{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:58:04Z","timestamp":1790927884807,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","award":["IN\u2010US\u2010380\u20104670"],"award-info":[{"award-number":["IN\u2010US\u2010380\u20104670"]}],"id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Material deprivation (MD), the inability to afford essentials, is linked with poorer HIV clinical outcomes. In Canada, migrants living with HIV are a growing group, yet little is known about their experience of MD, especially early in treatment. This study examined the prevalence, nature, sociodemographic and clinical correlates and longitudinal changes in MD among migrants living with HIV initiating antiretroviral therapy (ART).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Analyses used data from 56 ART\u2010na\u00efve migrants enrolled in the Antiretroviral Speed Access Program (ASAP), a cohort at the McGill University Health Centre, Montreal, Canada receiving access to rapid, no\u2010cost and onsite bictegravir\/emtricitabine\/tenofovir alafenamide (B\/F\/TAF). MD was assessed at Weeks 4 and 48 using the 17\u2010item Canadian Material Deprivation Index (CMDI), with deprivation defined as checking \u22652 items. Statistical tests included Fisher's exact, Wilcoxon signed\u2010rank, McNemar's exact and correlation coefficients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At Week 4, 48 (85.7%) participants were materially deprived, most commonly reporting inability to cover an unexpected expense (87.5%), afford dental care (73.2%) or buy small gifts (73.2%). Week 4 MD was significantly associated with occupation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020) and migration status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016). No statistically significant associations were observed between MD and HIV clinical outcomes. Between Weeks 4 and 48, MD scores declined significantly (median: 7.5 to 4.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), although 67.9% of participants remained deprived.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Associated with occupation and migrant status, MD was highly prevalent and persistent among migrants living with HIV, despite partial improvement over time, underscoring the need for structural supports. Short\u2010term HIV clinical outcomes appeared unaffected, which may reflect access to rapid, no\u2010cost and onsite ART delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70299","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T10:16:35Z","timestamp":1786616195000},"page":"1698-1709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Material deprivation and its correlates in treatment\u2010na\u00efve migrants with\n                    <scp>\n                      <b>HIV<\/b>\n                    <\/scp>\n                    with rapid access to B\/F\/\n                    <scp>TAF<\/scp>\n                    at no cost: A sub\u2010study of the\n                    <scp>\n                      <b>ASAP<\/b>\n                    <\/scp>\n                    cohort"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0673-6356","authenticated-orcid":false,"given":"Moustafa","family":"Laymouna","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 &amp; 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"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-7421","authenticated-orcid":false,"given":"Kim","family":"Engler","sequence":"additional","affiliation":[{"name":"Centre for Outcomes Research &amp; Evaluation Research Institute of the McGill University Health Centre  Montr\u00e9al Qu\u00e9bec 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Immunity in Global Health Program Research Institute of the McGill University Health Centre  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of General Medicine, Faculty of Medicine, Sciences of Health and Sport University of Lille  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6478-4308","authenticated-orcid":false,"given":"Serge","family":"Vicente","sequence":"additional","affiliation":[{"name":"Centre for Outcomes Research &amp; 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":"D\u00e9partement des enseignements g\u00e9n\u00e9raux \u00c9cole de technologie sup\u00e9rieure  Montr\u00e9al Qu\u00e9bec 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