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"En la Lucha": Strategies to Improve HIV Care for Puerto Ricans with Opioids Use Disorders
Miguel Muñoz-Laboy1, Laura Bamford2, Jose Benitez3
1Department of Community Health and Social Medicine, School of Medicine, City University of New York, 160 Covenant Avenue, Suite 310, New York, NY, 10031, USA. mmunoz-laboy@med.cuny.edu.
Journal of Immigrant and Minority Health
|October 30, 2020
Summary
This study examines HIV viral suppression and opioid use disorder (OUD) recovery for Puerto Ricans. Key challenges include migration, stigma, trauma, and cultural barriers, with specific strategies improving patient retention in care.
Area of Science:
- Public Health
- Infectious Diseases
- Addiction Medicine
Background:
- Clínica Bienestar provides HIV primary care for Spanish-speaking Latinx individuals with opioid use disorders (OUD).
- Focuses on Puerto Ricans with a transnational profile and dual diagnoses (HIV and OUD).
Purpose of the Study:
- To describe barriers and trajectories to HIV viral suppression.
- To outline strategies for increasing retention in care for this population.
Main Methods:
- Case study methodology.
- Analysis of two patient life histories illustrating pathways to viral suppression and OUD recovery.
Main Results:
- Identified major challenges: persistent migration, limited community support, intersectional stigmas, untreated trauma, and language/cultural barriers.
- Clínica Bienestar implemented ten strategies for patient retention, with six proving central to addressing transnational challenges.
Conclusions:
- Addressing transnational challenges is crucial for HIV viral suppression and OUD recovery.
- Integrated care models incorporating culturally sensitive strategies enhance patient outcomes.
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