Date of Conferral



Doctor of Nursing Practice (DNP)




Bridgette Machow


The Hispanic community is among the ethnic minorities that are adversely affected by HIV/AIDS in the United States. HIV transmission rates and rates of death are high among Hispanic communities because of delays in HIV testing and late participation in HIV treatment, especially in the state where this study was conducted. However, advanced practices for screening and early treatment of HIV can improve patient outcomes and inform practice. Thus, this systematic review was conducted to identify the best available evidence for HIV screening and care in the Hispanic population in the Western United States that shares a border with Mexico. This review was organized using the modified social-ecological model, which specifies 5 layers: stage of the epidemic, public policy, network, individual, and community. The review revealed that community-based education programs using local input and lay health educators from the Hispanic community were most successful in expanding screening and treatment. Fear of cultural stigma remains a significant barrier for gay and bisexual men and needs targeted solutions. The results of the study will be presented to public health and community health workers, aiming to inform them of the best practices that can be used to effect positive social change by improving care to the Hispanic population

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