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移民过程中的累积压力和创伤成为 HIV 检测的障碍:对拉丁裔移民的定性研究。

Cumulative Stress and Trauma from the Migration Process as Barriers to HIV Testing: A Qualitative Study of Latino Immigrants.

机构信息

School of Social Work, University of Washington, 4101 15th Avenue NE, Rm 225 A, Seattle, WA, 98105-6250, USA.

出版信息

J Immigr Minor Health. 2019 Aug;21(4):844-852. doi: 10.1007/s10903-018-0784-8.


DOI:10.1007/s10903-018-0784-8
PMID:29961164
Abstract

Immigrants are at increased risk for late HIV testing; however, there is limited understanding of how migration to the United States shapes HIV testing behaviors. This study examined the relationship between the migration process and HIV testing among Latino immigrants. Semi-structured, in-depth interviews were conducted in March and April 2017 with 34 Latino immigrants in New York City. Grounded theory guided analysis of the qualitative data. Results indicated that Latino immigrants experienced cumulative stress and trauma throughout the migration process that contributed to significant emotional and psychological consequences. Stress and trauma accumulated from the migration process posed barriers to HIV testing as Latino immigrants sought to avoid activities perceived as stressful, including learning one's HIV status. Targeted interventions that ameliorate the stressful effects of migration may facilitate preventive health behaviors among Latino immigrants.

摘要

移民感染艾滋病病毒(HIV)的风险较高,后期接受 HIV 检测的比例也较高;然而,人们对移民到美国如何影响 HIV 检测行为的了解有限。本研究调查了移民过程与拉丁裔移民 HIV 检测之间的关系。2017 年 3 月至 4 月,在纽约市对 34 名拉丁裔移民进行了半结构化深入访谈。扎根理论指导了定性数据分析。结果表明,拉丁裔移民在移民过程中经历了累积的压力和创伤,导致了严重的情绪和心理后果。移民过程中积累的压力和创伤构成了 HIV 检测的障碍,因为拉丁裔移民试图避免被视为有压力的活动,包括了解自己的 HIV 状况。针对缓解移民压力影响的干预措施可能有助于促进拉丁裔移民的预防保健行为。

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[1]
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JMIR Public Health Surveill. 2024-6-28

[2]
The Relative Influence of Perceived Immigration Laws and Consequences on HIV Testing Among US Latino Immigrants.

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[3]
: Cascading health and social issues for women living and aging with HIV.

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[4]
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[5]
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本文引用的文献

[1]
Acculturative Stress, Psychological Distress, and Religious Coping Among Latina Young Adult Immigrants.

Couns Psychol. 2017-2

[2]
The HIV treatment cascade and care continuum: updates, goals, and recommendations for the future.

AIDS Res Ther. 2016-11-8

[3]
HIV Testing Among Black and Hispanic Immigrants in the United States.

AIDS Patient Care STDS. 2016-7

[4]
HIV Prevention Among Mexican Migrants at Different Migration Phases: Exposure to Prevention Messages and Association With Testing Behaviors.

AIDS Educ Prev. 2015-12

[5]
Barriers to health care for undocumented immigrants: a literature review.

Risk Manag Healthc Policy. 2015-10-30

[6]
HIV Testing in the Past Year Among the U.S. Household Population Aged 15-44: 2011-2013.

NCHS Data Brief. 2015-6

[7]
Barriers and Facilitators to HIV Testing in Migrants in High-Income Countries: A Systematic Review.

AIDS Behav. 2015-11

[8]
Human immunodeficiency virus transmission at each step of the care continuum in the United States.

JAMA Intern Med. 2015-4

[9]
Migrants in transit: the importance of monitoring HIV risk among migrant flows at the Mexico-US border.

Am J Public Health. 2015-3

[10]
Geography should not be destiny: focusing HIV/AIDS implementation research and programs on microepidemics in US neighborhoods.

Am J Public Health. 2014-5

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