Latinx people living with HIV (PLWH) experience disparities in health outcomes and face unique barriers to care related to language, intersectional stigma, and immigration status. We aimed to explore the lived experience of Spanish-speaking Latinx PLWH in the nonurban South to better understand how to improve care for this minority language population. We conducted semistructured interviews with 22 participants (10 men, 10 women, 2 transgender women) who were recruited from a Ryan White HIV/AIDS program (RWHAP) and a community-based organization. Almost all participants were foreign born. Emerging themes included language barriers, cultural differences, inadequate interpreter services, HIV-related and intersectional stigma, isolation, and relationships as a source of support. These barriers may contribute to disparities in outcomes for Latinx PLWH. New interventions are needed to overcome barriers, foster community, and ensure culturally tailored models of care. Potential clinic-level interventions include the development of specialized training for RWHAP interpreters and inclusion of interpreters in care teams.

中文翻译：

---

超越解释：在讲西班牙语的南部地区，拉丁裔艾滋病病毒感染者在语言和文化方面的护理需求未得到满足。

拉丁裔 HIV 感染者 (PLWH) 在健康结果方面存在差异，并面临与语言、交叉污名和移民身份相关的独特护理障碍。我们旨在探索南部非城市地区讲西班牙语的拉丁裔 PLWH 的生活经历，以更好地了解如何改善对这一少数民族语言人群的护理。我们对从 Ryan White HIV/AIDS 计划 (RWHAP) 和社区组织招募的 22 名参与者（10 名男性、10 名女性、2 名跨性别女性）进行了半结构化访谈。几乎所有参与者都是外国出生的。新出现的主题包括语言障碍、文化差异、口译服务不足、与 HIV 相关和交叉的污名、孤立以及作为支持来源的关系。这些障碍可能导致 Latinx PLWH 结果的差异。需要新的干预措施来克服障碍、培育社区并确保文化定制的护理模式。潜在的诊所级干预措施包括为 RWHAP 口译员开展专门培训，以及将口译员纳入护理团队。