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T*
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T*
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T*
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T*
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[(Said,)-371.8()50.8(Uh,)-370.4(let)-367.6(me)-373.2(go.)50.9()-363.9(I)-369.7(run)-371.9(away.)-368.1(I)-369.7(scared.)-370.4(Because)-376.1(you)]TJ
0 -1.1116 TD
[(know)-356.6(people,)-358.1(if)-353.6(they)-351.3(know)-356.6(you)-348.9(have)-358.1(this)-350(disease,)-360(they)-351.3(run)]TJ
T*
[(away)-312.9(from)-305.1(you.)-306.2(Even)-306.3(your)-309.6(family)47.3()-306.3(\(49-year-old)-309.3(Tanzanian)]TJ
0 -1.1174 TD
[(woman\).)-330.1(Similarly,)-327.1(another)-326.9(participant)-327.1(stated,)-329.2()50.8(So,)-323.3(there)-324.7(is)]TJ
0 -1.1116 TD
[(that)-259.3(fear)-260.1(of)-255.6(What)-256.7(if)-261.5(somebody)-252.9(knows)-259.6(or)-255.6(what)-260(if)-255.7(I)-254.5(talk)-259.2(about)]TJ
T*
[(it?)-281.2(Are)-281.8(they)-276.4(going)-282.1(to)-278.8(think)-276.5(I)-277.5(a)0(m)-281.1(sick?)-278.5(Is)-278.4(my)-279.9(family)-279.9(going)-276.3(to)]TJ
0 -1.1174 TD
[(aband)-7.8(on)-388.1(me?)-387(Are)-391.2(they)-391.6(going)-385.8(to)-388.2(kill)-390.7(me?)-393.8(You)-384.3(know?)-393.4(So,)]TJ
0 -1.1116 TD
[(people)-314.3(dont)-316.6(even)-312(talk)-311.1(about)-312.1(it.)-311.2(So,)-310.7(most)-316.6(people)-314.3(dont)-310.9(even)]TJ
T*
[(get)-459.6(tested)47.5()-456.1(\(44-year-old)-464.8(Tanzanian)-459.4(woman\).)-456.8(This)-460.6(fear)-455.9(of)]TJ
T*
[(rejection)-307.5(from)-299.3(community)-301.8(members)-300.3(carried)-305(over)-299.3(after)-301.6(diag-)]TJ
0 -1.1174 TD
[(nosis.)-256.4(This)-259(same)-255.4(participant)-263.8(described)-255.2(what)-260(would)-254.2(happen)-256.6(if)]TJ
0 -1.1116 TD
[(her)-338.5(family)-331.8(discovered)-337(her)-332.7(new)-333.6(HIV)-333.3(status:)-331.4()45(But,)-331.5(my)-331.7(fami-)]TJ
T*
(ly)Tj
/F12 1 Tf
.7833 0 TD
(.)Tj
/F4 1 Tf
1.0022 0 TD
[(If)-370.8(there)-376.5(was)-373.8(an)-372(island)-370.7(out)-372.1(of)-376.5(the)-367.5(universe,)-377.3(they)-374.3(would)]TJ
-1.7855 -1.1174 TD
[(drop)-292.4(me)-292.6(there)-295.9(and)-292.4(forget)-295.8(about)-289(me.)48.5()-294.8(This)-287.8(participant)-298.3(stated)]TJ
0 -1.1116 TD
[(that)-374.5(in)-365.2(over)-368.4(a)-365.1(decade)-374.1(since)-370.6(her)-367.3(diagnosis,)-371.5(she)-367.1(had)-367.3(not)-366.3(dis-)]TJ
T*
[(closed)-285.3(her)-280.9(HIV)-281.5(status)-284.1(to)-278.8(a)-284.5(single)-278.5(person)-284(in)-278.8(her)-280.9(family.)]TJ
1.0137 -1.1174 TD
[(Beyond)-573.3(anticipation)-570.3(of)-572.4(isolation)-570.1(affecting)-572.3(health)-573.6(care)]TJ
-1.0137 -1.1116 TD
[(seeking)-355.6(behaviors,)-349.6(participant)-10.3(s)-346.5(described)-353.1(devastating)-355.6(expe-)]TJ
T*
[(riences)-287.6(that)-276.5(left)-282.3(them)-283.4(feeling)-281(as)-279.6(if)-278.8(they)-282.2(had)-280.9(nowhere)-281.6(to)-278.8(turn.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(338)Tj
48.2754 0 TD
[(ROSS)-330.5(ET)-338.7(AL.)]TJ
ET
endstream
endobj
44 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
9.843 0 0 9.843 59.7543 725.1588 Tm
0 0 0 rg
0 Tc
0 Tw
[(These)-331.4(included)-328.2(loss)-332.4(of)-324.7(community,)-328.3(employment,)-330.5(and)-332.8(hous-)]TJ
0 -1.1174 TD
[(ing.)-277.6(For)-273.8(example,)-275.2(a)-273(48-year-old)-279.4(Zambian)-277.5(woman)-273.7(explained,)]TJ
0 -1.1116 TD
[()50.8(We)-237.1(came)-233.8(here)-231.3(without)-227.8(working)-233.3(papers)-233.3(and)-229.1(looking)-232.6(for)-233.6(jobs)]TJ
T*
[(to)-376.7(work)-373.9(for)-371.9(little)-371.3(jobs)-373(as)-377.5(nannies,)-370.5(housekeepers)]TJ
/F12 1 Tf
19.6694 0 TD
(.)Tj
/F4 1 Tf
1.0022 0 TD
[(So,)-374.1(what)]TJ
-20.6716 -1.1116 TD
[(would)-403.9(happen)-394.8(is,)-403(those)-398.3(that)-397.5(turn)-401.9(out)-395.1(HIV-positive,)-405.6(if)-399.7(they)]TJ
0 -1.1174 TD
[(really)-320.2(know,)-314(they)-311(nd)-314.2(out)-314.5(that)-316.8(you)-314.3(are)-316.6(HIV-positive)-315.8(theyll)]TJ
0 -1.1116 TD
[(nd)-233.5(a)-226.9(way)-230(to)-232.7(make)-232.6(you)-227.9(lose)-230.1(your)-229(job.)-231.5(And)-228.8(what)-231.2(theyll)-228.1(do)-232.6(is,)]TJ
T*
[(theyll)-389.4(nd,)-381(they)-385.8(will)-385.8(call)-381.4(your)-384.5(boss,)-387.6(tell)-380.3(them)-387.1(that)-386(youre)]TJ
0 -1.1174 TD
[(HIV-positive.)42.6()-536.7(She)-540(recounted)-543.4(how)-534.1(she)-539.9(was)-540.8(hospitalized)]TJ
