Syphilis prevalence and correlates of infection among Venezuelan refugees and migrants in Colombia: findings of a cross-sectional biobehavioral survey

Stevenson, Megan; Guillén, José; Ortíz, Jennifer; Ramírez Correa, Jhon Fredy; Page, Kathleen R.; Barriga Talero, Miguel Ángel; López, Jhon Jairo; Fernández-Niño, Julián Alfredo; Núñez, Ricardo Luque; Spiegel, Paul; Wirtz, Andrea L.

doi:10.1016/j.lana.2023.100669

Cited by 4 publications

(8 citation statements)

References 20 publications

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“…Drawing on data from more than 6200 Venezuelan refugees and migrants from urban settings of Colombia, we previously estimated that 92% of Venezuelans were experiencing low (26.5%) or very low (65.7%) food security and material hardships in 2021-2022 [14,15]. While not directly comparable due to methodological differences, a study conducted by the World Food Programme in 2022 reported that 26% and 4% of the Colombian population were moderately food insecure and severely food insecure, respectively [29].…”

Section: Discussionmentioning

confidence: 99%

“…The protocol was also reviewed in accordance with the US Center for Disease Control and Prevention human research protection procedures. Methodological details and other results have been published previously [14,15,19,20].…”

Section: Methodsmentioning

confidence: 99%

“…Participants who reported that they or other adults in the household had cut the size of their meals or skipped meals in the past 12 months were asked an additional question about the frequency at which this occurred. The scores from the individual items were standardly summed to create the classifications of high or marginal food security, low food security, and very low food security [24], estimates which we have previously reported for this study [14,15].…”

Section: Methodsmentioning

confidence: 99%

“…The remainder were experiencing low (26.5%) or very low (65.7%) food security [14]. These reports also demonstrated significant material hardships [14,15]. However, estimates of food security-the ability of households or individuals to consistently access safe, culturally acceptable, and nutritious foods [16]-vary by measure.…”

Section: Introductionmentioning

confidence: 99%

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Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Wirtz,

Stevenson,

Guillén

et al. 2024

Nutrients

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The causes and conditions of displacement often increase the vulnerability of migrant and refugee populations to food insecurity, alongside other material hardships. We aimed to examine the multidimensional aspects and patterns of food insecurity and other material hardships in a cross-sectional sample of 6221 Venezuelan refugees and migrants in urban Colombia using a latent class analysis. Using multinomial and logistic regression models, we investigated the demographic and migratory experiences associated with identified classes and how class membership is associated with multiple health outcomes among Venezuelan refugees and migrants, respectively. Approximately two thirds of the sample was comprised cisgender women, and the participants had a median age of 32 years (IQR: 26–41). Four heterogeneous classes of food insecurity and material hardships emerged: Class 1—low food insecurity and material hardship; Class 2—high food insecurity and material hardship; Class 3—high income hardship with insufficient food intake; and Class 4—income hardship with food affordability challenges. Class 2 reflected the most severe food insecurity and material hardships and had the highest class membership; Venezuelans with an irregular migration status were almost 1.5 times more likely to belong to this class. Food insecurity and material hardship class membership was independently associated with self-rated health, mental health symptoms, and recent violence victimization and marginally associated with infectious disease outcomes (laboratory-confirmed HIV and/or syphilis infection). Social safety nets, social protection, and other interventions that reduce and prevent material hardships and food insecurity among refugees and migrants, alongside the host community, may improve public health, support development, and reduce healthcare costs. In the long term, regularization and social policies for migrants aimed at enhancing refugees’ and migrants’ social and economic inclusion may contribute to improving food security in this population.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Wirtz,

Stevenson,

Guillén

et al. 2024

Nutrients

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“…The resurgence of diseases in Venezuela, including measles, malaria, syphilis, and HIV [42,43], has posed additional challenges for host countries like Colombia, exacerbating the burden on healthcare systems. Venezuelan migrants, particularly vulnerable during the COVID-19 pandemic due to housing and economic instability [44], have further strained the healthcare infrastructure in cities like Soledad [45].…”

Section: Evaluation Of Emergency Medical Response Mechanismsmentioning

confidence: 99%

Enhancing Urban Resilience: Strategic Management and Action Plans for Cyclonic Events through Socially Constructed Risk Processes

Pérez-Arévalo,

Jiménez-Caldera,

Serrano-Montes

et al. 2024

Urban Science

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Cities will face increasing challenges due to the impacts of global climate change, particularly in the form of cyclonic events, necessitating a deeper understanding and the establishment of effective response mechanisms at both institutional and citizen levels. In this research, we tested the efficiency of crowdsourcing in fostering participatory resilience and improving urban management. The main aim was to design novel and accurate proactive response strategies and mitigate the adverse effects of cyclonic wind events through volunteerism, citizen science, and urban science. To achieve this goal, as a case study, the municipality of Soledad, Colombia was used. This research employed a two-phase methodological approach: (i) initially evaluating the spatial distribution of emergency response resources, and (ii) developing a geo-referenced survey to map, systematize, and categorize data and outcomes. A total of three hundred and seventy-eight residents across five neighborhoods in Soledad, which have experienced a high frequency of atmospheric wind phenomena over the past two decades, were surveyed. The results indicate that the crowdsourcing mechanism effectively enhanced the empirical understanding of atmospheric wind events in Soledad, facilitating the establishment of a geo-referenced volunteer network for real-time responses. Additionally, this study shed light on previously undocumented challenges, in terms of reducing the number of people affected, and the actions that would lead to improved urban development to reduce the impacts of cyclonic events, emphasizing the significance of citizen science in the social construction of risk and disaster risk reduction (DDR) efforts.

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Obstetrical Complications in Venezuelan Refugee and Migrant Women: Analysis of Ecuadorian National Hospital Discharge Data, 2018–2021

Weigel,

Armijos

2024

J Immigrant Minority Health

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Syphilis prevalence and correlates of infection among Venezuelan refugees and migrants in Colombia: findings of a cross-sectional biobehavioral survey

Cited by 4 publications

References 20 publications

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia

Enhancing Urban Resilience: Strategic Management and Action Plans for Cyclonic Events through Socially Constructed Risk Processes

Obstetrical Complications in Venezuelan Refugee and Migrant Women: Analysis of Ecuadorian National Hospital Discharge Data, 2018–2021

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