{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T04:41:29Z","timestamp":1792212089938,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the demographic, clinical and healthcare utilization characteristics of Ukrainian beneficiaries of temporary protection living with HIV (UBOTPLWH) attending an Irish tertiary HIV service and to assess the impact of individual barriers to care on virological outcomes and retention in care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective observational cohort study of adult UBOTPLWH enrolled in an outpatient HIV service in Cork University Hospital, Ireland, between February 2022 and April 2025. Data were extracted from clinical and laboratory records. Descriptive statistics summarized demographics, HIV parameters, antiretroviral therapy (ART), co\u2010infections and healthcare utilization. Exploratory analyses assessed associations between individual barriers to care and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010nine patients were included; 59.3% were female and median age was 44\u2009years (interquartile range [IQR] 39\u201351\u2009years). Most (84.7%) had a known HIV diagnosis prior to arrival, with a median duration of diagnosis of 10\u2009years. At enrolment, 66.7% were virologically suppressed (&lt;50 copies\/mL) and median CD4 count was 561 cells\/\u03bcL. Prior opportunistic infection was reported in 25.0% of the 48 patients for whom such data were available. ART regimens were frequently modified following enrolment, particularly among those receiving tenofovir disoproxil fumarate\/lamivudine\/dolutegravir prior to migration. At the most recent follow\u2010up, viral load data were available for 49 participants, of whom 87.8% were suppressed. Barriers to care were common, including interpreter requirement (64.4%), geographic dispersion (median distance 54\u2009km) and residential instability. In exploratory analyses, detectable viral load at enrolment was associated with missed clinic attendance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019), while viral non\u2010suppression at follow\u2010up was associated with hospital admission (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007) and missed clinic attendance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite timely linkage to care and preserved immune status at enrolment, UBOTPLWH in Ireland experience substantial structural barriers that may adversely affect engagement and virological outcomes. Tailored, accessible service models are required to support displaced populations living with HIV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70328","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T03:55:52Z","timestamp":1792209352000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A retrospective cohort study of\n                    <scp>Ukrainian<\/scp>\n                    beneficiaries of temporary protection living with\n                    <scp>HIV<\/scp>\n                    attending an Irish tertiary care service"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7814-1167","authenticated-orcid":false,"given":"S. P.","family":"Connolly","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases Cork University Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9204-8313","authenticated-orcid":false,"given":"C.","family":"Carey","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Cork University Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7119-2412","authenticated-orcid":false,"given":"C.","family":"Lenihan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Cork University Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"McFaul","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Cork University Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"UNHCR.Ukraine Refugee Situation [Internet]. United Nations High Commissioner for Refugees.2026Accessed February 26 2026.https:\/\/app.fabric.microsoft.com\/view?r=eyJrIjoiZGFmNTViZjYtNTBmOC00OGRmLTljMTQtNWNiOGE4NTYxZjc0IiwidCI6ImU1YzM3OTgxLTY2NjQtNDEzNC04YTBjLTY1NDNkMmFmODBiZSIsImMiOjh9&pageName=10b93db723b4e07d0e89."},{"key":"e_1_2_11_3_1","unstructured":"Arrivals from Ukraine in Ireland Series 19 \u2010 Central Statistics Office [Internet]. CSO.2026Accessed July 9 2026.https:\/\/www.cso.ie\/en\/releasesandpublications\/fp\/p\u2010aui\/arrivalsfromukraineinirelandseries19\/"},{"key":"e_1_2_11_4_1","unstructured":"Temporary protection for persons fleeing Ukraine \u2010 monthly statistics. [Internet]. Accessed July 9 2026.https:\/\/ec.europa.eu\/eurostat\/statistics\u2010explained\/index.php?title=Temporary_protection_for_persons_fleeing_Ukraine_\u2010_monthly_statistics"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmaf012"},{"key":"e_1_2_11_6_1","unstructured":"HIV in Ireland 2024 [Internet]. Dublin: HSE\u2010Health Protection Surveillance Centre (HPSC).2025Accessed February 26 2026.https:\/\/www.hpsc.ie\/a\u2010z\/hivandaids\/hivdataandreports\/HIV%20annual%20report_2024_V1.0.pdf"},{"key":"e_1_2_11_7_1","unstructured":"Ireland | UNAIDS [Internet]. UNAIDS.org. UNAIDS. Accessed February 26 2026.https:\/\/www.unaids.org\/en\/regionscountries\/countries\/ireland"},{"key":"e_1_2_11_8_1","volume-title":"HIV Treatment Audit 2023 and Progress towards UNAIDS 95\u201395\u201095 Targets [Internet]","year":"2024"},{"key":"e_1_2_11_9_1","volume-title":"HIV Infection in Ukraine [Internet]","author":"Antonenko Z","year":"2022"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20103018(22)00125\u20104"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciad116"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201001723\u20107"},{"key":"e_1_2_11_13_1","unstructured":"Hepatitis C Frequently asked questions [Internet]. Accessed September 27 2026.https:\/\/www.hpsc.ie\/a\u2010z\/hepatitis\/hepatitisc\/factsheetleaflets\/frequentlyaskedquestions\/?utm_source=chatgpt.com"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010025\u201003869\u20109"},{"key":"e_1_2_11_15_1","unstructured":"Latest TB Data and Reports. [Internet]. Accessed September 27 2026.https:\/\/www.hpsc.ie\/a-z\/vaccinepreventable\/tuberculosistb\/tbdataandreports\/?utm_source=chatgpt.com"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13597"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens13080621"},{"key":"e_1_2_11_18_1","unstructured":"Council Implementing Decision (EU) 2022\/382 of 4 March 2022 establishing the existence of a mass influx of displaced persons from Ukraine within the meaning of Article 5 of Directive 2001\/55\/EC and having the effect of introducing temporary protection. [Internet]. OJ L Mar 4 2022. Accessed September 28 2026.http:\/\/data.europa.eu\/eli\/dec_impl\/2022\/382\/oj"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.70120"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000003633"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000004147"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2024.102764"},{"key":"e_1_2_11_23_1","volume-title":"Operational considerations for the provision of the HIV continuum of care for refugees from Ukraine in the EU\/EEA [Internet]","author":"European Centre for Disease Prevention and Control","year":"2022"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.26309"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2025.102950"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70328","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hiv.70328","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T03:55:54Z","timestamp":1792209354000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.70328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":24,"alternative-id":["10.1111\/hiv.70328"],"URL":"https:\/\/doi.org\/10.1111\/hiv.70328","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,16]]},"assertion":[{"value":"2026-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hiv.70328"}}