Abstract
Despite the disproportionate burden of HIV among Latinxs, there is a paucity of culturally appropriate interventions that have shown efficacy at increasing their engagement and retention in HIV care. We describe the development and implementation of Enlaces, a six-session, individual-level intervention, guided by the transnational framework, to improve HIV care outcomes for newly diagnosed and out-of-care Mexican men and transgender women (TW). Descriptive statistics summarizing baseline data and implementation outcomes are provided. 91 participants enrolled between October 2014 and August 2017. Intervention engagement and satisfaction was high; 81.3% completed all six sessions and 100% were very satisfied/satisfied with their experience. Successful implementation of the ENLACES intervention was the result of establishing client trust and maintaining a flexible, supportive approach to intervention delivery. Use of the transnational framework provided a contextualized approach to engaging with Mexican men and TW living with HIV that can be adapted to other Latino populations.
Highlights
In 2017, Hispanic/Latinx made up approximately 10% of North Carolina’s (NC) population [1], a 91% increase since 2004
We developed Enlaces as part of a 5-year Special Project of National Significance (SPNS) funded by the Health Resources and Services Administration (HRSA)
Interventions were developed to focus on populations who were newly diagnosed within the past six months or out-ofcare. While both US and foreign-born Latinx populations in NC represent a diversity of cultural/ ethnic origins, the majority of Latinx residents identify Mexican as their primary ancestry [20], Mexico was chosen as the country of origin upon which Enlaces was developed
Summary
In 2017, Hispanic/Latinx (hereafter, Latinx) made up approximately 10% of North Carolina’s (NC) population [1], a 91% increase since 2004. HIV in NC disproportionately affects Latinx men who have sex with men (MSM) and transgender women (TW). In 2017, eighty-five percent of new HIV cases among Latinx men in NC in 2017 were attributed to male-to-male sex [1]. The rate of HIV infection among Latinx MSM was 830 per 100,000 in 2017, nearly 4 times the rate of White MSM (230 per 100,000) [2]. Among Latinx living with HIV in NC, only 51% were virally suppressed in 2017, the lowest rate of any racial/ ethnic group [3].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