0 -1.1116 TD
[(while)-192.1(working)-187.2(as)-187.5(a)-186.6(live-in)-187.8(nanny)-191(and)-183(diagnosed)-190.7(with)-189.8(HIV)-183.6(and)]TJ
T*
[(then)-224.6(told)-229.3(not)-222.3(to)-221.2(return)-226.7(to)-227(work:)-225.3()50.8([And)-225.2(then])-225.6(I)-219.9(had)-229.1(nowhere)-224(to)]TJ
0 -1.1174 TD
[(live,)-320.3(and)-321.2(I)-317.8(had)-315.5(to)-319.1(go)-313.2(sleep)-324.5(in)-313.3(the)-321.4(shelter.)-318.8(And)-321(I)-317.9(couldnt)-315.5(go)]TJ
0 -1.1116 TD
[(back)-369.6(home.)-367.3(When)-364.9(I)-363.9(called)-367.5(my)-366.3(home)-363.9(and)-367.3(told)-361.8(my)-366.3(husband)]TJ
T*
[(who)-257.6(I)-254.5(was)-252.8(married)-259(to,)-253.4(that)-253.5(day)-252.1(when)-254.1(he)-256.8(found)-253.1(out)-251.1(I)-254.5(had)-252.1(HIV)]TJ
T*
[(he)-285.6(told)-281.1(me)-281.1(not)-279.9(to)-278.8(come)-284.4(back.)52.1()]TJ
/F9 1 Tf
8.9663 0 0 8.9663 59.7543 544.3085 Tm
[(Social)-335.3(and)-335.7(health)-334.3(service)-335.3(providers)-334.1(as)-332.7(allies)]TJ
/F4 1 Tf
9.843 0 0 9.843 69.7323 527.8676 Tm
[(While)-504.5(undocumented)-507.7(immigration)-500(status,)-506.4(difculty)-500.8(ac-)]TJ
-1.0137 -1.1174 TD
[(cessing)-297.8(health)-297.2(insurance,)-299(and)-298.2(social)-297(isolation)-293.6(were)-295.6(the)-298.3(main)]TJ
0 -1.1116 TD
[(barriers)-563.9(described)-560.5(by)-560.9(participants,)-561.8(a)-555.2(major)-560.9(facilitator)-563.4(of)]TJ
T*
[(linkage)-448(to)-440.1(care)-445.6(for)-446.7(this)-442.2(population)-444.5(was)-442.9(service)-448.8(providers,)]TJ
0 -1.1174 TD
[(including)-380.1(health)-377.8(care)-382.2(providers,)-377.2(social)-377.6(workers)-378.1(and)-378.8(CBOs.)]TJ
0 -1.1116 TD
[(An)-360.2(important)-364(element)-364(these)-364.9(actors)-360.2(provided)-361.4(were)-364.7(tangible,)]TJ
T*
[(concrete)-578(services)-576.5(to)-572.5(help)-575.9(undocumented)-576.8(immigrants)-573.5(get)]TJ
0 -1.1174 TD
[(connected)-325.7(to)-324.9(care,)-322.3(including)-322.5(help)-322.5(in)-324.9(accessing)-325.3(health)-326(insur-)]TJ
0 -1.1116 TD
[(ance,)-374.2(accompaniment)-374.2(to)-370.9(appointments,)-371.8(and)-373.1(providing)-373(food)]TJ
T*
[(assistance.)-462.3(A)-457(participant)-465.4(summarized)-460.4(how)-459.2(after)-457.2(being)-456.1(re-)]TJ
T*
[(ferred)-319.9(to)-319.1(the)-315.6(CBO)-317.3()50.8(they)-317.8(helped)-320.1(me)-315.6(toto)-316.8(nd)-319.9(a)-313.3(doctor,)-316.6(the)]TJ
0 -1.1174 TD
[(hospital,)-399.5(the)-402(clinic,)-398.7(everything)48.7()-398.5(\(48-year-old)-401.4(Zimbabwean)]TJ
0 -1.1116 TD
(woman\).)Tj
1.0137 -1.1116 TD
[(Perhaps)-505(more)-507.9(importantly,)-508(participants)-506.6(described)-508.6(these)]TJ
-1.0137 -1.1174 TD
[(settings)-223.1(as)-216.3(safe)-219.6(spaces)-217.1(where)-221.8(they)-213(felt)-218.9(comfortable)-218.6(disclosing)]TJ
0 -1.1116 TD
[(their)-410.1(HIV)-413.9(status)-410.8(and)-407.6(where)-411.9(they)-408.9(did)-412.4(not)-406.6(fear)-409.8(immigration)]TJ
T*
[(authorities)-204.8(or)-198(rejection)-203.8(from)-201.4(their)-202.7(community.)-201.6(For)-198.9(example,)-200.3(a)]TJ
0 -1.1174 TD
[(37-year-old)-296.7(Nigerian)-294.5(woman)-291(expla)-8(ined,)-291.4()50.8(When)-291.1(Im)-292.4(talking)]TJ
0 -1.1116 TD
[(to)-203.9(my)-205(doctor,)-201.4(when)-208(Im)-200.3(talking)-205.1(to)-203.9(the)-200.4(social)-210.6(workers,)-203(they)-201.5(are)]TJ
T*
[(accommodating)-407.6(and)-407.6(they)-403.1(are)-403(always)-407.2(ready)-405.2(to)-405.5(assist.)-402.5(So,)-402.9(I)]TJ
T*
[(think)-339.8(that)-339.9(makes)-342.9(it)-342.3(easier.)48.9()-340.9(Another)-338.2(participant,)-347.8(describing)]TJ
0 -1.1174 TD
[(the)-505.7(CBO,)-505(stated)-504.3(simply,)-506.7()50.8(At)-499.6(least)-509(you)-498.6(have)-507.8(somewhere)]TJ
0 -1.1116 TD
(where)Tj
/F12 1 Tf
2.4479 0 TD
(.)Tj
/F4 1 Tf
1.0022 0 TD
[(you)-216.4(are)-224.5(not)-216.5(alone)48.6()-219.9(\(55-year-old)-222.9(Tanzanian)-223.2(woman\).)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 259.3133 Tm
(Discussion)Tj
/F4 1 Tf
9.843 0 0 9.843 69.7323 242.8724 Tm
[(In)-330.5(this)-332.8(qualitative)-338.8(study)-328(of)-336.2(undocumented)-334.9(African)-333.5(immi-)]TJ
-1.0137 -1.1116 TD
[(grants)-410.9(in)-411.3(NYC,)-412.7(participants)-414.4(identied)-409.9(fear)-409.8(of)-411.1(immigration)]TJ
0 -1.1174 TD
[(authorities,)-260.1(a)-249.9(lack)-254.5(of)-249.8(understanding)-252.8(about)-254.5(their)-254.6(eligibility)-250.3(for)]TJ
0 -1.1116 TD
