title: HIV care for geographically mobile populations.
abstract: The interaction between geographic mobility and risk for human immunodeficiency virus infection is well recognized, but what happens to those same individuals, once infected, as they transition to living with the infection? Does mobility affect their transition into medical care? If so, do mobile and nonmobile populations achieve similar success with antiretroviral treatment? The definition of mobility has changed over the centuries to encompass a complex phenotype including permanent migration, frequent travel, circular migration, and travel to and from treatment centers. The heterogeneity of these definitions leads to discordant findings. Investigations show that mobility has an impact on infection risk, but fewer data exist on the impact of geographic mobility on medical care and treatment outcomes. This review will examine existing data regarding the impact of geographic mobility on access to and maintenance in medical care and on adherence to antiretroviral therapy for those living with human immunodeficiency virus infection. It will also expand the concept of mobility to include data on the impact of the distance from residence to clinic on medical care and treatment adherence. Our conclusions are that the existing literature is limited by varying definitions of mobility and the inherent oversimplification necessary to apply a "mobility measure" in a statistical analysis. The impact of mobility on antiretroviral treatment outcomes deserves further exploration to both define the phenomenon and target interventions to these at-risk populations.
authors: University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. TaylorB4@uthscsa.edu
authors: Barbara S
authors: BS
authors: Taylor
authors: L Sergio
authors: LS
authors: Garduño
authors: Emily V
authors: EV
authors: Reyes
authors: Raziel
authors: R
authors: Valiño
authors: Rita
authors: R
authors: Rojas
authors: Yeycy
authors: Y
authors: Donastorg
authors: Karen
authors: K
authors: Brudney
authors: Jennifer
authors: J
authors: Hirsch
references: N Engl J Med. 2009 Apr 30;360(18):1815-26
references: 19339714
references: BMC Public Health. 2009 Mar 06;9:78
references: 19267895
references: AIDS. 2002 May 3;16(7):1051-8
references: 11953472
references: Scand J Public Health Suppl. 2007 Aug;69:35-44
references: 17676501
references: J Urban Health. 2005 Jun;82(2 Suppl 3):iii13-25
references: 15933327
references: J Clin Epidemiol. 2006 Aug;59(8):829-835
references: 16828676
references: Trop Med Int Health. 2010 Dec;15(12):1458-63
references: 20958895
references: Annu Rev Anthropol. 1986;15:331-61
references: 12314827
references: Philos Trans R Soc Lond B Biol Sci. 2001 Jul 29;356(1411):1077-86
references: 11516385
references: J Epidemiol Community Health. 2006 Oct;60(10):836-8
references: 16973527
references: AIDS Care. 2011 May;23(5):542-9
references: 21287419
references: Int J Epidemiol. 2003 Oct;32(5):744-52
references: 14559743
references: AIDS Behav. 2008 Mar;12(2):202-12
references: 17968650
references: AIDS. 2008 Nov 12;22(17):2291-302
references: 18981768
references: AIDS. 2008 Sep 12;22(14):1882-4
references: 18753867
references: Proc Natl Acad Sci U S A. 1994 Mar 29;91(7):2407-14
references: 8146131
references: Soc Sci Med. 2003 Sep;57(6):1091-7
references: 12878108
references: Health Place. 2000 Mar;6(1):33-40
references: 10685023
references: Clin Invest Med. 1997 Apr;20(2):77-83
references: 9088663
references: AIDS Behav. 2010 Aug;14(4):778-84
references: 19283464
references: J Acquir Immune Defic Syndr. 2004 Nov 1;37 Suppl 4:S215-26
references: 15722864
references: Sex Transm Dis. 2003 Feb;30(2):149-56
references: 12567174
references: J Acquir Immune Defic Syndr. 2004 Jan 1;35(1):67-74
references: 14707795
references: Am J Ind Med. 2010 Apr;53(4):398-404
references: 19565628
references: Clin Infect Dis. 2006 Sep 1;43(5):654-7
references: 16886162
references: Soc Sci Med. 2003 Jul;57(2):327-42
references: 12765712
references: AIDS Care. 2004 Oct;16(7):858-75
references: 15385241
references: AIDS. 2001 Jun 15;15(9):1181-3
references: 11416722
references: Lancet. 1995 Sep 23;346(8978):826-8
references: 7674750
references: South Med J. 2006 May;99(5):472-81
references: 16711309
references: AIDS Patient Care. 1995 Dec;9(6):297-302
references: 11361439
references: J Acquir Immune Defic Syndr. 2010 Mar;53(3):405-11
references: 19745753
references: Trop Med Int Health. 2003 Oct;8(10):933-9
references: 14516305
references: Soc Sci Med. 2009 Mar;68(6):1044-9
references: 19157668
references: Geogr Rev. 2018;108(4):503-522
references: 32494088
references: HIV Med. 2011 Jul;12(6):361-6
references: 21091601
references: Int J Health Serv. 1991;21(1):157-73
references: 2004869
references: AIDS. 1998 Oct 1;12(14):1879-87
references: 9792389
references: Clin Infect Dis. 2002 Apr 15;34(8):1115-21
references: 11915001
references: AIDS. 1992 Dec;6(12):1521-8
references: 1492935
references: J Acquir Immune Defic Syndr. 2003 Nov 1;34(3):281-8
references: 14600572
references: Curr HIV Res. 2009 Mar;7(2):224-30
references: 19275591
references: J Immigr Minor Health. 2007 Jan;9(1):49-54
references: 17031578
references: AIDS. 1992 Dec;6(12):1535-9
references: 1492937
references: Int J Health Serv. 2007;37(4):745-59
references: 18072319