Barriers to HIV Care in the Context of Cross-Border Health Care Utilization among HIV-Positive Persons Living in the California/Baja California US-Mexico Border Region
| Autor: | Steffanie A. Strathdee, María Luisa Zúñiga, Rosana Scolari, Jesse J. Brennan |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Anti-HIV Agents Epidemiology Service delivery framework Culture HIV Infections Logistic regression Severity of Illness Index California Health Services Accessibility Men who have sex with men Acquired immunodeficiency syndrome (AIDS) Environmental health Health care medicine Humans Medical prescription Life Style Mexico Demography business.industry Public health Public Health Environmental and Occupational Health virus diseases Emigration and Immigration Health Services Middle Aged medicine.disease Structured interview Female business Prejudice |
| Zdroj: | Journal of Immigrant and Minority Health. 10:219-227 |
| ISSN: | 1557-1920 1557-1912 |
| Popis: | We studied barriers to HIV care among HIV-positive Latinos in the US-Mexico border region, where HIV prevalence is increasing. HIV-positive participants receiving HIV care were recruited from clinics in Southern California and underwent structured interviews (n = 157). Logistic regression explored covariates associated withor =1 barrier to HIV care. HIV-positive patients were mostly male (84.7%), of Mexican-origin (82.8%), and had a mean age of 37.3 years. Among males (n = 133), 67% identified as men who have sex with men. In the prior year, patients received the following care in Mexico: HIV care (33.1%), non-HIV care (43.3%), prescription medications (51.6%), and traditional medications/herbs (17.2%). The most common barriers to HIV care included stigma and medication side effects concerns. Factors independently associated withor =1 barrier to HIV care were HIV diagnosis1 year ago; being of Mexican-origin; crossing the US-Mexico border5 times in the past year; obtaining medications in Mexico; and age. Findings illustrate that bi-national health care utilization is common, which has implications for HIV service delivery in both countries. Additional studies are needed to better understand individual, provider and system level barriers to HIV care in the San Diego/Tijuana border region. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink