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1.
J Immigr Minor Health ; 21(6): 1365-1372, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30465116

RESUMO

Lack of legal immigration status is associated with poor HIV-related outcomes for immigrant Latinx sexual and gender minorities (LSGM). LSGM often meet eligibility criteria for legal immigration relief. A Medical-Legal Partnership (MLP) may thus be strategic to improve their health. We know little about the challenges LSGM face during the immigration legal process. We conducted in-depth interviews with six key informants and sixteen LSGM who recently applied for immigration legal relief. We coded and analyzed the data for emergent themes. Challenges to instituting an MLP for LSGM included lack of specialized training on working with SGM for immigration attorneys, and for clients: knowledge about legal deadlines, lack of housing and family support, and re-traumatizing experiences. Clients' outcomes were positive when attorneys and mental health providers collaborated. For LSGM, the benefits of immigration relief included reduced HIV risk. An MLP that addresses the surmountable challenges could improve HIV-related outcomes among LSGM.


Assuntos
Emigração e Imigração , Infecções por HIV/prevenção & controle , Hispânico ou Latino , Minorias Sexuais e de Gênero , Adolescente , Adulto , Emigração e Imigração/legislação & jurisprudência , Feminino , Infecções por HIV/etnologia , Humanos , Masculino , Grupos Minoritários , Estados Unidos , Adulto Jovem
2.
LGBT Health ; 3(2): 132-8, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26669583

RESUMO

PURPOSE: The purpose of this study was to explore the contextual factors that determine or mitigate vulnerability to HIV among Latina transgender women. Documentation status (legal authorization to live in the United States) has been cited by other studies as a barrier to recruitment or engagement in HIV-related care among immigrant Latinos, but not explored as a determinant of HIV risk for transgender immigrant Latinas. METHODS: We collaborated with a community-based organization to explore these contextual, including social and structural, factors. In-depth interviews in Spanish captured life histories of eight 18- to 29-year-old transgender Latinas, who collectively self-identify as chicas trans. Codes were assigned deductively from the interview guide, and emerging themes were identified throughout data collection. RESULTS: Most participants migrated to the United States from Central America after experiencing discrimination and violence in their countries of origin. Participants emphasized documentation status as a critical factor in three areas related to social and structural determinants of HIV risk: gender identity expression, access to services, and relationship power dynamics. Chicas trans who gained legal asylum reported greater control over sexual relationships, improved access to services, and less risky employment. CONCLUSIONS: Documentation status emerged as a key HIV risk factor for this population. For undocumented transgender Latinas, legal asylum appears to be a promising HIV-related protective factor. Further research could assess whether legal assistance combined with wraparound support services affects HIV prevention for this population.


Assuntos
Infecções por HIV/epidemiologia , Hispânico ou Latino , Pessoas Transgênero , Imigrantes Indocumentados , Adolescente , Adulto , District of Columbia/epidemiologia , Feminino , Identidade de Gênero , Infecções por HIV/psicologia , Hispânico ou Latino/legislação & jurisprudência , Hispânico ou Latino/psicologia , Hispânico ou Latino/estatística & dados numéricos , Humanos , Risco , Comportamento Sexual , Pessoas Transgênero/psicologia , Pessoas Transgênero/estatística & dados numéricos , Imigrantes Indocumentados/psicologia , Imigrantes Indocumentados/estatística & dados numéricos , Adulto Jovem
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