title: HIV positive Hispanic/Latinos who delay HIV care: analysis of multilevel care engagement barriers.
abstract: This article overviews a Health Resources and Services Administration (HRSA) study with a sample population consisting of 470 Hispanic/Latino persons living with HIV/AIDS who received primary HIV/AIDS medical services from one of five HRSA Special Projects of National Significance (SPNS) Border Health demonstration projects. The study purpose was to identify multilevel barriers that affect delayed entry into HIV/AIDS medical care among Hispanic/Latino persons living along the U.S.-Mexico border. Multilevel variables along individual, community/cultural, and structural/systems were assessed relative to delayed care entry. The results of this examination indicate that individual and structural/system-level variables affect delayed care entry, whereas support was not found for community/cultural-level barriers. Study findings inform treatment engagement strategies aimed to decrease HIV disease progression by bringing Hispanic/Latinos into care sooner.
authors.affiliation: Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA.
authors.forename: Marguerite S
authors.initials: MS
authors.lastname: Keesee
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Natale
authors.forename: Herman F
authors.initials: HF
authors.lastname: Curiel
mesh_terms: D003469:Culture; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control / Q000628:therapy*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care; D013997:Time Factors; D014481:United States; D014488:United States Health Resources and Services Administration