'En la Lucha': Strategies to Improve HIV Care for Puerto Ricans with Opioids Use Disorders
| Autor: | Elby Katumkeeryil, Jose Benitez, Laura del Castillo, Mario de la Cruz, Alexandra Ripkin, Yaara Zisman-Ilani, Laura Bamford, Miguel Muñoz-Laboy, Tracy Esteves-Camacho |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Injecting drug users Epidemiology Human immunodeficiency virus (HIV) Latinx medicine.disease_cause 03 medical and health sciences 0302 clinical medicine medicine HIV care continuum 030212 general & internal medicine Viral suppression Social isolation Transnational populations Original Paper 030505 public health business.industry Study methodology Public health Public Health Environmental and Occupational Health Service model Primary care clinic Family medicine Opioid use disorder (OUD) medicine.symptom 0305 other medical science business Viral load |
| Zdroj: | Journal of Immigrant and Minority Health |
| ISSN: | 1557-1920 1557-1912 |
| DOI: | 10.1007/s10903-020-01091-6 |
| Popis: | Background Clínica Bienestar is a comprehensive HIV primary care clinic for Spanish-speaking Latinx with opioids use disorders (OUD). This article describes the barriers and trajectories to HIV viral suppression for Puerto Ricans with a transnational profile and dual diagnoses (HIV and OUD), and the strategies applied to increase retention in care. Methods Case study methodology was used to select two patient life histories that illustrate the most common pathways to success in reducing HIV viral load to undetectable and achieving OUD long-term recovery. Results and Discussion Patients’ major challenges included: (1) Persistent migrating while seeking substance use treatment services with limited or no support from their sending and hosting communities; (2) Intersectional stigmas; (3) Untreated trauma; (4) Language and cultural barriers. Clínica Bienestar’s service model included ten strategies to retain patients in care (e.g., Case management to identify cases with high social isolation), six emerged as central to addressing transnational challenges. |
| Databáze: | OpenAIRE |
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