvements are urgently needed to fully engage mobile individuals in HIV care and prevention.SummaryInterventions targeting the HIV prevention and care needs of mobile populations remain few in number and urgently needed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据