Refugee mothers, migration pathways and HIV

A population-based cohort study

Bibliographic Data

ID19441682
AuthorsSusitha Wanigaratne (0000-0003-0840-9006, Centre for Urban Health Solutions, St. Michaels Hospital, Toronto, Canada, corresponding author), Meb Rashid (The Crossroads Clinic, Women’s College Hospital, Toronto, Canada), Anita J Gagnon (0000-0003-2206-6708, McGill University), Anita Gagnon (McGill University), Donald C Cole (0000-0002-1009-603X, Dalla Lana School of Public Health, Toronto, Canada), Yogendra Shakya (0000-0002-9355-5341, Dalla Lana School of Public Health, Toronto, Canada), Rahim Moineddin (0000-0002-5506-084X, Institute for Clinical Evaluative Sciences, Toronto, Canada), Jennifer Blake (0000-0002-2314-3915, The Society for Obstetricians and Gynecologists of Canada, Ottawa, Canada), Mark H Yudin (0000-0002-7540-8487, Department of Obstetrics and Gynecology, St. Michael’s Hospital, Toronto, Canada), Douglas Campbell (0000-0002-9202-1241, Department of Pediatrics, St. Michael’s Hospital, Toronto, Canada), Douglas M Campbell (0000-0001-7046-0959, St. Michael's Hospital), Joel G Ray (0000-0003-1635-4658, Institute for Clinical Evaluative Sciences, Toronto, Canada), Marcelo L Urquia (0000-0002-8289-8090, Centre for Urban Health Solutions, St. Michaels Hospital, Toronto, Canada)
Year2020
Volume32
Issue1
Pages30-36
Publication date2020-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2019.1612009
PMID31060379
OpenAlexW2944535489
LanguageEN
Citations received2
References cited12

Forced migration and extended time spent migrating may lead to prolonged marginalization and increased risk of HIV. We conducted a population-based cohort study to examine whether secondary migration status, where secondary migrants resided in a transition country prior to arrival in Ontario, Canada and primary migrants arrived directly from their country of birth, modified the relationship between refugee status and HIV. Unadjusted and adjusted prevalence ratios (APR) and 95% confidence intervals (CI) were estimated using log-binomial regression. In sensitivity analysis, refugees with secondary migration were matched to the other three groups on country of birth, age and year of arrival (+/− 5 years) and analyzed using conditional logistic regression. Unmatched and matched models were adjusted for age and education. HIV prevalence among secondary and primary refugees and non-refugees was 1.47% (24/1629), 0.82% (112/13,640), 0.06% (7/11,571) and 0.04% (49/114,935), respectively. Secondary migration was a significant effect modifier (p-value = .02). Refugees with secondary migration were 68% more likely to have HIV than refugees with primary migration (PR = 1.68, 95% CI 1.06, 2.68; APR = 1.68, 95% 1.04, 2.71) with a stronger effect in the matched model. There was no difference among non-refugee immigrants. Secondary migration may amplify HIV risk among refugee but not non-refugee immigrant mothers

Cohort · Cohort study · Confidence interval · Geography · Immigration · Logistic regression · Population · Refugee · Sociology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Migration, Health and Trauma · Internal Medicine