Southern Medical Journal
Volume 107, Issue 9, 2014, Pages 531-539

Migration patterns among Floridians with AIDS, 1993-2007: Implications for HIV prevention and care (Article) (Open Access)

Trepka M.J.* , Fennie K.P. , Pelletier V. , Lutfi K. , Lieb S. , Maddox L.M.
  • a Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee., Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, AHC II, 11200 SW 8th St, University Park, FL 33199, United States
  • b Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee.
  • c Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee.
  • d Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee.
  • e Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee.
  • f Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, the AIDS Institute/Florida Consortium for HIV/AIDS Research, Tampa, and the HIV/AIDS and Hepatitis Section, Florida Department of Health, Tallahassee.

Abstract

Objectives: To characterize migration patterns among people diagnosed as having and who died of acquired immunodeficiency syndrome (AIDS) from 1993 to 2007 because migrating to a new community can disrupt human immunodeficiency virus/AIDS care delivery and patients' adherence to care and affect migrants' social services and healthcare needs. Methods: Florida AIDS surveillance data were used to describe patterns of migration among people diagnosed as having and who died of AIDS from 1993 to 2007. Individual and community characteristics were compared between residence at the time of AIDS diagnosis and residence at the time of death by type of migration. Results: Of 31,816 people in the cohort, 2510 (7.9%) migrated to another county in Florida and 1306 (4.1%) migrated to another state. Interstate migrants were more likely to be men, 20 to 39 years old, non-Hispanic white, and born in the United States, to have had a transmission mode of injection drug use (IDU) or men who have sex with men with IDU (MSM&IDU), and to have been diagnosed before 1999. Intercounty migrants were more likely to be non-Hispanic white, younger than 60 years, have had a transmission mode of MSM, IDU, or MSM&IDU, have higher CD4 counts/percentages, and to have lived in areas with low levels of poverty or low physician density. There was a small net movement from urban to rural areas within the state. Conclusions: A sizable percentage of people, particularly younger people and people with a transmission mode of IDU and IDU&MSM, migrated at least once between the time of their AIDS diagnosis and death. This has important implications for care and treatment, as well as efforts to prevent the disease. Further research is needed to explore barriers and facilitators to access to care upon migration and to assess the need for programs to help people transfer their human immunodeficiency virus/AIDS care, ensuring continuity of care and adherence. Copyright © 2014 by The Southern Medical Association.

Author Keywords

Intravenous Migration Human Immunodeficiency Virus (HIV) acquired immunodeficiency syndrome (AIDS) Rural health Substance use Access to care

Index Keywords

urban area rural area HIV Infections Human immunodeficiency virus infection Human Migration Caucasian survival rate poverty human sex difference middle aged statistics men who have sex with men United States Young Adult Florida Humans male CD4 lymphocyte count female Socioeconomic Factors socioeconomics Article high risk behavior disease transmission Risk-Taking major clinical study adult migration survival time health care access age Sex Factors Age Factors virus transmission acquired immune deficiency syndrome intravenous drug abuse
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908280187&doi=10.14423%2fSMJ.0000000000000155&partnerID=40&md5=517e08dbabd39d903127f3c71fb08f62
DOI: 10.14423/SMJ.0000000000000155
ISSN: 00384348
Cited by: 1
Original Language: English