Journal of Immigrant and Refugee Studies
Volume 8, Issue 3, 2010, Pages 241-260

Cross-cultural considerations in the recruitment of latinos of mexican origin into hiv/aids clinical trials in the U.S.-Mexico border region: Clinician and patient perspectives (Article)

Zúñiga M.L. , Blanco E. , Palinkas L.A. , Strathdee S.A. , Gifford A.L.
  • a Division of International Health and Cross Cultural Medicine, University of California, San Diego, La Jolla, CA 92093-0927, United States
  • b Division of International Health and Cross Cultural Medicine, University of California, San Diego, La Jolla, CA 92093-0927, United States
  • c School of Social Work, University of Southern California, Los Angeles, CA 92093-0927, United States
  • d University of California, San Diego, La Jolla, CA, United States
  • e Department of Veterans Affairs, Center for Health Quality, Outcomes and Economics Research, Bedford, MA, United States, Boston University, Boston, MA, United States

Abstract

Despite increasing prevalence of HIV among U.S. Latinos, participation in HIV clinical trials is low. Barriers to HIV clinical trial participation in U.S. Latinos are not well understood. Using in depth, semistructured interviews with HIV care providers serving HIV-positive Latinos and focus groups with HIV-positive Mexican origin Latinos, we assessed cross-cultural barriers (e.g., stigma and linguistic) to HIV clinical trials in San Diego, California, bordering Mexico. Cross-cultural barriers were explored using grounded theory analytical techniques. Patient-provider concordance on the nature of HIV-related stigma, linguistic barriers, the impact of U.S.- Mexico border on Latino patients and participation in clinical trials were found. Providers described care access challenges faced by patients of Mexican-origin, particularly in light of immigration and U.S. border policy. HIV-related stigma and communication barriers among Latinos remain important obstacles to clinical trials participation and care access in the United States. © Taylor & Francis Group, LLC.

Author Keywords

Health care access immigrants Clinical trials U.S.-mexico border HIV/AIDS

Index Keywords

Mexico [North America] participatory approach questionnaire survey border region Human immunodeficiency virus Latino people health care acquired immune deficiency syndrome disease prevalence United States immigrant population
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956032899&doi=10.1080%2f15562948.2010.501279&partnerID=40&md5=0c6b1dd4aeb37df14982604bb46a2d19
DOI: 10.1080/15562948.2010.501279
ISSN: 15562948
Original Language: English