María Luisa Zúñiga
Biographic Data
| ID | 5125886 |
|---|---|
| NAME | María Luisa Zúñiga |
| GIVEN NAMES | María Luisa |
| FAMILY NAME | Zúñiga |
| SIGNATURE | ZÚÑIGA M L |
| AFFILIATIONS | San Diego State University |
| ORCID | 0000-0002-7324-3914 |
| VERIFIED | Yes |
| TOTAL WORKS | 32 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
“I see them persevering everyday”: Community support and Latine immigration at the busiest land border crossing in the United States
Community-based providers offer unique perspectives on resilience among Latine immigrant families living in the San Diego-Tijuana border region. Interpreted through the Community Resilience Framework (CRF), this pilot qualitative study examined provider perspectives on community-level sources of resilience and service gaps affecting Latine immigrant mothers and children. Based on a thematic analysis of 22 semi-structured interviews conducted in 2…
Looking through the cracks: Vulnerabilities and deprivation in the Brazilian open drug scenes
BACKGROUND: Cocaine use is increasing worldwide, and Brazil, located along major transatlantic trafficking routes, has experienced widespread availability of low-cost crack, which circulates predominantly in open drug scenes (ODS). ODS are public spaces where drug use, purchase, sale, and social interaction converge. While national surveys have identified these settings as central to crack use, their social, structural, and spatial characteristic…
Examining the effects of parental migration on youth mental health and substance use: A qualitative study in rural Yucatán, México
Poor mental health and substance use among youth and parents were perceived to be related to parental absence, stressors on the remaining parent or family, and undermined healthy parent-child attachment. Youth themselves are a source of insight for recommendations on interventions to reduce youth isolation and substance use risk. We recommend the intentional engagement of youth in developing intervention research and tailoring evidence-based inte…
Use of poppers (nitrite inhalants) among young men who have sex with men with HIV: A clinic-based qualitative study
Nitrite inhalants (poppers) are associated with HIV transmission and commonly used among young men who have sex with men (YMSM), a group at increased risk for HIV. Significant research gaps exist in understanding the context in which YMSM use poppers. Qualitative interviews were conducted with 15 YMSM (22-31 years) with HIV to better understand the context in which poppers are used and their impacts on HIV care outcomes, such as care retention an…
Modeling the impact of a supervised consumption site on HIV and HCV transmission among people who inject drugs in three counties in California, USA
Our models suggest that SCS is an important intervention to enable HCV elimination and could help end the HIV epidemic among PWID in California. It could also have additional benefits such facilitating pathways into drug treatment programs and preventing fatal overdose
In the era of universal test and treat in Uganda, recent intimate partner violence is not associated with subsequent ART use or viral suppression: Intimate Partner Violence and HIV Care Outcomes
Intimate partner violence (IPV) has been associated with delays throughout the HIV care continuum. This study explored prospective associations between experiences of past-year IPV and two HIV care outcomes in the context of current universal test and treat guidelines using two consecutive rounds of an ongoing HIV surveillance study conducted in the Rakai region of Uganda. Longitudinal logistic regression models examined associations between IPV,…
Prevalence and correlates of self-harm in a Southern California driving under the influence treatment setting
Background Suicide and driving under the influence of alcohol and other drugs are US public health epidemics. Research exploring the associations between driving under the influence and suicide presents a research gap. This study describes the prevalence and associations between demographic, alcohol and drug-related characteristics, depression, and self-harm (suicidal thoughts, behavior, and non-suicidal self-injury) among participants in a South…
Migration and Mobility: Correlates of Recent HIV Testing Among Substance Using Female Sex Workers at the Mexico–Guatemala Border
The goal of this paper is to determine the association between traveling to engage in sex work in another country and recent access to HIV testing among substance-using female sex workers (FSWs) in the Mexico-Guatemala border region. From 2012 to 2015, through modified time-location sampling and peer referral, 255 FSWs were recruited at Mexico's southern border. Participants completed questionnaires on sociodemographics, migration and mobility ex…
Modelling the contribution of incarceration and public health oriented drug law reform to HCV transmission and elimination among PWID in Tijuana, Mexico
Characterizing Self-Reports of Self-Identified Patient Experiences with Methadone Maintenance Treatment on an Online Community during Covid-19
Patients described unanticipated consequences to one-size-fits-all policies that are unevenly applied resulting in suboptimal dosing, increased perceived risk of acquiring COVID-19 at OTPs, and reduced interaction with OTP providers and staff. While preliminary, these results are formative for follow-up surveillance metrics for patients of OTPs as well as digitally-mediated resource needs for this online community. This study serves as a model of…