[(health)-314.5(care,)-305(and)-309.7(the)-309.9(high)-309.8(degree)-309.6(of)-307.4(social)-308.5(stigma)-308.6(in)-307.6(African)]TJ
T*
[(immigrant)-463.2(communities)-460.6(as)-458.2(major)-457.3(barriers)-460.2(to)-457.3(HIV)-460(testing.)]TJ
0 -1.1174 TD
[(Social)-423.7(and)-419.2(health)-423.9(service)-425.8(providers)-419.9(were)-422.3(characterized)-425.8(by)]TJ
0 -1.1116 TD
[(participants)-316.5(as)-302.7(facilitators)-316.6(of)-307.4(linkage)-304(to)-307.6(care;)-314.4(these)-307.3(key)-304(pro-)]TJ
T*
[(viders)-382.1(were)-382(able)-375.5(to)-382.5(assist)-376.1(undocumented)-380.9(Africans)-386.3(in)-376.7(over-)]TJ
T*
[(coming)-274.1(these)-267(barriers.)-273.6(This)-270.5(study,)-268.1(to)-267.3(our)-274(knowledge)-266.7(the)-269.5(rst)]TJ
0 -1.1174 TD
[(to)-486.1(explicitly)-492(examine)-484.9(undocumented)-490.4(African)-489(immigrants)]TJ
0 -1.1116 TD
[(experiences)-225.2(with)-224.4(HIV)-218.1(testing)-222.2(and)-217.6(linkage)-223.4(to)-215.4(care,)-224.4(contributes)]TJ
T*
[(to)-290.3(the)-286.8(very)-287.8(limited)-287.1(literature)-291.4(on)-284.4(immigration)-292.7(status)-289.9(as)-285.4(a)-284.5(bar-)]TJ
0 -1.1174 TD
[(rier)-270.6(to)-273(HIV)-270(care)-272.8(for)-268.2(undocumented)-277.3(African)-270.2(immigrants.)-271.7(Our)]TJ
0 -1.1116 TD
[(ndings)-249.4(demonstrate)-247.3(that)-247.7(the)-246.5(experiences)-248.2(of)-244.1(HIV)-246.9(testing)-245.2(and)]TJ
T*
[(subsequent)-312.6(linkage)-315.6(to)-307.6(care)-313.1(of)-307.4(undocumented)-317.6(African)-310.5(immi-)]TJ
0 -1.1174 TD
[(grants)-353.3(are)-356.9(shaped)-354.3(by)-347.8(factors)-355.5(across)-354.1(individual,)-350.2(community,)]TJ
0 -1.1116 TD
[(institutional,)-324.9(and)-315.5(policy)-319.1(levels,)-317.7(and)-321.2(suggest)-313.9(that)-322.6(approaches)]TJ
T*
[(directed)-312(at)-303(all)-304.2(of)-307.4(these)-307.3(domains)-303.8(are)-305.1(important)-312.2(in)-301.8(facilitating)]TJ
25.5097 67.9242 TD
[(HIV)-448.5(testing)-446.8(and)-448(linkage)-448(to)-445.8(appropriate)-453.5(HIV)-448.5(care)-451.4(for)-446.7(this)]TJ
0 -1.1174 TD
[(vulnerable)-285.4(population.)]TJ
1.0137 -1.1116 TD
[(At)-440.9(the)-436.6(societal)-444.5(and)-442.2(policy)-445.8(level,)-443.5(we)-442(found)-437.5(that)-443.6(fear)-444.4(of)]TJ
-1.0137 -1.1116 TD
[(deportation)-418(and)-413.4(uncertainty)-419.1(regarding)-421.2(eligibility)-417.4(for)-412.2(insur-)]TJ
T*
[(ance)-238.3(and)-234.9(health)-239.6(services)-242.4(both)-234.9(before)-239.3(and)-234.9(after)-238.3(HIV)-241.2(diagnosis)]TJ
0 -1.1174 TD
[(led)-286.8(to)-284.5(participants)-287.7(delaying)-287.9(HIV)-287.2(testing)-285.5(and)-286.7(having)-290.1(difcul-)]TJ
0 -1.1116 TD
[(ties)-518.2(linking)-520.7(to)-520.7(care)-520.5(after)-526.3(diagnosis.)-521.2(These)-521.5(ndings)-520.1(were)]TJ
T*
[(consistent)-289.8(across)-296.5(time,)-292.7(with)-287.8(similar)-292.5(barriers)-293.2(reported)-293.4(among)]TJ
0 -1.1174 TD
[(participants)-408.7(who)-401.6(had)-407.6(recently)-404.2(entered)-408.7(HIV)-402.4(care)-411(and)-401.9(those)]TJ
0 -1.1116 TD
[(who)-332.5(had)-338.5(been)-335(diagnosed)-334.7(even)-340.8(two)-332.6(decades)-340.5(prior.)-331.5(HIV)-339.1(pre-)]TJ
T*
[(vention)-965.2(and)-966.3(testing)-965.2(messages)-969.1(that)-967.7(directly)-967.6(address)]TJ
0 -1.1174 TD
[(immigration-related)-742.9(concerns,)-735.5(and)-735.9(policies)-742.8(that)-731.5(reduce)]TJ
0 -1.1116 TD
[(structural)-353.3(barriers)-350.8(related)-351.2(to)-347.9(immigration)-356.1(status,)-350.9(may)-351.3(be)-348.9(an)]TJ
T*
[(important)-329.5(intervention)-338.6(to)-324.9(decre)-9(ase)-328(disparities)-337.1(in)-330.6(these)-330.3(early)]TJ
T*
[(steps)-282.9(in)-278.8(HIV)-281.5(care.)]TJ
1.0137 -1.1174 TD
[(Within)-216.6(social)-216.4(networks,)-215.8(participants)-224.3(described)-214.9(a)-221.1(high)-211.9(level)]TJ
-1.0137 -1.1116 TD
[(of)-221(stigma)-227.9(that)-224.7(inuenced)-226.5(decisions)-225.2(to)-227(test)-224.5(for)-222.1(HIV)-223.9(and)-229.1(to)-221.2(link)]TJ
T*
[(to)-215.4(care)-215.2(after)-221(diagnosis.)-216(Participants)-224.2(described)-220.7(anticipated)-218.9(and)]TJ
0 -1.1174 TD
[(actual)-309.9(rejection)-307.5(from)-310.8(family)-308.7(members,)-309.5(roommates,)-306(and)-309.7(em-)]TJ
0 -1.1116 TD
[(ployers,)-426.9(a)-422.7(nding)-427(particularly)-431.9(striking)-429.4(because)-426.9(these)-428.2(indi-)]TJ
T*
[(viduals)-400.6(often)-404.2(serve)-405(as)-400.6(the)-402(only)-402(social)-406.4(support)-405(available)-406.6(to)]TJ
0 -1.1174 TD
[(undocumented)-513.4(immigrants)-510.1(ineligible)-509.3(for)-510.1(most)-512.4(social)-510.1(ser-)]TJ
0 -1.1116 TD
[(vices.)-454.7(We)-449.1(observed)-454.4(consistency)-453.2(in)-451.6(descriptions)-453.3(of)-451.4(stigma)]TJ
T*
[(among)-244(participants)-253.2(from)-241.7(different)-248.6(regions)-244.9(of)-249.8(Africa)-246(and)-246.4(who)]TJ
0 -1.1174 TD
[(entered)-333.8(HIV)-339.1(care)-336.2(at)-331.8(different)-334.9(time)-335.4(points)-335(over)-333.8(the)-338.7(past)-333.8(two)]TJ
0 -1.1116 TD
[(decades.)-545.5(Many)-542.1(previous)-545.5(investigations)-542.1(have)-542.4(documented)]TJ
T*
[(high)-315.6(levels)-325.8(of)-319(HIV-related)-322.8(stigma)-320.1(in)-319.1(the)-321.4(African)-322(immigrant)]TJ
T*
(community,)Tj
7.3823 0 0 6.5614 358.2991 433.644 Tm
(2023)Tj
9.843 0 0 9.843 380.296 429.2786 Tm
[(potentially)-360.7(driven)-353.5(by)-353.5(lower)-359(levels)-360.3(of)-353.5(both)]TJ
-7.0556 -1.1174 TD
[(HIV)-189.3(knowledge)-191.8(and)-194.5(lower)-191.9(levels)-193.3(of)-186.5(risk)-194.4(perception)-193.3(compared)]TJ
0 -1.1116 TD
[(to)-370.9(US-born)-371.2(persons.)]TJ
7.3823 0 0 6.5614 392.1448 411.7038 Tm
(8,21,24)Tj
9.843 0 0 9.843 417.9967 407.3385 Tm
[(Undocumented)-370.3(immigrants,)-375.3(who)]TJ
-10.8858 -1.1116 TD
[(have)-484.8(less)-489.1(access)-494.7(to)-486.1(preventive)-492.8(health)-487.2(services)-490.1(and)-488.3(lower)]TJ
0 -1.1174 TD
[(levels)-291.2(of)-290.2(educational)-293.6(attainment)-292.7(than)-287.9(persons)-290.7(with)-293.5(legal)-290.3(im-)]TJ
0 -1.1116 TD
[(migration)-329.4(status,)]TJ
7.3823 0 0 6.5614 377.4613 378.8219 Tm
(25,26)Tj
9.843 0 0 9.843 397.3038 374.4566 Tm
[(may)-328.2(depend)-331.5(to)-330.6(a)-324.8(higher)-330.4(degree)-332.6(on)-330.5(in-)]TJ
-8.7836 -1.1116 TD
[(formal)-279.8(social)-285.5(support)-284.1(networks)-281.5(where)-285.1(HIV-related)-288.2(stigma)-279.8(is)]TJ
0 -1.1174 TD
[(high.)-319(Therefore,)-329(their)-323.7(HIV-related)-328.5(health-seeking)-331.3(behaviors)]TJ
0 -1.1116 TD
[(may)-345.5(be)-348.9(more)-346.6(negatively)-354.7(impacted)-347.9(by)-347.8(this)-350.1(stigma,)-346.6(and)-350.1(they)]TJ
T*
[(may)-414.6(be)-418.1(less)-414.2(likely)-417.1(to)-417(be)-418.1(tested)-417.9(for)-417.9(HIV.)-417.4(While)-418.1(numerous)]TJ
T*
[(interventions)-472(have)-473.3(been)-473.3(directed)-473.3(at)-470(individual-level)-476.9(HIV-)]TJ
0 -1.1174 TD
[(related)-518.3(stigma,)-525.1(culturally)-520.7(tailored,)-521.8(community-based)-523.6(pro-)]TJ
0 -1.1116 TD
[(grams)-307.2(aimed)-308.7(at)-303(reducing)-310.7(stigma)-308.6(within)-307.4(social)-308.5(networks)-310.3(and)]TJ
T*
[(normalizing)-240.7(HIV)-235.4(testing)-239.5(\(e.g.,)-239.4(bundling)-233.7(HIV)-241.2(testing)-239.4(together)]TJ
0 -1.1174 TD
[(with)-362.6(screening)-364.6(for)-360.3(other)-363.9(conditions)]TJ
7.3823 0 0 6.5614 453.3164 280.1763 Tm
(27)Tj
9.843 0 0 9.843 460.7432 275.8109 Tm
[(\))-358.2(could)-363.9(potentially)-366.4(in-)]TJ
-15.2287 -1.1116 TD
[(crease)-299(voluntary)-305(HIV)-298.8(testing)-297.1(among)-301.7(undocumented)-300.3(African)]TJ
T*
(immigrants.)Tj
1.0137 -1.1174 TD
[(Analysis)-316(at)-320.3(the)-315.6(institutional)-315.7(level)-319.1(revealed)-324.6(that)-316.9(after)-318.9(HIV)]TJ
-1.0137 -1.1116 TD
[(diagnosis,)-590.4(participants)-598.7(in)-589.8(this)-586.2(study)-592.9(reported)-592.9(substantial)]TJ
T*
[(practical)-193.5(and)-194.5(emotional)-198.2(support)-191.9(provided)-194.4(by)-192.3(health)-193.5(and)-194.5(social)]TJ
0 -1.1174 TD
[(service)-374(providers,)-377.2(including)-374.3(navigating)-376.6(the)-373.2(complex)-374.3(health)]TJ
0 -1.1116 TD
[(care)-376.5(system,)-375(assistance)-378.2(in)-370.9(obtaining)-380.1(health)-372.1(insurance,)-379.6(food)]TJ
T*
[(and)-286.7(housing,)-293.3(reassurance)-293.9(about)-289(their)-289.1(HIV)-293(diagnosis,)-290.9(and)-292.4(fa-)]TJ
T*
[(cilitating)-302.1(support)-307.1(groups)-300.1(with)-305(other)-300.5(African)-304.7(immigrants)-308.6(liv-)]TJ
0 -1.1174 TD
[(ing)-337.5(with)-339.6(HIV.)-342.5(Although)-344(no)-336.3(studies)-342.8(have)-340.8(directly)-345.6(compared)]TJ
0 -1.1116 TD
[(rates)-393.6(of)-393.8(linkage)-396.2(to)-388.2(HIV)-396.7(care)-393.8(among)-393.8(US-)-395.6(and)-390.4(foreign-born)]TJ
T*
[(p)16.2(e)0(r)25.5(s)0(o)21(n)16.2(s)-271.6(o)16.2(f)-271.8(A)0(f)25.8(r)0(i)26.5(c)0(a)24.3(n)-271.8(de)25.4(sc)25.6(en)25.4(t,)-258.1(on)26.6(ce)-258(en)25.4(ga)25.4(ge)25.4(d)-271.8(i)0(n)-255.8(H)0(I)20(V)-266.9(ca)24.3(re)25.5(,)-274.1(i)16(m)15(m)0(i)25.2(-)]TJ
