Complementary & Alternative Medicine Use in HIV+ Latinos in the US-Mexico Border
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Purpose
The goal of The investigators community-based participatory research study is to identify the nature and extent of complementary and alternative medicine (CAM) use among HIV-positive Latinos on the San Diego/Tijuana border. CAM use among US Latinos living with HIV is associated with delayed utilization of and poor adherence to antiretroviral therapies (ARVs) that may exacerbate health disparities in HIV care access and health outcomes. This study will lead to development of culturally-effective interventions to improve access and adherence to HIV care in Latinos who face health disparities. The investigators hypothesis is that greater use of CAM will be observed among HIV-positive Latinos who report a) crossing the U.S. border more frequently, and b) having migrated to Tijuana or San Diego (e.g. from southern Mexico). The investigators also hypothesize that compared to HIV-positive Latinos who report using herbal CAM, those who do not use herbal CAM are more likely to be receiving ARVs and report higher levels of adherence to ARVs; Compared to HIV-positive Latinos who do not attend religious services regularly, those who attend religious services regularly are more likely to be receiving ARV; Compared to HIV- positive Latinos who report experiencing HIV related stigma, those who do not report experiencing HIV-related stigma are significantly more likely to be receiving ARVs.
| Condition |
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HIV Positive |
| Study Type: | Observational |
| Study Design: | Observational Model: Ecologic or Community Time Perspective: Cross-Sectional |
| Official Title: | Complementary & Alternative Care Behavior in HIV+ Latinos in the US-Mexico Border |
| Estimated Enrollment: | 260 |
| Study Start Date: | September 2009 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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HIV-Positive Latinos living in San Diego or Tijuana
This is an exploratory study of Latinos living with HIV in the San Diego-Tijuana US-Mexico border region.
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Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
The population will be selected from 2 locations: 1. San Diego: San Ysidro Health Center(SYHC) will serve as the recruitment site on the US side of the border. Latinos comprise >90% of SYHC's patient population. SYHC provides HIV primary medical care to over 400 HIV-positive individuals. SYHC's HIV-positive Latino patient population includes persons who may or may not be on ARVs and who participate in clinic services to varying degrees. Previous studies with HIV-positive patients at SYHC indicate cross-border mobility and bi-national care seeking behavior in this clinic population. 2.Tijuana: The Agencia Familiar Binacional (AFABI;Binational Health Agency) opened the first HIV medical and social services agency clinic in Tijuana. This clinic is in close proximity to the municipal health clinic, where a large number of HIV-positive cases are diagnosed, and is linked with other non-profit social services agencies for HIV-positive persons, many of whom face barriers to ARVs.
Inclusion Criteria:
- Latino
- Speak English or Spanish or both
- Lived in San Diego or Tijuana for at least 1 month in the last year
- 18 years or older
- HIV-positive or living with AIDS
Exclusion Criteria:
- Non-Latino
- Speak neither English nor Spanish
- Have not lived in San Diego or Tijuana for at least 1 month in the last year
- Under 18 years of age
- Not HIV-positive or living with AIDS
Contacts and Locations| Contact: Justine Kozo, MPH | 619-681-0641 | jkozo@ucsd.edu |
| Contact: Maria L Zúñiga, PhD | 619-681-0689 | mzuniga@ucsd.edu |
| United States, California | |
| San Ysidro Health Center | Recruiting |
| San Ysidro, California, United States, 92173 | |
| Contact: Justine Kozo, MPH | |
| Principal Investigator: Rosana Scolari, MPH | |
| Principal Investigator: | Maria L Zúñiga, PhD | University of California, San Diego |
More Information
No publications provided
| Responsible Party: | Zuniga De Nuncio, Maria, Principal Investigator, University of California, San Diego |
| ClinicalTrials.gov Identifier: | NCT01152684 History of Changes |
| Other Study ID Numbers: | R21 AT004676-01A1, R21AT004676-01A1 |
| Study First Received: | June 25, 2010 |
| Last Updated: | March 14, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by University of California, San Diego:
|
CAM HIV-Positive Latinos |
US-Mexico Border region San Diego-Tijuana Identify the nature and extent of complementary and alternative medicine use among HIV-positive Latinos in the US-Mexico border region |
Additional relevant MeSH terms:
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HIV Seropositivity HIV Infections Lentivirus Infections Retroviridae Infections RNA Virus Infections |
Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013