Choosing Sides: HIV Health Care Practices among Shared Populations of HIV-Positive Latinos Living near the US-Mexico Border
Background: We compared HIV-positive patients receiving care in the border cities of San Diego, United States, with Tijuana, Mexico. Methods: Participants were HIV-positive Latinos (n = 233) receiving antiretroviral therapy (ART) from San Diego–Tijuana clinics (2009-2010). Logistic regression identi...
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Veröffentlicht in: | Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002) Ill. : 2002), 2012-12, Vol.11 (6), p.348-355 |
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Sprache: | eng |
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Zusammenfassung: | Background:
We compared HIV-positive patients receiving care in the border cities of San Diego, United States, with Tijuana, Mexico.
Methods:
Participants were HIV-positive Latinos (n = 233) receiving antiretroviral therapy (ART) from San Diego–Tijuana clinics (2009-2010). Logistic regression identified correlates of receiving HIV care in San Diego versus Tijuana.
Results:
Those with their most recent HIV visit in San Diego (59%) were more likely to be older, have at least a high school education, and were less likely to have been deported than those with last visits in Tijuana. Despite reporting better patient–provider relationships and less HIV-related stigma than those with visits in Tijuana, San Diego patients were twice as likely to make unsupervised changes in their ART regimen.
Conclusions:
We observed poorer relative adherence among HIV-positive Latinos receiving care in San Diego, despite reports of good clinical relationships. Further study is needed to ascertain underlying reasons to avoid ART-related resistance. |
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ISSN: | 1545-1097 2325-9574 1557-0886 2325-9582 |
DOI: | 10.1177/1545109712453854 |