0 -1.1174 TD
[(g)16.2(r)0(a)25.5(n)0(t)26.5(s)-300.4(l)16.1(i)0(v)26.5(i)0(n)26.5(g)-294.8(wi)25.6(th)-284.5(H)15.3(I)0(V)25.8(,)-297.2(i)16.1(n)0(c)25.4(l)0(u)20.7(d)16.2(in)26.5(g)-294.8(u)0(n)26.6(d)0(o)26.6(c)0(u)25.4(m)0(e)24.2(n)0(t)26.5(e)0(d)-285.6(i)16(mm)24.1(i)16(g)0(r)20.9(a)15(nt)26.5(s,)]TJ
0 -1.1116 TD
[(a)15(c)0(h)25.4(i)0(e)25.3(v)0(e)-452.6(c)15(li)26.3(ni)26.5(ca)24.3(l)-462(o)16.2(ut)20.7(c)15(o)0(m)25.4(e)15(s)-461.7(e)0(q)25.4(u)0(a)25.4(l)-462(to)-445.8(or)-445.7(be)25.4(tt)20.6(e)15(r)-461.8(t)16.1(h)0(a)25.4(n)-461.9(US)25.9(-b)26.6(or)26.6(n)]TJ
T*
(persons.)Tj
7.3823 0 0 6.5614 343.3322 115.8235 Tm
(9,28)Tj
9.843 0 0 9.843 358.4125 111.4582 Tm
[(These)-221.9(ndings)-220.6(suggest)-221.7(that)-218.9(the)-217.7(services)-225.1(provided)]TJ
-4.8324 -1.1174 TD
[(b)16.2(y)-358.2(C)15.2(B)0(O)24.7(s)-358(a)15(n)0(d)-347.8(h)16.2(ea)24.3(lt)26.3(h)-358.2(c)15(ar)25.5(e)-359.4(p)16.2(ro)20.9(v)16.2(i)0(d)26.5(e)0(r)25.5(s)-358(a)15(r)0(e)-348.9(e)15(ff)26.7(ec)24.3(ti)26.3(ve)-343.2(at)-343.3(ad)25.4(dr)20.9(e)15(s)0(s)27(-)]TJ
0 -1.1116 TD
[(i)16.1(n)0(g)-163.5(s)0(o)26.8(m)0(e)-165.9(o)16.2(f)-173.9(t)0(h)26.5(e)-180.8(i)16(n)0(d)26.6(i)0(v)26.5(i)0(d)26.5(u)0(a)25.4(l)0(,)-165.9(s)16.4(oc)25.4(ia)25.3(l,)-165.9(a)15(n)0(d)-163.5(s)16.4(oc)25.4(ie)25.3(ta)19.5(l)-174(b)16.2(ar)25.5(ri)26.5(er)19.7(s)-173.7(f)16.2(ac)24.3(ed)-164.6(by)]TJ
T*
-.0258 Tc
[(u)-9.6(n)-25.8(do)-25.8(cu)-25.8(me)-25.8(nt)-25.8(ed)-343.7(A)-10.5(f)-25.8(ri)-25.8(ca)-25.8(n)-328.7(i)-25.8(mm)-25.8(ig)-25.8(ra)-25.8(nt)-25.8(s)-327.4(l)-25.8(iv)-25.8(in)-25.8(g)-327.5(w)-25.8(it)-25.8(h)-327.6(H)-25.8(IV)-25.8(,)-330.7(a)-10.8(n)-25.8(d)-327.5(t)-9.7(h)-25.8(at)]TJ
0 -1.1174 TD
0 Tc
[(s)16.4(i)0(m)25.2(i)0(l)26.3(a)0(r)-308.6(e)0(f)25.5(f)0(o)26.6(r)0(t)20.7(s)-317.7(i)16.1(n)-317.9(mo)25.4(re)-308.6(pr)26.6(ox)26.6(im)25.2(al)-308.8(st)26.7(ag)25.4(es)-308.4(o)16.2(f)-323.6(t)16.1(h)0(e)-308.6(H)15.3(IV)-308.3(ca)24.3(re)-308.6(c)15(o)0(n)26.6(-)]TJ
0 -1.1116 TD
[(t)16.1(i)0(n)26.5(u)0(u)20.8(m)-203.9(c)15(o)0(u)26.6(l)0(d)-192.4(r)0(e)25.5(d)0(u)26.6(c)0(e)-194.6(H)15.3(IV)20(-)16.2(r)0(e)25.5(l)0(a)25.3(t)0(e)25.3(d)-208.4(d)16.2(i)0(s)26.7(p)0(a)25.4(r)0(i)20.7(t)16.1(ie)25.3(s)-208.3(i)16.1(n)-202.7(t)0(h)20.7(i)16(s)-208.3(p)16.2(op)26.6(ul)26.5(at)25.3(io)26.5(n.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(HIV)-339.4(TESTING)-332.7(AND)-337.2(LINKAGE)-334.7(OF)-337.5(UNDOCUMENTED)-335.7(AFRICANS)-23207.3(339)]TJ
ET
endstream
endobj
48 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
9.843 0 0 9.843 72 725.1588 Tm
0 0 0 rg
0 Tc
0 Tw
[(Prior)-235.8(studies)-239.1(of)-232.6(African)-241.4(immigrants)-239.4(living)-237.4(with)-235.9(HIV)-241.2(in)-232.7(the)]TJ
-1.0137 -1.1174 TD
[(United)-256.6(States)-256.5(and)-252.1(of)-255.6(service)-258.8(providers)-252.9(delivering)-255.6(care)-261.3(to)-250(this)]TJ
0 -1.1116 TD
[(population)-369.7(described)-376.2(fear)-369.5(of)-370.8(deportation,)-369.6(dual)-374.3(stigma)-366.2(from)]TJ
T*
[(HIV)-339.1(and)-332.8(immigration)-338.8(status,)-333.6(lack)-340.9(of)-330.5(insurance,)-339.3(and)-338.5(lack)-335.2(of)]TJ
T*
[(English)-561.9(prociency)-561.6(as)-561.9(barriers)-558.1(to)-561(accessing)-561.5(HIV-re)-9.4(lated)]TJ
0 -1.1174 TD
(services.)Tj
7.3823 0 0 6.5614 96.2645 674.7021 Tm
[(15,2)-8.6(0,21,29)]TJ
9.843 0 0 9.843 133.3417 670.3369 Tm
[(However,)-205.3(these)-197.8(studies)-204.6(were)-197.6(limited)-200.7(in)-198.2(that)]TJ
-7.2457 -1.1116 TD
[(they)-374.3(did)-372.1(not)-377.8(focus)-375.1(primarily)-375.5(on)-370.8(undocumented)-380.9(immigrants)]TJ
T*
[(and)-430.7(they)-426.2(examined)-434.1(the)-430.8(more)-427.2(distal)-428.4(steps)-432.6(in)-428.5(the)-430.8(HIV)-425.5(care)]TJ
0 -1.1174 TD
[(continuum)-185.4(\(i.e.,)-187.6(retention)-185.4(in)-180.9(care)-186.4(and)-188.8(adherence)-188.5(to)-180.9(treatment\).)]TJ
0 -1.1116 TD
[(For)-285.3(example,)-292.5(in)-284.6(a)-290.2(study)-287.7(of)-284.4(African)-287.4(women)-291(living)-289.2(with)-287.8(HIV,)]TJ
T*
[(Ojikutu,)-386.8(et)-383.6(al.)-387.1(described)-387.7(how)-384.3(a)-388.2(subset)-381.9(of)-388.1(participants)-385.6(with)]TJ
0 -1.1174 TD
[(undocumented)-288.8(status)-289.9(experienced)-294.5(stigma)-285.5(and)-286.7(economic)-290.1(dis-)]TJ
0 -1.1116 TD
