Bryer Chase, Lodge William, Goulet Paul, Baldwin Julie A
Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Cornell Jeb E. Brooks School of Public Policy, Cornell University, Ithaca, NY, USA.
AIDS Behav. 2025 Mar 24. doi: 10.1007/s10461-025-04688-w.
Advancements in HIV treatment and care have led to a growing number of American Indian and Alaska Native (AI/AN) Two-Spirit and LGBTQ + (2S/LGBTQ +) people living with HIV. However, their experiences within the Ryan White HIV/AIDS Program (RWHAP) remain underexplored. In this brief report, we conducted a secondary qualitative analysis using reflexive thematic analysis of 15 in-depth interviews with AI/AN 2S/LGBTQ + people living with HIV. Findings revealed that many RWHAP recipients became HIV advocates, contributing to healthy aging. Participants highlighted the effectiveness of the RWHAP in addressing immediate needs, while also emphasizing the need for greater representation and culturally congruent care. Future research should focus on exploring culturally congruent care services for AI/AN 2S/LGBTQ + individuals, particularly for those aging with HIV.
艾滋病毒治疗和护理方面的进展使越来越多的美国印第安人和阿拉斯加原住民（AI/AN）双性人及 LGBTQ +（2S/LGBTQ +）艾滋病毒感染者得以存活。然而，他们在瑞安·怀特艾滋病毒/艾滋病项目（RWHAP）中的经历仍未得到充分探索。在本简要报告中，我们对 15 名 AI/AN 2S/LGBTQ + 艾滋病毒感染者进行了深入访谈，并采用反思性主题分析法进行了二次定性分析。研究结果显示，许多 RWHAP 受助者成为了艾滋病毒倡导者，为健康老龄化做出了贡献。参与者强调了 RWHAP 在满足紧迫需求方面的有效性，同时也强调了增加代表性和提供文化适配护理的必要性。未来的研究应侧重于探索为 AI/AN 2S/LGBTQ + 个体，特别是那些感染艾滋病毒的老年人提供文化适配护理服务。
