title: Choosing sides: HIV health care practices among shared populations of HIV-positive Latinos living near the US-Mexico border.
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.
authors.affiliation: 1Department of Medicine, Division of Global Public Health, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Argentina E
authors.initials: AE
authors.lastname: Servin
authors.forename: Fátima A
authors.initials: FA
authors.lastname: Muñoz
authors.forename: Steffanie A
authors.initials: SA
authors.lastname: Strathdee
authors.forename: Justine
authors.initials: J
authors.lastname: Kozo
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Zúñiga
mesh_terms: D000328:Adult; D000367:Age Factors; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D000529:Complementary Therapies / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004522:Educational Status; D004641:Emigration and Immigration; D005260:Female; D006679:HIV Seropositivity / Q000188:drug therapy*; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D007348:Insurance, Health; D008297:Male; D055118:Medication Adherence; D008800:Mexico; D008875:Middle Aged; D010817:Physician-Patient Relations; D012725:Sexual Behavior; D057545:Social Stigma; D014481:United States
chemical_list: D019380:Anti-HIV Agents