[(tress,)-510.9(focusing)-505.2(on)-509.1(how)-505.3(these)-508.9(contributed)-510.1(to)-509.2(poor)-505.5(mental)]TJ
T*
[(health)-228.1(rather)-222.1(than)-224.6(HIV)-223.9(outcomes.)]TJ
7.3823 0 0 6.5614 192.8125 587.0549 Tm
(20)Tj
9.843 0 0 9.843 202.3936 582.6896 Tm
[(Foley)-225.5(explored)-224.3(structural)]TJ
-14.261 -1.1116 TD
[(barriers)-396.9(to)-388.2(consistent)-393.5(engagement)-397.2(in)-388.2(HIV)-390.9(care)-393.8(for)-394.9(African)]TJ
0 -1.1174 TD
[(women)-244.9(from)-235.9(both)-240.7(a)-238.4(service)-247.2(provider)-240.4(and)-240.6(patient)-240.8(perspective,)]TJ
0 -1.1116 TD
[(but)-285.7(did)-291.4(not)-285.7(focus)-288.7(on)-290.2(HIV)-287.2(testing.)]TJ
7.3823 0 0 6.5614 194.2299 554.1731 Tm
(21)Tj
9.843 0 0 9.843 204.4913 549.8077 Tm
[(Other)-284.1(studie)-7.8(s)-283.1(o)0(f)-290.2(African)]TJ
-14.4741 -1.1116 TD
[(immigrants)-308.5(at)-303(risk)-298(for)-302.7(or)-301.7(living)-306.5(with)-305(HIV)-298.8(have)-306.2(only)-304(periph-)]TJ
0 -1.1174 TD
[(erally)-320.2(examined)-318.9(the)-315.6(role)-316.7(of)-319(immigration)-315.7(status.)]TJ
7.3823 0 0 6.5614 251.2062 532.2329 Tm
[(8,14,22,23,)-7.9(30,31)]TJ
9.843 0 0 9.843 62.022 516.9258 Tm
[(By)-360.3(exploring)-356.9(the)-355.9(fears,)-362.3(uncertainties,)-362.5(and)-355.8(structural)-364.8(factors)]TJ
0 -1.1116 TD
[(undocumented)-392.5(African)-396.9(immigrants)-394.9(experience)-391.3(surrounding)]TJ
0 -1.1174 TD
[(HIV)-218.1(testing)-222.2(and)-217.6(linkage)-223.4(to)-215.4(care,)-218.6(particularly)-224.5(as)-216.3(these)-220.9(relate)-223.4(to)]TJ
0 -1.1116 TD
[(their)-294.9(immigration)-292.7(status)-289.9(and)-292.4(social)-291.2(networks,)-296.4(our)-291.3(study)-287.7(pro-)]TJ
T*
[(vides)-363.7(important)-364(insights)-360.2(into)-361.8(barriers)-362.3(to)-359.4(engag)-7.8(ement)-360.5(in)-359.4(the)]TJ
0 -1.1174 TD
[(earliest)-283.2(steps)-282.9(in)-284.6(the)-281.1(HIV)-281.5(care)-284.3(continuum.)]TJ
1.0137 -1.1116 TD
[(Ma)18.8(ny)-244.1(pa)19.7(rt)15(ic)19.6(ip)20.7(an)19.7(ts)-249.8(we)18.8(re)-245.2(di)20.7(ag)13.9(no)20.8(se)19.9(d)-254.5(w)0(i)19.8(t)0(h)-250(H)0(I)20(V)-261.2(ov)20.8(er)-245.2(a)-261.4(d)0(e)19.7(c)0(a)18.5(d)0(e)]TJ
-1.0137 -1.1116 TD
[(be)19.7(fo)20.9(re)-423.8(in)20.7(te)19.5(rv)15.1(ie)19.5(ws)-423.3(we)18.8(re)-423.8(co)19.7(nd)20.8(uc)19.7(te)19.6(d)-433.1(f)0(o)20.9(r)-433(th)20.7(is)-422.6(st)20.9(ud)20.8(y,)-425(wh)20(en)-423.8(th)20.7(e)]TJ
T*
[(cl)19.5(im)19.5(at)19.5(e)-468.8(s)0(u)21(r)0(r)20.9(o)0(u)20.8(n)0(d)20.8(i)0(n)20.7(g)-467.6(bo)20.8(th)-451.6(HI)20(V)-468.5(a)0(n)19.7(d)-461.9(im)19.5(mi)19.5(gr)20.9(at)19.5(io)15(n)-461.9(w)0(e)18.8(r)0(e)-452.6(s)0(u)15.3(b)0(-)]TJ
0 -1.1174 TD
[(st)20.9(an)19.7(ti)14.8(al)19.5(ly)-330.6(di)20.7(ff)20.9(er)14(en)19.7(t)-341(t)0(h)20.7(a)0(n)-331.7(t)0(o)15(d)0(a)19.7(y)0(.)-332.8(T)0(h)19.6(e)0(s)19.9(e)-342.1(pa)19.7(rt)20.7(ic)19.6(ip)15(an)19.7(ts)-330.4(po)20.8(te)19.6(nt)20.7(ia)13.8(ll)20.6(y)]TJ
0 -1.1116 TD
[(fa)19.7(ce)18.5(d)-191.2(a)0(d)19.7(d)0(i)20.7(t)0(i)20.6(o)0(n)20.8(a)0(l)-176.3(b)0(a)13.9(r)0(r)20.9(i)0(e)19.6(r)0(s)-174.8(t)0(o)-180.9(H)0(I)20(V)-186.3(te)19.6(st)20.9(in)15(g)-185.4(a)0(n)19.7(d)-185.4(li)20.6(nk)15.1(ag)19.7(e)-186.6(t)0(o)-175.1(c)0(a)18.5(r)0(e)-181.9(t)0(h)20.7(a)0(t)]TJ
T*
[(ma)18.4(y)-427.3(n)0(o)20.8(t)-433.2(ex)19.7(is)20.9(t)-427.4(t)0(o)15(d)0(a)19.7(y)0(,)-419.2(i)0(n)20.7(c)0(l)19.5(u)0(d)20.8(i)0(n)20.7(g)-433.1(th)20.7(e)-428.5(r)0(e)19.7(q)0(u)20.8(i)0(r)20.7(e)0(m)18.5(e)0(n)19.7(t)-433.2(fo)20.9(r)-427.3(w)0(r)20(i)0(t)14.8(t)0(e)19.6(n)]TJ
0 -1.1174 TD
[(co)19.7(ns)21(en)13.9(t)-490.8(f)0(o)20.9(r)-490.6(HI)14.2(V)-491.5(t)0(e)19.5(s)0(t)20.9(i)0(n)15(g)]TJ
7.3823 0 0 6.5614 160.3275 389.7637 Tm
-.0162 Tc
(32)Tj
9.843 0 0 9.843 172.4598 385.3983 Tm
0 Tc
[(an)19.7(d)-490.7(d)0(e)19.7(l)0(a)19.6(y)0(s)-485.8(i)0(n)-480.4(r)0(e)14(p)0(o)20.8(r)0(t)20.7(i)0(n)20.7(g)-490.7(re)14(su)21(lt)20.6(s,)]TJ
-11.2199 -1.1116 TD
[(th)20.7(ou)20.8(gh)-491.8(th)20.7(es)19.9(e)-503.4(w)0(e)18.8(r)0(e)-487.1(m)0(e)18.4(n)0(t)15(i)0(o)20.7(n)0(e)19.7(d)-496.4(by)-491.8(fe)19.7(w)-497.3(p)0(a)13.9(r)0(t)20.7(i)0(c)19.6(i)0(p)20.7(a)0(n)19.7(t)0(s)20.9(.)-498.8(Be)18.6(fo)15.1(re)]TJ
T*
[(20)20.8(10)20.8(,)-256.9(p)0(e)19.7(r)0(s)21.1(o)0(n)15.1(s)-254.3(li)20.6(vi)20.7(ng)-244.1(wi)14.1(th)-244.2(HI)20(V)-255.4(w)0(e)18.8(r)0(e)-245.2(b)0(a)19.7(n)0(n)15.1(e)0(d)-245.3(f)0(r)20.9(o)0(m)-245.3(t)0(r)20.7(a)0(v)19.7(e)0(l)19.5(i)0(n)15(g)-254.5(or)]TJ
0 -1.1174 TD
