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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Serving Asians and Pacific Islanders with HIV/AIDS: challenges and lessons learned
John J Chin1, Ezer Kang, Jennifer Haejin Kim
1Division of Health Policy, New York Academy of Medicine, USA. jchin@nyam.org
Journal of Health Care for the Poor and Underserved
|January 24, 2007
Summary
The Bridges Project effectively reduced disparities in HIV/AIDS care for Asian and Pacific Islander (API) language speakers and undocumented immigrants in New York. The intervention improved service access and lowered barriers for these vulnerable populations.
Area of Science:
- Public Health
- Health Disparities Research
- Community-Based Interventions
Background:
- Significant disparities exist in HIV/AIDS care for Asian and Pacific Islander (API) populations.
- Barriers such as language, cost, and lack of service navigation impede care access for API individuals.
- The Bridges Project aimed to address these disparities within the API community in New York.
Purpose of the Study:
- To evaluate the effectiveness of the Bridges Project, a community-based intervention.
- To assess the impact of the intervention on reducing disparities in care for APIs living with HIV/AIDS.
- To identify key barriers to accessing primary care services among API participants.
Main Methods:
- Evaluation of the Bridges Project, a community-based intervention at APICHA.
- Comparison of participants based on primary language (Asian language vs. English) and immigration status (undocumented vs. documented/citizen).
- Analysis of service utilization rates and reported barriers at baseline and follow-up.
Main Results:
- At baseline, Asian-primary-language and undocumented participants had lower primary care receipt and more barriers.
- At follow-up, these disparities disappeared, indicating the intervention's success.
- Frequent barriers included language, cost, service navigation, and confidentiality concerns.
Conclusions:
- The Bridges Project was effective in improving service utilization and reducing barriers for vulnerable API populations.
- Culturally competent care addressing multiple API languages and cultures is crucial for effective HIV/AIDS services.
- Community-based interventions are vital for mitigating health disparities in marginalized communities.
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