ArticleAIDS and behavior2014
Is forced migration a barrier to treatment success? Similar HIV treatment outcomes among refugees and a surrounding host community in Kuala Lumpur, Malaysia.
Article in AIDS and behavior, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delivering infectious disease interventions to women and children in conflict settings: a systematic reviefw.BMJ global health · 2020Pooled it
- Viral suppression by residency status among men living with HIV in the context of the expanded ART policy in Shanghai, China.PLOS global public health · 2026Article
- Sexual and reproductive health among forcibly displaced persons in urban environments in low and middle-income countries: scoping review findings.Reproductive health · 2024Article
- Accessibility and Perceived Impact of a Group Psychosocial Intervention for Women in Ecuador: A Comparative Analysis by Migration Status.International journal of environmental research and public health · 2024Article
- Left behind on the path to 90-90-90: understanding and responding to HIV among displaced people.Journal of the International AIDS Society · 2022Article
- International migration and its influence on health.Research in nursing & health · 2022Article
- Improving HIV medication adherence among forced migrants living with HIV: a qualitative study of refugees and asylum seekers in Malaysia.Conflict and health · 2022Article
- Effect of the Promulgation of the New Migrant's Employment Law on Migrant Insurance Coverage in Thailand: An Interrupted Time Series Analysis, 2016-2018.International journal of environmental research and public health · 2022Article
- Developing an evidence assessment framework and appraising the academic literature on migrant health in Malaysia: a scoping review.BMJ open · 2021Article
- Concerns of HIV-positive migrant workers in COVID-19 pandemic: A call for action.Journal of global health · 2020Article
- Healthcare is not universal if undocumented migrants are excluded.BMJ (Clinical research ed.) · 2019Article
- Article
- The health needs and access barriers among refugees and asylum-seekers in Malaysia: a qualitative study.International journal for equity in health · 2018Article
- A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.Conflict and health · 2018Article
- Low levels of viral suppression among refugees and host nationals accessing antiretroviral therapy in a Kenyan refugee camp.Conflict and health · 2017Article
- Antiretroviral therapy for refugees and internally displaced persons: a call for equity.PLoS medicine · 2014Article
- Maximizing the benefits of antiretroviral therapy for key affected populations.Journal of the International AIDS Society · 2014Article
- Review of infectious diseases in refugees and asylum seekers-current status and going forward.Public health reviewsReview
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Authors and funding
10 authors.
Funding
Abstract
In response to an absence of studies among refugees and host communities accessing highly active antiretroviral therapy (HAART) in urban settings, our objective was to compare adherence and virological outcomes among clients attending a public clinic in Kuala Lumpur, Malaysia. A cross-sectional survey was conducted among adult clients (≥18 years). Data sources included a structured questionnaire that measured self-reported adherence, a pharmacy-based measure of HAART prescription refills over the previous 24 months, and HIV viral loads. The primary outcome was unsuppressed viral load (≥40 copies/mL). Among a sample of 153 refugees and 148 host community clients, refugees were younger (median age 35 [interquartile range, IQR 31, 39] vs 40 years [IQR 35, 48], p < 0.001), more likely to be female (36 vs 21 %, p = 0.004), and to have been on HAART for less time (61 [IQR 35, 108] vs 153 weeks [IQR 63, 298]; p < 0.001). Among all clients, similar proportions of refugee and host clients were <95 % adherent to pharmacy refills (26 vs 34 %, p = 0.15). When restricting to clients on treatment for ≥25 weeks, similar proportions from each group were not virologically suppressed (19 % of refugees vs 16 % of host clients, p = 0.54). Refugee status was not independently associated with the outcome (adjusted odds ratio, aOR = 1.28, 95 % CI 0.52, 3.14). Overall, the proportions of refugee and host community clients with unsuppressed viral loads and sub-optimal adherence were similar, supporting the idea that refugees in protracted asylum situations are able to sustain good treatment outcomes and should explicitly be included in the HIV strategic plans of host countries with a view to expanding access in accordance with national guidelines for HAART.
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