Dolwick Grieb Suzanne M, Desir Fidel, Flores-Miller Alejandra, Page Kathleen
Department of Pediatrics, Center for Child and Community Health Research, The Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Bldg, Center Towers, Suite 400, Baltimore, MD, 21224, USA,
J Immigr Minor Health. 2015 Feb;17(1):118-24. doi: 10.1007/s10903-013-9932-3.
Changing demographics in new receiving communities contributes to a lag time between the arrival of new immigrants and the development of appropriate services. This scarcity of services can exacerbate existing disparities in health conditions such as HIV, which disproportionately affects Latinos. Focus groups were conducted in Baltimore with 59 Latino men who had immigrated to the U.S. within the past 10 years to explore the challenges and opportunities to accessing HIV testing and preventative services. Transcripts were analyzed through a modified thematic constant comparison approach. Four thematic categories emerged: information about HIV, HIV fear and stigma, barriers to accessing healthcare, and opportunities for intervention approaches. Information and communication technology provides an opportunity to improve access to HIV testing and prevention services. Individualized interventions, though, must be disseminated in collaboration with community-, structural-, and policy-level interventions that address HIV risk, HIV/AIDS stigma, and healthcare access among Latino immigrants.
新接收社区人口结构的变化导致新移民到来与适当服务发展之间存在时间差。服务的匮乏会加剧现有的健康状况差异，如艾滋病毒，这对拉丁裔的影响尤为严重。在巴尔的摩对59名在过去10年内移民到美国的拉丁裔男性进行了焦点小组访谈，以探讨获得艾滋病毒检测和预防服务的挑战与机遇。通过改进的主题持续比较方法对访谈记录进行了分析。出现了四个主题类别：关于艾滋病毒的信息、对艾滋病毒的恐惧和耻辱感、获得医疗保健的障碍以及干预方法的机会。信息和通信技术为改善艾滋病毒检测和预防服务的获取提供了机会。不过，个性化干预措施必须与社区、结构和政策层面的干预措施协作传播，这些措施要解决拉丁裔移民中的艾滋病毒风险、艾滋病毒/艾滋病耻辱感以及医疗保健获取问题。