[(im)19.5(mi)19.5(gr)20.9(at)19.6(in)15(g)-392.8(t)0(o)-382.5(t)0(h)15(e)-393.9(Un)20(it)20.6(ed)-389.3(St)20.9(at)19.5(es)19.9(,)-395.1(l)0(i)20.6(k)0(e)19.7(l)0(y)-388.2(c)0(o)19.7(n)0(t)20.7(r)0(i)20.7(b)0(u)15.1(t)0(i)20.6(n)0(g)-382.3(t)0(o)-388.2(t)0(h)20.7(e)]TJ
0 -1.1116 TD
[(st)20.9(ig)15(m)15(a)-186.6(an)19.7(d)-185.4(f)0(e)14(a)0(r)-176.1(o)0(f)-175(d)0(e)19.7(p)0(o)20.8(r)0(t)20.7(a)0(t)19.5(i)0(o)15(n)-185.4(fa)19.7(ce)18.5(d)-185.4(b)0(y)-175(u)0(n)20.8(d)0(o)20.8(c)0(u)19.7(m)0(e)18.4(n)0(t)20.7(e)0(d)-176.1(A)0(f)14.2(r)0(i)20.7(c)0(a)18.5(n)]TJ
T*
[(im)19.5(mi)19.5(gr)20.9(an)19.7(ts)15.1(.)]TJ
7.3823 0 0 6.5614 108.3968 334.9983 Tm
(33)Tj
9.843 0 0 9.843 117.411 330.633 Tm
[(Ov)20(er)-164.6(th)15(e)-175(p)0(a)19.7(s)0(t)-163.4(t)0(w)19.8(o)-173.9(de)19.7(ca)18.5(de)19.7(s,)-165.6(as)-164.4(im)19.5(mi)19.5(gr)20.9(at)19.5(io)15(n)-173.9(t)0(o)-163.6(t)0(h)20.7(e)]TJ
-5.6272 -1.1116 TD
[(Un)20(it)20.6(ed)-464.1(St)20.9(at)13.8(es)-458.2(ha)13.9(s)-467.4(g)0(r)15.1(o)0(w)20(n)-473.4(by)-457.2(ne)13.9(ar)19.7(ly)-463.1(50)20.8(%,)]TJ
7.3823 0 0 6.5614 231.0802 324.0566 Tm
(27)Tj
9.843 0 0 9.843 243.0424 319.6913 Tm
[(an)19.7(ti)20.6(-i)15(m)15(m)0(i)19.5(g)0(r)15.1(a)0(n)19.7(t)]TJ
-18.3907 -1.1174 TD
[(po)20.8(li)20.6(ci)13.8(es)-343(an)19.7(d)-358.2(r)0(h)20.9(e)0(t)19.5(o)0(r)20.9(i)0(c)-349.1(h)0(a)19.7(v)0(e)-348.9(i)0(n)20.7(c)0(r)19.7(e)0(a)18.5(s)0(e)19.9(d)-358.2(su)21(bs)21(ta)19.6(nt)15(ia)19.6(ll)20.6(y.)]TJ
7.3823 0 0 6.5614 259.6534 313.0582 Tm
-.0162 Tc
[(34)-16.2(,)11.9(3)-16.2(5)]TJ
9.843 0 0 9.843 279.3826 308.6928 Tm
0 Tc
[(Th)19.6(us)21(,)]TJ
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T*
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T*
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T*
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T*
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T*
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T*
[(address)-441.6(some)-438.6(of)-434.1(these)-439.7(barriers,)-440.6(facilitating)-443.7(access)-437.1(to)-434.3(HIV)]TJ
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T*
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T*
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T*
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T*
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T*
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T*
[(Centers:)-271.4(NIAID,)-270.7(NCI,)-267.8(NICHD,)-271.8(NHBL,)-265.2(NIDA,)-269.6(NIMH,)-269.7(NIA,)]TJ
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[(16.)-500.5(HIV)-347.5(Epidemiology)-353.4(and)-346.2(Field)-348.2(Services)-346.9(Program.)-347.9(HIV)-347.5(Sur-)]TJ
1.7505 -1.1284 TD
[(veillance)-297(Annual)-292.8(Report,)-292.2(2017.)-287.3(New)-294.5(York,)-291.2(NY:)-289.7(New)-288.4(York)]TJ
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[(City)-333.6(Department)-339.7(of)-332(Health)-339.1(and)-334(Mental)-336.8(Hygiene,)-333.8(2018.)]TJ
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[(17.)-500.5(Migration)-615.3(Policy)-616.7(Institute.)-614.6(Prole)-610.3(of)-612.5(the)-614(Unauthorized)]TJ
1.7505 -1.1223 TD
[(Population:)-573.6(New)-575(York.)-571.8(2016.)-574(Available)-574.9(at:)-576.8(http://www)]TJ
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T*
0 Tc
[(state/NY)-339.5(\(Last)-337(accessed)-337.6(January)-334.1(21,)-335.8(2019\).)]TJ
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[(18.)-500.5(McLeroy)-476.4(KR,)-470.3(Bibeau)-470.9(D,)-471.4(Steckler)-469.2(A,)-471.4(Glanz)-473.7(K.)-471.4(An)-465.4(eco-)]TJ
1.7505 -1.1284 TD
[(logical)-392(perspective)-390.8(on)-384.5(health)-392.4(promotion)-386.3(programs.)-386.9(Health)]TJ
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[(Educ)-336(Q)-337.2(1988;15:351377.)]TJ
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[(19.)-500.5(Centers)-442(for)-432(Disease)-439.8(Control)-433.9(and)-431.6(Prevention)-440.9(\(CDC\),)-437.4(U.S.)]TJ
1.7505 -1.1223 TD
[(Department)-254.3(of)-246.6(Health)-253.7(and)-248.6(Human)-250(Services)-249.3(\(HHS\).)-249.4(Medical)]TJ
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[(examination)-500(of)-490.5(aliensRemoval)-496.5(of)-496.6(human)-492.4(immunode-)]TJ
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[(ciency)-372.8(virus)-373.6(\(HIV\))-370.7(infection)-376.3(from)-370.7(denition)-366.5(of)-374.7(communi-)]TJ
