High-Income Country Context

Focusing on high-income countries limits the applicability of findings to low- and middle-income settings. Housing insecurity, food insecurity, injection drug use, incarceration, and sex work can act as adherence barriers in well-resourced…

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Focusing on high-income countries limits the applicability of findings to low- and middle-income settings. Housing insecurity, food insecurity, injection drug use, incarceration, and sex work can act as adherence barriers in well-resourced settings. Fragmented care systems, migration-related challenges, and unequal access to mental health support worsen adherence-related barriers. The review focuses on people living with HIV in high-income countries as defined by the World Bank.