Binational care-seeking behavior and health-related quality of life among HIV-infected Latinos in the U.S.-Mexico border region.

Division of Global Public Health, Department ofMedicine, University of California, San Diego, La Jolla, California, USA.
The Journal of the Association of Nurses in AIDS Care: JANAC (Impact Factor: 0.96). 12/2010; 22(3):162-72. DOI: 10.1016/j.jana.2010.09.001
Source: PubMed

ABSTRACT Although binational health care-seeking is common among HIV-infected Latinos living near the U.S.-Mexico border, information is lacking on whether regional indicators of health access are associated with Health-Related Quality of Life (HRQL). This study examined health care-seeking behaviors across four HRQL domains (emotional well-being, cognitive functioning, physical functioning, and pain) using linear regression. HIV-infected Latinos (n = 239) were recruited from U.S. community clinics situated near the border shared by California with Mexico. In general, the Spanish-speaking (81%) and male-dominant (84%) population had positive indicators of HRQL. AIDS diagnosis predicted poorer HRQL (cognitive functioning, physical functioning, and pain), as did receipt of traditional medications and/or herbs in Mexico (physical functioning and pain). Staying for 1 or more months in Mexico in the past year was associated with higher cognitive functioning and less pain. Border-related factors were inconsistently implicated in HRQL measures. Improved understanding of complementary and alternative medicine usage by HIV-infected Latinos is warranted.

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