La migración venezolana en los Andes : la respuesta sanitaria de Perú, Chile, Colombia y Ecuador

Laguna, Juan Arroyo; Portes, Alejandro; Cabieses, Báltica; Cubillos, Andrés; Torres, Irene

doi:10.18800/9786123177225

Cited by 2 publications

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“…Indeed, migration in Latin America (LATAM) has increased considerably in recent years for political, economic and social issues [17]. The Venezuelan humanitarian exodus has been the largest ever reported in LATAM, encompassing over 6 million Venezuelans who have left their country due to economic and political crises [18]. Hence understanding their health needs is relevant not only to Peru but to the LATAM region as a whole [18, 19].…”

Section: Introductionmentioning

confidence: 99%

“…The Venezuelan humanitarian exodus has been the largest ever reported in LATAM, encompassing over 6 million Venezuelans who have left their country due to economic and political crises [18]. Hence understanding their health needs is relevant not only to Peru but to the LATAM region as a whole [18, 19]. Nonetheless, Peru has been one of the main final destinations of this immigration [20].…”

Section: Introductionmentioning

confidence: 99%

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Highly active antiretroviral therapy discontinuation time is associated with therapeutic failure among human immunodeficiency virus (HIV)‐infected immigrant adults: A cohort study from a Peruvian referral hospital during the Venezuelan exodus

Rebolledo‐Ponietsky

Al‐kassab‐Córdova

Lucchetti

et al. 2023

Tropical Med Int Health

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To evaluate the association between Highly Active Antiretroviral Therapy (HAART) discontinuation time and therapeutic failure (TF) in Venezuelan immigrants with HIV that restart HAART. Methods: We carried out a retrospective cohort study in a large hospital in Peru. We included Venezuelan immigrants who restarted HAART and were followed over at least 6 months. The primary outcome was TF. Secondary outcomes were immunologic (IF), virologic (VF) and clinical (CF) failures. The exposure variable was HAART discontinuation, categorised as no discontinuation, less than 6 months, and 6 months or more. We applied generalised linear models Poisson family with robust standard errors to calculate crude (cRR) and adjusted (aRR) relative risks by statistical and epidemiological criteria. Results: We included 294 patients, 97.2% were males, and the median age was 32 years. Out of all the patients, 32.7% discontinued HAART for less than 6 months, 15.0% discontinued for more than 6 months and the remaining 52.3% did not discontinue. The cumulative incidence of TF was 27.9%, 24.5% in VF, 6.0% in IF and 6.0% in CF. Compared with non-discontinued HAART patients, the discontinuation for less than 6 months (aRR = 1.98 [95% CI: 1.27-3.09]) and from 6 months to more (aRR = 3.17 [95% CI: 2.02-4.95]) increased the risk of TF. Likewise, treatment discontinuation of up to 6 months (aRR = 2.32 [95% CI: 1.40-3.84]) and from 6 months to more (aRR = 3.93 [95% CI: 2.39-6.45]) increased the risk of VF. Conclusions: HAART discontinuation increases the probability of TF and VF in Venezuelan immigrants.K E Y W O R D S emigrants and immigrants, highly active antiretroviral therapy, HIV, Peru, treatment failure These findings were previously presented as the MD thesis of Kirbeliz E.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Highly active antiretroviral therapy discontinuation time is associated with therapeutic failure among human immunodeficiency virus (HIV)‐infected immigrant adults: A cohort study from a Peruvian referral hospital during the Venezuelan exodus

Rebolledo‐Ponietsky

Al‐kassab‐Córdova

Lucchetti

et al. 2023

Tropical Med Int Health

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Migration and health right: Probabilistic estimate of the factors that impact on health right of the migrant population, Peru 2019–2021

Arroyo-Laguna,

Huánuco,

La Chira

et al. 2023

PLoS ONE

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The study aims to identify factors associated with the violation of the right to health of the regular migrant population with respect to the nonmigrant population in Peru during the period 2019–2021, based on the complaints of health services users. It is a three-year cross-sectional and retrospective study on a total population of 122,505 complainants to the National Superintendency of Health (SUSALUD). The types of health rights used were those established in Peruvian Law No. 29414. An unordered multinomial probability model was used to estimate the probability of belonging to five types of violated rights based on the regular migrant and nonmigrant population, and the exogenous variables that affect this probability. The individual significance tests of the model, the tests for combining categories and the test of independence of irrelevant alternatives by means of the Wald and Hausman-McFadden tests were previously taken. The results indicated an increase in complaints from regular migrants of 5.6% in the 2019–2021 period unlike nonmigrants who had a decrease of 12.2%. The greatest probability that health rights of regular migrants are violated refers to access to information and the right to care and recovery, where their probability of violation is 27.7% and 25.4%, respectively (p-v < 0.05, CI = 95%). Likewise, health rights are more likely to be violated if they are women; if they are adults (41 years old on average); if they do not possess any type of health insurance; if they use Peruvian Ministry of Health (MINSA) services; and if they are located in metropolitan cities, such as Lima and Callao.

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La migración venezolana en los Andes : la respuesta sanitaria de Perú, Chile, Colombia y Ecuador

Cited by 2 publications

References 0 publications

Highly active antiretroviral therapy discontinuation time is associated with therapeutic failure among human immunodeficiency virus (HIV)‐infected immigrant adults: A cohort study from a Peruvian referral hospital during the Venezuelan exodus

Highly active antiretroviral therapy discontinuation time is associated with therapeutic failure among human immunodeficiency virus (HIV)‐infected immigrant adults: A cohort study from a Peruvian referral hospital during the Venezuelan exodus

Migration and health right: Probabilistic estimate of the factors that impact on health right of the migrant population, Peru 2019–2021

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