Humanising and optimising HIV health care for refugees and asylum seekers.

IF 12.8 1区 医学 Q1 IMMUNOLOGY Lancet Hiv Pub Date : 2024-10-29 DOI:10.1016/S2352-3018(24)00233-9
Claudia P Cortes, Omar Sued, William C W Wong, Annick Borquez, Charles Ssonko, Miłosz Parczewski, Jocelyn DeJong, Vonthanak Saphonn, Animesh Sinha, Báltica Cabieses
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Abstract

Displaced populations living with HIV, including refugees and asylum seekers, face substantial challenges across various regions globally. The intersection of forced migration and HIV presents both shared challenges and region-specific differences. Key issues include little access to health care, pervasive stigma, discrimination, and disruptions in the continuity of HIV care. Refugees often encounter barriers such as legal, cultural, and economic disparities that impact their overall health outcomes. Although HIV prevalence differs across regions, displaced populations consistently face disproportionate challenges including high-risk environments and little health-care access. Addressing these challenges requires a focus on equitable health-care access, with both actionable local interventions and broader global policy changes and an emphasis on long-term sustainability. Reliable and continuous drug supplies, interagency collaboration, and holistic health-care approaches are essential. International collaboration, robust evidence generation, and comprehensive responses are urgently needed to address the complex interplay between forced migration and HIV among vulnerable populations.

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为难民和寻求庇护者提供人性化和最优化的艾滋病毒保健服务。
包括难民和寻求庇护者在内的艾滋病毒感染者在全球各个地区都面临着巨大的挑战。被迫迁徙与艾滋病毒的交织既带来了共同的挑战,也造成了地区间的差异。主要问题包括:很少有机会获得医疗保健服务、普遍存在的污名化、歧视以及艾滋病毒护理的连续性受到干扰。难民通常会遇到法律、文化和经济差异等障碍,这些障碍会影响他们的整体健康结果。尽管不同地区的艾滋病毒感染率不同,但流离失所人群始终面临着高风险环境和医疗服务匮乏等不成比例的挑战。要应对这些挑战,就必须重视公平的医疗保健服务,既要采取可行的地方干预措施,也要进行更广泛的全球政策变革,并强调长期可持续性。可靠和持续的药品供应、机构间合作以及综合保健方法至关重要。亟需开展国际合作、生成有力的证据并采取全面的应对措施,以解决弱势人群中被迫移徙与艾滋病毒之间复杂的相互作用问题。
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来源期刊
Lancet Hiv
Lancet Hiv IMMUNOLOGYINFECTIOUS DISEASES&-INFECTIOUS DISEASES
CiteScore
19.90
自引率
4.30%
发文量
368
期刊介绍: The Lancet HIV is an internationally trusted source of clinical, public health, and global health knowledge with an Impact Factor of 16.1. It is dedicated to publishing original research, evidence-based reviews, and insightful features that advocate for change in or illuminates HIV clinical practice. The journal aims to provide a holistic view of the pandemic, covering clinical, epidemiological, and operational disciplines. It publishes content on innovative treatments and the biological research behind them, novel methods of service delivery, and new approaches to confronting HIV/AIDS worldwide. The Lancet HIV publishes various types of content including articles, reviews, comments, correspondences, and viewpoints. It also publishes series that aim to shape and drive positive change in clinical practice and health policy in areas of need in HIV. The journal is indexed by several abstracting and indexing services, including Crossref, Embase, Essential Science Indicators, MEDLINE, PubMed, SCIE and Scopus.
期刊最新文献
Correction to Lancet HIV 2024; 11: e783-90. HIV-related outcomes among migrants living in Europe compared with the general population: a systematic review and meta-analysis. Outcomes and gaps in HIV care for migrants in Europe. Correction to Lancet HIV 2024; 11: e736-45. Highlights of the 5th HIVR4P Conference.
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