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社交网络、迁移与新移民目的地中拉丁裔的 HIV 检测:一项定性研究的启示。

Social networks, migration, and HIV testing among Latinos in a new immigrant destination: Insights from a qualitative study.

机构信息

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.

出版信息

Glob Public Health. 2018 Oct;13(10):1507-1519. doi: 10.1080/17441692.2017.1409783. Epub 2017 Dec 3.


DOI:10.1080/17441692.2017.1409783
PMID:29199546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6641981/
Abstract

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.

摘要

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。

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Social networks, migration, and HIV testing among Latinos in a new immigrant destination: Insights from a qualitative study.

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本文引用的文献

[1]
The HoMBReS and HoMBReS Por un Cambio Interventions to Reduce HIV Disparities Among Immigrant Hispanic/Latino Men.

MMWR Suppl. 2016-2-12

[2]
Tu Amigo Pepe: Evaluation of a Multi-media Marketing Campaign that Targets Young Latino Immigrant MSM with HIV Testing Messages.

AIDS Behav. 2016-9

[3]
Black-White Latino Racial Disparities in HIV Survival, Florida, 2000-2011.

Int J Environ Res Public Health. 2015-12-22

[4]
Once a Navegante, Always a Navegante: Latino Men Sustain Their Roles as Lay Health Advisors to Promote General and Sexual Health to Their Social Network.

AIDS Educ Prev. 2015-10

[5]
Cultural influences on HIV testing among Latino youth.

Cult Health Sex. 2016

[6]
HIV Transmission Patterns Among Immigrant Latinos Illuminated by the Integration of Phylogenetic and Migration Data.

AIDS Res Hum Retroviruses. 2015-10

[7]
Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection.

N Engl J Med. 2015-8-27

[8]
Foreign-Born Persons Diagnosed with HIV: Where are They From and Where Were They Infected?

AIDS Behav. 2015-5

[9]
Understanding social and sexual networks of sexual minority men and transgender women in Guatemala city to improve HIV prevention efforts.

J Health Care Poor Underserved. 2014-11

[10]
Latino sexual and gender identity minorities promoting sexual health within their social networks: process evaluation findings from a lay health advisor intervention.

Health Promot Pract. 2015-5

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