Chase Bryer, William Lodge, Paul Goulet, Julie A Baldwin
{"title":"\"A Tricky Dance\": Ryan White Service Experiences Among American Indian/Alaska Native Two-Spirit and LGBTQ + People Living with HIV.","authors":"Chase Bryer, William Lodge, Paul Goulet, Julie A Baldwin","doi":"10.1007/s10461-025-04688-w","DOIUrl":null,"url":null,"abstract":"<p><p>Advancements in HIV treatment and care have led to a growing number of American Indian and Alaska Native (AI/AN) Two-Spirit and LGBTQ + (2S/LGBTQ +) people living with HIV. However, their experiences within the Ryan White HIV/AIDS Program (RWHAP) remain underexplored. In this brief report, we conducted a secondary qualitative analysis using reflexive thematic analysis of 15 in-depth interviews with AI/AN 2S/LGBTQ + people living with HIV. Findings revealed that many RWHAP recipients became HIV advocates, contributing to healthy aging. Participants highlighted the effectiveness of the RWHAP in addressing immediate needs, while also emphasizing the need for greater representation and culturally congruent care. Future research should focus on exploring culturally congruent care services for AI/AN 2S/LGBTQ + individuals, particularly for those aging with HIV.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIDS and Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10461-025-04688-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Advancements in HIV treatment and care have led to a growing number of American Indian and Alaska Native (AI/AN) Two-Spirit and LGBTQ + (2S/LGBTQ +) people living with HIV. However, their experiences within the Ryan White HIV/AIDS Program (RWHAP) remain underexplored. In this brief report, we conducted a secondary qualitative analysis using reflexive thematic analysis of 15 in-depth interviews with AI/AN 2S/LGBTQ + people living with HIV. Findings revealed that many RWHAP recipients became HIV advocates, contributing to healthy aging. Participants highlighted the effectiveness of the RWHAP in addressing immediate needs, while also emphasizing the need for greater representation and culturally congruent care. Future research should focus on exploring culturally congruent care services for AI/AN 2S/LGBTQ + individuals, particularly for those aging with HIV.
期刊介绍:
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76