Choosing sides: HIV health care practices among shared populations of HIV-positive Latinos living near the US-Mexico border.
J Int Assoc Physicians AIDS Care (Chic)
; 11(6): 348-55, 2012.
Article
de En
| MEDLINE
| ID: mdl-22930794
ABSTRACT
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.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Hispanique ou Latino
/
Séropositivité VIH
/
Agents antiVIH
/
Services de santé
Type d'étude:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Mexico
Langue:
En
Journal:
J Int Assoc Physicians AIDS Care (Chic)
Sujet du journal:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Année:
2012
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique