ArticleAIDS and behavior2016
Armed Conflict, Substance Use and HIV: A Global Analysis.
Article in AIDS and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Epidemiology ofBMJ global health · 2026Pooled it
- Impact of war-associated factors on spread of sexually transmitted infections: a systemic review.Frontiers in public health · 2024Pooled it
- The infectious disease burden among war related internally displaced people in the Lviv region of Ukraine.Germs · 2024Article
- A Scoping Review of Factors Associated with HIV Acquisition in the Context of Humanitarian Crises.AIDS and behavior · 2024Article
- Equity in HIV/AIDS services requires optimization of mainstreaming sectors in Ethiopia.BMC public health · 2024Article
- Intersecting social-ecological vulnerabilities to and lived experiences of sexually transmitted infections among Syrian refugee women in Lebanon: A qualitative study.PLOS global public health · 2024Article
- Qualitative study of barriers and facilitators to HIV detection and treatment among women who inject drugs during the war against Ukraine.AIDS research and therapy · 2023Article
- Transactional sex work and HIV among women in conflict-affected Northeastern Uganda: a population-based study.Conflict and health · 2022Article
- Predictors of Viral Non-Suppression among Patients Living with HIV under Dolutegravir in Bunia, Democratic Republic of Congo: A Prospective Cohort Study.International journal of environmental research and public health · 2022Article
- Armed conflict, HIV, and syndemic risk markers of mental distress, alcohol misuse, and intimate partner violence among couples in Uganda.Journal of traumatic stress · 2021Article
- Pediatric Infectious Diseases Encountered During Wartime-Part 1: Experiences and Lessons Learned From Armed Conflict in the Modern Era.Current infectious disease reports · 2021Review
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Authors and funding
3 authors.
Funding
Abstract
Armed conflict is frequently assumed to be a contributor to the global HIV epidemic, but existing evidence is sparse. We examined the relationship between armed conflict between 2002 and 2008 and HIV disability life years (DALYs) in 2010 among WHO Member States. Using partial least squares analysis we also examined moderation of the armed conflict-HIV link by two susceptibility constructs (background risk, substance use) and one vulnerability mediator (numbers of refugees, people on ART, and total HIV spending). Background risk directly impacted HIV DALYs (p < 0.05), substance use moderated the conflict-HIV relationship (p < 0.01). The vulnerability construct mediated the conflict-HIV association (p < 0.01). Findings underscore the need to align HIV prevention/intervention efforts with pre-existing HIV burden and reduce the impact of natural disasters on the populace in conflict-affected states. Integration of substance prevention/harm reduction programs within national HIV responses, attention to most-at-risk populations and increased surveillance/treatment of drug resistant HIV and TB is warranted.
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