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J Immigr Minor Health. 2019 Apr;21(2):332-345. doi: 10.1007/s10903-018-0753-2.

From Theory to Application: A Description of Transnationalism in Culturally-Appropriate HIV Interventions of Outreach, Access, and Retention Among Latino/a Populations.

Author information

1
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. john.sauceda@ucsf.edu.
2
AIDS Institute, University of California, Los Angeles, Los Angeles, CA, USA.
3
Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services, Washington, DC, USA.
4
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.
5
School of Public Health, University of Puerto Rico, San Juan, Puerto Rico.

Abstract

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.

KEYWORDS:

HIV; Health disparities; Health service; Implementation science; Latino; Transnationalism

PMID:
29767401
PMCID:
PMC6239987
[Available on 2020-04-01]
DOI:
10.1007/s10903-018-0753-2
[Indexed for MEDLINE]

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