ArticleAIDS patient care and STDs2014
Patterns of geographic mobility predict barriers to engagement in HIV care and antiretroviral treatment adherence.
Article in AIDS patient care and STDs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.
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Who cites it
48 citing papers in PubMed, 84 citations in OpenAlex.
- Cohort profile: CareConekta: a pilot study of a smartphone application to improve engagement in postpartum HIV care in South Africa.BMJ open · 2022Trial
- Residential mobility and health among people with HIV: a scoping review.AIDS (London, England) · 2026Article
- The Role of Mobility in HIV Intervention Engagement and Community Mobilization among Female Sex Workers Living with HIV in the Dominican Republic.AIDS and behavior · 2026Article
- "It's not easy, but we need to support them so they don't get tired on the way": provider perspectives on delivering HIV services for people returning to HIV care in Cape Town, South Africa.BMC health services research · 2026Article
- Migration and its impact on universal HIV testing and treatment in the HPTN 071 (PopART) study communities.PLOS global public health · 2026Article
- To what extent are digital health interventions targeting HIV care cascade among mobile populations feasible, acceptable, and effective? A mixed methods systematic review protocol.Systematic reviews · 2025Article
- Results from a retrospective case finding and re-engagement exercise for people previously diagnosed with hepatitis C virus to increase uptake of directly acting antiviral treatment.BMC public health · 2024Article
- Experiences of patients living with HIV and AIDS on antiretroviral therapy in Accra, Ghana.Curationis · 2024Article
- "African geographical review · 2024Article
- Identifying longitudinal patterns of HIV treatment (dis)engagement and re-engagement from oral histories of virologically unsuppressed persons in Uganda: A thematic trajectory analysis.Social science & medicine (1982) · 2023Article
- Mobility during the post-partum period and viraemia in women living with HIV in South Africa.International health · 2023Article
- Did Access to Ambulatory Care Moderate the Associations Between Visit Mode and Ancillary Services Utilization Across the COVID-19 Pandemic Period?Medical care · 2023Article
- Mobility and HIV care engagement: a research agenda.Journal of the International AIDS Society · 2023Review
- Nothing about us without us: Community-based participatory research to improve HIV care for mobile patients in Kenya and Uganda.Social science & medicine (1982) · 2023Article
- Article
- The impact of social violence on HIV risk for women in Colombia: A concurrent mixed methods study.PLOS global public health · 2023Article
- Social networks, mobility, and HIV risk among women in the fishing communities of Lake Victoria.BMC women's health · 2022Article
- Prevalence, motivation, and outcomes of clinic transfer in a clinical cohort of people living with HIV in North West Province, South Africa.BMC health services research · 2022Article
- Storyboarding HIV Infected Young People's Adherence to Antiretroviral Therapy in Lower- to Upper Middle-Income Countries: A New-Materialist Qualitative Evidence Synthesis.International journal of environmental research and public health · 2022Review
- Predictors of migration in an HIV hyper-endemic rural South African community: evidence from a population-based cohort (2005-2017).BMC public health · 2022Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
Migration and geographic mobility increase risk for HIV infection and may influence engagement in HIV care and adherence to antiretroviral therapy. Our goal is to use the migration-linked communities of Santo Domingo, Dominican Republic, and New York City, New York, to determine the impact of geographic mobility on HIV care engagement and adherence to treatment. In-depth interviews were conducted with HIV+Dominicans receiving antiretroviral therapy, reporting travel or migration in the past 6 months and key informants (n=45). Mobility maps, visual representations of individual migration histories, including lifetime residence(s) and all trips over the past 2 years, were generated for all HIV+ Dominicans. Data from interviews and field observation were iteratively reviewed for themes. Mobility mapping revealed five distinct mobility patterns: travel for care, work-related travel, transnational travel (nuclear family at both sites), frequent long-stay travel, and vacation. Mobility patterns, including distance, duration, and complexity, varied by motivation for travel. There were two dominant barriers to care. First, a fear of HIV-related stigma at the destination led to delays seeking care and poor adherence. Second, longer trips led to treatment interruptions due to limited medication supply (30-day maximum dictated by programs or insurers). There was a notable discordance between what patients and providers perceived as mobility-induced barriers to care and the most common barriers found in the analysis. Interventions to improve HIV care for mobile populations should consider motivation for travel and address structural barriers to engagement in care and adherence.
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