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[(cable)-348.2(disease)-346.7(of)-338.1(public)-345.5(health)-343.6(signicance.)-348.7(Final)-342.1(rule.)-342.1(Fed)]TJ
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[(Regist)-337.2(2009;74:5654756562.)]TJ
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[(women)-304.9(living)-298(with)-306(HIV)-298.7(in)-304.7(the)-296.8(United)-304.4(States:)-302.5(Unmet)-304.4(needs)]TJ
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(15421550.)Tj
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[(21.)-500.5(Foley)-489.1(EE.)-492.1(HIV/AIDS)-490.2(and)-486.5(African)-490.8(immigrant)-493.2(women)-487.9(in)]TJ
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[(Philadelphia:)-307.3(Structural)-302.3(and)-297.4(cultural)-302.9(barriers)-307.8(to)-298.6(care.)-302.3(AIDS)]TJ
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[(attitudes)-184.1(a)-.1(nd)-185(hea)-6.2(l)4.6(th)-185(care)-189.2(a)-.1(cces)]TJ
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1.7505 -1.1283 TD
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[(24.)-500.5(Maldonado)-569.5(CZ,)-562.1(Rodriguez)-571.3(RM,)-565.5(Torres)-571.8(JR,)-565.4(Flores)-570(YS,)]TJ
1.7505 -1.1284 TD
[(Lovato)-421.1(LM.)-422.4(Fear)-422.8(of)-417.4(discovery)-425.3(among)-419.3(Latino)-426.7(immigrants)]TJ
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[(presenting)-284.6(to)-286.4(the)-284.6(emergency)-282.3(department.)-289.4(Acad)-285(Emerg)-289.3(Med)]TJ
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1.7505 -1.1284 TD
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T*
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1.7505 -1.1284 TD
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0 -1.1223 TD
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1.7505 -1.1223 TD
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0 -1.1284 TD
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1.7505 -1.1223 TD
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[(31.)-500.5(Othieno)-469.2(J.)-475.1(Understanding)-475.7(how)-471.6(contextual)-475.9(realities)-476.6(affect)]TJ
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[(testing,)-484.5(reporting)-484.7(and)-486.5(condentiality)-490.4(in)-481.5(New)-489.6(York)-486.3(State)]TJ
T*
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[(.gov/diseases/aids/providers/testing)-530.2(\(Last)-520(accessed)-526.7(March)]TJ
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[(15,)-329.7(2019\).)]TJ
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[(33.)-500.5(Winston)-436.4(SE,)-432.1(Beckwith)-435.6(CG.)-439.8(The)-433.5(impact)-440.8(of)-429.6(removing)-439.7(the)]TJ
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[(Care)-333.3(STDs)-335.4(2011;25:709711.)]TJ
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[(34.)-500.5(Martinez)-276.5(O,)-270.2(Wu)-273(E,)-276.6(Sandfort)-274.6(T,)-270.5(et)-272.3(al.)-272.4(Evaluating)-278.4(the)-272.4(impact)]TJ
1.7505 -1.1223 TD
[(of)-472.2(immigration)-468.5(policies)-476.6(on)-469.9(health)-471.7(status)-477.9(among)-468.1(undocu-)]TJ
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[(mented)-331.5(immigrants:)-339.5(A)-331.1(systematic)-339.5(review.)-335.9(J)-328.6(Immigr)-333.4(Minor)]TJ
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[(Health)-333(2015;17:947970.)]TJ
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[(35.)-500.5(Chu)-450.5(DM,)-458.6(Aagaard)-456.7(J,)-456.8(Levitt)-456.6(R,)-456.3(et)-455.3(al.)-455.3(Cohort)-458.8(analysis)-458(of)]TJ
1.7505 -1.1223 TD
[(immigration)-377(rhetoric)-379(on)-372.3(timely)-381.1(and)-376.7(regular)-379.4(access)-375.8(of)-380.8(pre-)]TJ
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[(natal)-331.2(care.)-338.9(Obstet)-334(Gynecol)-339.8(2019;133:117128.)]TJ
9.843 0 0 9.843 438.803 158.7968 Tm
[(Address)-331.9(correspondence)-343.5(to:)]TJ
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1.2902 -1.1116 TD
[(Jonathan)-332.7(Ross,)-336.9(MD,)-335.9(MS)]TJ
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[(Division)-333.6(of)-336.4(General)-333.4(Internal)-338.3(Medicine)]TJ
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(joross@monteore.org)Tj
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[(HIV)-339.4(TESTING)-332.7(AND)-337.2(LINKAGE)-334.7(OF)-337.5(UNDOCUMENTED)-335.7(AFRICANS)-23207.3(341)]TJ
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