TY - JOUR
T1 - Accessing primary care
T2 - HIV+ Caribbean immigrants in the Bronx
AU - Pivnick, Anitra
AU - Jacobson, Audrey
AU - Blank, Arthur E.
AU - Villegas, Maritza
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2010/8
Y1 - 2010/8
N2 - This article describes an ecology of health seeking behavior among Bronx residing HIV+ Caribbean immigrants participating in an arm of a U.S. government-funded multi-site evaluation of peer services in the utilization of HIV primary care. Standardized repeat measures were administered at baseline and three four-month intervals. Clinical markers were obtained through medical chart review. Additionally, local data included ethnographic interviews, focus groups, and progress notes. Clinical outcomes were positive for the 55 subjects, 23 of whom were undocumented. Alienation from family, women's vulnerability to family violence, and difficulties with disclosure, employment, and health care were compounded by undocumented immigration status. Retention was encouraged by the community based site, high levels of peer interaction, and supportive services. Without consideration of broader contexts, peer driven interventions are potentially limited and the realities of immigrant health care are misunderstood through lack of recognition of competing needs.
AB - This article describes an ecology of health seeking behavior among Bronx residing HIV+ Caribbean immigrants participating in an arm of a U.S. government-funded multi-site evaluation of peer services in the utilization of HIV primary care. Standardized repeat measures were administered at baseline and three four-month intervals. Clinical markers were obtained through medical chart review. Additionally, local data included ethnographic interviews, focus groups, and progress notes. Clinical outcomes were positive for the 55 subjects, 23 of whom were undocumented. Alienation from family, women's vulnerability to family violence, and difficulties with disclosure, employment, and health care were compounded by undocumented immigration status. Retention was encouraged by the community based site, high levels of peer interaction, and supportive services. Without consideration of broader contexts, peer driven interventions are potentially limited and the realities of immigrant health care are misunderstood through lack of recognition of competing needs.
KW - Caribbean immigrants
KW - HIV/AIDS
KW - Health seeking
KW - Undocumented
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U2 - 10.1007/s10903-009-9293-0
DO - 10.1007/s10903-009-9293-0
M3 - Article
C2 - 19784773
AN - SCOPUS:77955981128
SN - 1557-1912
VL - 12
SP - 496
EP - 505
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 4
ER -