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HIV/AIDS and African immigrant women in Philadelphia: Structural and cultural barriers to care.

机译:费城的艾滋病毒/艾滋病和非洲移民妇女:护理的结构和文化障碍。

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摘要

Although African immigration to American cities is increasing, there is little published demographic or epidemiological data on this population. As growing numbers of HIV-positive Africans seek care at public health centres in the city of Philadelphia, medical personnel are confronted with the challenges of serving this population. This qualitative study explores the perspectives of HIV service providers who are treating this new patient group, and it examines the cultural and structural barriers African women face in the area of HIV prevention, testing, and treatment in the city of Philadelphia. These barriers include legal status, linguistic problems, fear of the American health system, misunderstandings about modes of transmission of HIV, and lack of awareness about antiretroviral treatment. Culturally appropriate education about HIV prevention and treatment needs to be developed for African immigrants, and medical personnel need to understand the experiences, fears, and concerns of this population.
机译:尽管非洲人移民到美国城市的人数在增加,但有关该人口的人口统计学或流行病学数据很少。随着越来越多的艾滋病毒阳性非洲人在费城城市的公共卫生中心寻求治疗,医务人员面临着为该人群提供服务的挑战。这项定性研究探索了正在治疗这一新患者群的艾滋病毒服务提供者的观点,并研究了非洲妇女在费城的艾滋病毒预防,检测和治疗领域所面临的文化和结构障碍。这些障碍包括法律地位,语言问题,对美国卫生系统的恐惧,对艾滋病毒传播方式的误解以及对抗逆转录病毒疗法的认识不足。需要为非洲移民开展文化上适当的艾滋病毒预防和治疗教育,医务人员需要了解该人群的经验,恐惧和关注。

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