Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study.
Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study.
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DOI：
10.1186/s12889-022-14066-z
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发表时间：
2022-08-30
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
美国的拉美裔人口受到药物使用、艾滋病毒/艾滋病、暴力和精神健康问题(SAVAME)的影响不成比例。越来越多的证据表明，SAVAME具有共同的性质，需要采取综合战略来减少其影响。这项研究试图了解费城为拉美裔移民提供的SAVAME服务网络，以指导未来预防和缓解SAVAME的干预措施。对主要线人进行了访谈(N = 30)，访谈对象是在提供拉美裔服务的组织中工作的提供者。访谈采用主题编码和扎根理论进行分析。拉丁裔服务提供者认为，在为拉丁裔移民提供SAVAME服务的可用性、可及性和充分性方面，存在巨大的需求和重要的限制。在精神健康和药物使用服务方面的差距被认为尤其严重，部分原因是这些服务的资金不足。拉丁裔移民没有医疗保险、移民身份、英语水平有限、围绕SAVAME问题的耻辱以及对现有服务的有限了解被认为是阻碍获得服务的重大障碍。提供者指出，缺乏训练有素、文化能力强和种族协调的提供者，减少了为拉美裔移民客户提供的SAVAME服务的充分性。据报告，规模小、基础设施水平低和能力有限是限制许多为拉丁裔服务的组织在预防和治疗SAVAME服务方面采取综合办法的能力的另一个因素。结果呼吁改变资金流的结构和社区范围的战略，以促进与拉美裔移民客户合作的SAVAME提供商之间的合作。网上版载有补充材料，可在10.1186/s12889-022-14066-z查阅。
Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in Philadelphia to inform future interventions for SAVAME prevention and mitigation. Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory. Latino-serving providers perceived a large need for, and important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants’ lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services. The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients. The online version contains supplementary material available at 10.1186/s12889-022-14066-z.
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影响因子：
4.8
作者：
Kim, Giyeon;Loi, Claudia X. Aguado;Allen, Rebecca S.
通讯作者：
Allen, Rebecca S.
影响因子：
3.5
作者：
MARTIN, PY;TURNER, BA
通讯作者：
TURNER, BA
DOI：
10.1097/qai.0b013e3181d61def
发表时间：
2010-06
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
NIMH Collaborative HIV/STD Prevention Trial Group
通讯作者：
NIMH Collaborative HIV/STD Prevention Trial Group
影响因子：
1.9
作者：
Edward, Jean;Hines-Martin, Vicki
通讯作者：
Hines-Martin, Vicki
影响因子：
12.7
作者：
KELLY, JA;LAWRENCE, JSS;ANDREW, ME
通讯作者：
ANDREW, ME