{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T22:11:17Z","timestamp":1786659077229,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,5]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>Multidisciplinary care with free, rapid, and on\u2010site bictegravir\/emtricitabine\/tenofovir alafenamide (B\/F\/TAF) dispensation may improve health outcomes among migrants living with HIV. However, models for rapid B\/F\/TAF initiation are not well studied among migrants living with HIV, and an understanding of how social determinants of health (SDH) may affect HIV\u2010related health outcomes for migrants enrolled in such care models is limited.<\/jats:p><\/jats:sec>Methods<\/jats:title>Within a 96\u2010week pilot feasibility prospective cohort study at a multidisciplinary HIV clinic, participants received free B\/F\/TAF rapidly after care linkage. The effects of SDH (i.e., birth region, sexual orientation, living status, education, employment, French proficiency, health coverage, use of a public health facility outside our clinic for free blood tests, and time in Canada) and other covariates (i.e., age, sex) on median time to antiretroviral therapy (ART) initiation and HIV viral undetectability from care linkage were calculated via survival analyses.<\/jats:p><\/jats:sec>Results<\/jats:title>Thirty\u2010five migrants were enrolled in this study. Median time to ART initiation and HIV undetectability was 5\u2009days (range 0\u201350) and 57\u2009days (range 5\u2013365), respectively. Those who took significantly longer to initiate ART were aged <35\u2009years, identified as heterosexual, had less than university\u2010level education, or were unemployed. No factor was found to significantly affect time to undetectability.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Despite the provision of free B\/F\/TAF, several SDH were linked to delays in ART initiation. However, once initiated and engaged, migrants living with HIV reached HIV undetectability efficiently. Findings provide preliminary support for adopting this care model with migrants living with HIV and suggest that SDH should be considered when designing clinical interventions for more equitable outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13608","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T07:14:45Z","timestamp":1705043685000},"page":"600-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of social determinants of health on time to antiretroviral therapy initiation and HIV viral undetectability for migrants enrolled in a multidisciplinary HIV clinic with rapid, free, and onsite B\/F\/TAF: \u2018The ASAP study\u2019"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3710-8704","authenticated-orcid":false,"given":"Anish K.","family":"Arora","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine and Health Sciences McGill University Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Centre for Outcomes Research & Evaluation Research Institute of the McGill University Health Centre Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Infectious Diseases and Immunity in Global Health Program Research Institute of the McGill University Health Centre Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Canadian Institutes of Health Research Strategy for Patient\u2010Oriented Research (CIHR\/SPOR) Mentorship Chair in Innovative Clinical Trials in HIV Care Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Vicente","sequence":"additional","affiliation":[{"name":"Centre for Outcomes Research & Evaluation Research Institute of the McGill University Health Centre Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Canadian Institutes of Health Research Strategy for Patient\u2010Oriented Research (CIHR\/SPOR) Mentorship Chair in Innovative 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