a Department of Health Behavior, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
b Carolina Population Center , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
Glob Public Health. 2018 Oct;13(10):1507-1519. doi: 10.1080/17441692.2017.1409783. Epub 2017 Dec 3.
Latinos in the U.S. are disproportionately affected by HIV and are more likely than non-Latinos to present with a late diagnosis, which delays engagement in HIV care and treatment. Social networks may provide normative influence and social support for HIV testing, but a contextualised understanding of networks is needed in order to maximise these social resources. We conducted qualitative interviews with foreign-born Latino men and transgender women (n = 17) in a new immigrant destination to explore their social networks. Most participants described having smaller social networks after migrating. Networks included both local and transnational ties, but most participants had few close ties. Contextual factors including stigma and geographic dispersion limited the re-construction of networks with close ties after migration. HIV testing was not a common topic of discussion with social network ties. Efforts to improve early uptake of HIV testing among Latino immigrants may benefit from engaging with social networks, but such efforts need to address how the context in which networks operate enables access to testing.
美国的拉丁裔人群受 HIV 的影响不成比例，而且比非拉丁裔人群更有可能出现晚期诊断，这会延迟他们接受 HIV 护理和治疗。社交网络可以为 HIV 检测提供规范影响和社会支持，但需要对网络有一个具体的了解，以便最大限度地利用这些社会资源。我们在一个新移民目的地对 17 名外国出生的拉丁裔男性和跨性别女性进行了定性访谈，以探讨他们的社交网络。大多数参与者表示，移民后他们的社交网络变小了。网络包括本地和跨国联系，但大多数参与者只有少数亲密关系。包括耻辱感和地理分散在内的情境因素限制了移民后与亲密关系重新建立网络。HIV 检测并不是与社交网络联系的常见话题。为了提高拉丁裔移民对 HIV 检测的早期接受度，与社交网络接触可能会有所帮助，但此类努力需要解决网络运作的背景如何使他们能够接受检测。
