1. 'No Estas Solo': Navigation Programs Support Engagement in HIV Care for Mexicans and Puerto Ricans Living in the Continental U.S
- Author
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Andres Maiorana, Sophia Zamudio-Haas, Janet J. Myers, and Lisa Georgetti Gomez
- Subjects
Adult ,Male ,Psychological intervention ,Human immunodeficiency virus (HIV) ,MEDLINE ,Emigrants and Immigrants ,Context (language use) ,HIV Infections ,Primary care ,medicine.disease_cause ,Interviews as Topic ,03 medical and health sciences ,Nursing ,Intervention (counseling) ,Situated ,medicine ,Humans ,Patient Navigation ,Structural barriers ,Mexico ,030505 public health ,Puerto Rico ,Public Health, Environmental and Occupational Health ,Hispanic or Latino ,United States ,Female ,Patient Participation ,0305 other medical science ,Psychology - Abstract
A range of social and structural barriers continue to impede timely diagnosis and consistent access to care for Latinos living with HIV in the U.S. Navigation programs have helped other populations overcome comparable barriers to care. This qualitative paper examined nine navigation programs that were culturally tailored for Mexicans or Puerto Ricans, using a transnational framework that situated clients in the context of lives that bridge the U.S. and their countries of origin. We completed in-depth semi-structured interviews with 48 clients and 27 intervention providers. A framework approach guided analysis. We identified two overarching themes: developing trusting and supportive relationships between navigators and clients and empowering clients to connect and stay in primary care, which summarized the impact of the interventions on participants' lives and the approaches used to increase their care engagement. Our findings highlight the importance of tailoring intervention strategies to the unique experiences of specific Latino populations.
- Published
- 2019