Immigration Legal Services as a Structural HIV Intervention for Latinx Sexual and Gender Minorities.
Thespina Nina J YamanisMaria Cecilia ZeaAna Karen Ramé MontielSuyanna L BarkerManuel J Díaz-RamirezKathleen R PageOmar MartinezJayesh RathodPublished in: Journal of immigrant and minority health (2020)
Lack of legal immigration status is associated with poor HIV-related outcomes for immigrant Latinx sexual and gender minorities (LSGM). LSGM often meet eligibility criteria for legal immigration relief. A Medical-Legal Partnership (MLP) may thus be strategic to improve their health. We know little about the challenges LSGM face during the immigration legal process. We conducted in-depth interviews with six key informants and sixteen LSGM who recently applied for immigration legal relief. We coded and analyzed the data for emergent themes. Challenges to instituting an MLP for LSGM included lack of specialized training on working with SGM for immigration attorneys, and for clients: knowledge about legal deadlines, lack of housing and family support, and re-traumatizing experiences. Clients' outcomes were positive when attorneys and mental health providers collaborated. For LSGM, the benefits of immigration relief included reduced HIV risk. An MLP that addresses the surmountable challenges could improve HIV-related outcomes among LSGM.
Keyphrases
- mental health
- hiv testing
- antiretroviral therapy
- hiv positive
- men who have sex with men
- hiv infected
- human immunodeficiency virus
- hepatitis c virus
- healthcare
- hiv aids
- mental illness
- public health
- primary care
- type diabetes
- climate change
- health information
- skeletal muscle
- risk assessment
- metabolic syndrome
- machine learning
- insulin resistance
- big data