Center for AIDS Prevention Studies, Division of Prevention Science, University of California, San Francisco, 550 16th Street, 3rd Floor, Mission Hall, Mailcode 0886, San Francisco, CA, 94158, USA.
AIDS Institute, University of California, Los Angeles, Los Angeles, CA, USA.
J Immigr Minor Health. 2019 Apr;21(2):332-345. doi: 10.1007/s10903-018-0753-2.
Interventions aiming to improve access to and retention in HIV care are optimized when they are tailored to clients' needs. This paper describes an initiative of interventions implemented by ten demonstration sites using a transnational framework to tailor services for Mexicans and Puerto Ricans living with HIV. Transnationalism describes how immigrants (and their children) exist in their "receiving" place (e.g., continental U.S.) while simultaneously maintaining connections to their country or place of origin (e.g., Mexico). We describe interventions in terms of the strategies used, the theory informing design and the tailoring, and the integration of transnationalism. We argue how applying the transnational framework may improve the quality and effectiveness of services in response to the initiative's overall goal, which is to produce innovative, robust, evidence-informed strategies that go beyond traditional tailoring approaches for HIV interventions with Latino/as populations.
当旨在改善艾滋病毒护理的可及性和保留率的干预措施符合客户的需求时,这些干预措施就能得到优化。本文描述了十个示范基地实施的干预措施倡议,这些干预措施利用跨国框架来调整为艾滋病毒感染者提供的服务,使其适应墨西哥人和波多黎各人的需求。跨国主义描述了移民(及其子女)如何在他们的“接收”地(例如,美国大陆)存在,同时与他们的国家或原籍地(例如,墨西哥)保持联系。我们根据所使用的策略、设计和调整的理论以及跨国主义的融合来描述干预措施。我们认为,应用跨国框架如何能够提高服务的质量和效果,以响应该倡议的总体目标,即制定创新、有力、以证据为基础的策略,超越针对拉丁裔人群的艾滋病毒干预措施的传统调整方法。