Intercepted journeys: Associations between migration and mobility experiences and depressive symptoms among substance using migrants at the Mexico-Guatemala border
Substance use and depressive psychiatric symptoms have been associated with migration and mobility. The Mexico-Guatemala border is a key transit point for internal, regional, and international migration flows. However, there is limited knowledge of the role of substance use, migration, and mobility on mental health among migrants at this border. Our paper explores the association of migration and mobility patterns with possible major depressive s…
Challenges for Latina Breast Cancer Patient Survivorship Care in a Rural US-Mexico Border Region
Rural US Latina breast cancer patients experience language barriers, health literacy issues, and limited access to health care resources that negatively impact survivorship care. This study explored the challenges to survivorship care for rural Latina breast cancer (BC) patients and approaches to supporting survivorship care plans (SCP) from the stakeholders' perspectives. Data were collected via eight focus groups (n = 40) and individual intervi…
Development of a Survivorship Care Plan (SCP) Program for Rural Latina Breast Cancer Patients: Proyecto Mariposa—Application of Intervention Mapping
Latina breast cancer survivors are less likely to receive a comprehensive Survivorship Care Plan (SCP) than non-Latina Whites. Evidence-based and theory driven interventions are needed to promote a culturally and linguistically responsive SCP. This paper describes the application of Intervention Mapping (IM) in the development of Proyecto Mariposa , a comprehensive SCP program targeting Latina breast cancer survivors living in a rural U.S.-Mexico…
Prevalence and correlates of “popper” (amyl nitrite inhalant) use among HIV-positive Latinos living in the U.S.-Mexico border region
Poppers (nitrite inhalants) are legal, commonly used by men who have sex with men, and associated with HIV acquisition, yet research is lacking on popper use and associated adverse outcomes. People living with HIV (PLWH) in the U.S.-Mexico border region lead binational lives, including accessing care and having sex and drug use partners on both sides of the border, with broad personal and public health implications. Understanding popper use provi…
Deportation and mental health among migrants who inject drugs along the US–Mexico border
This study describes the prevalence and factors of depressive symptoms among a sample of persons who inject drugs (PWID) with a history of deportation from the US in Tijuana, Mexico. In 2014, 132 deported PWID completed a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Short Depression Scale (CESD-10) screening instrument. Eligible participants were ≥18 years old, injected drugs in the past m…
Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico
An Exploratory Study of Internal Migration and Substance Use Among an Indigenous Community in Southern Mexico
The primary aim of this study was to explore the association between internal migration experience within Mexico and lifetime substance use among a sample of 442 indigenous persons from Yucatan, Mexico. Adjusting for potential confounding, correlates of lifetime substance use were assessed among participants with and without internal migration experience. Internal migration to a tourist destination was independently associated with higher odds (a…
Healthcare provider perspectives on barriers to HIV-care access and utilisation among Latinos living with HIV in the US-Mexico border
Latinos living with HIV residing in the US-Mexico border region frequently seek care on both sides of the border. Given this fact, a border health perspective to understanding barriers to care is imperative to improve patient health outcomes. This qualitative study describes and compares experiences and perceptions of Mexican and US HIV care providers regarding barriers to HIV care access for Latino patients living in the US-Mexico border region.…
A binational comparison of HIV provider attitudes towards the use of complementary and alternative medicine among HIV-positive Latino patients receiving care in the US–Mexico border region
Use of complementary and alternative medicine (CAM) is common among Latinos living with HIV in the United States (US)-Mexico border region. Health providers may vary in their approach to communicating acceptance or non acceptance of CAM use, which can undermine patient confidence in disclosing CAM use. Patient-provider communication about CAM is important because certain types of CAM can affect antiretroviral therapy (ART) adherence. We undertook…
Alcohol Use Behaviors Among Indigenous Migrants: A Transnational Study on Communities of Origin and Destination
Cultural Perceptions and Negotiations Surrounding Sexual and Reproductive Health Among Migrant and Non-migrant Indigenous Mexican Women from Yucatán, Mexico
Deportation History Among HIV-Positive Latinos in Two US–Mexico Border Communities
Perceived Discrimination and Religiosity as Potential Mediating Factors Between Migration and Depressive Symptoms: A Transnational Study of an Indigenous Mayan Population
The Social and Environmental Context of Cross-Border Drug Use in Mexico: Findings from a Mixed Methods Study of Young Injection Drug Users Living in San Diego, CA
The authors report the results of qualitative (n = 19) and quantitative (n = 545) interviews with young injection drug users (IDUs) in San Diego, California about their experiences using drugs in Tijuana, Mexico, and associated risks for HIV infection. Young IDUs who have ever traveled to Mexico (n = 365) used a variety of injection (54%) and noninjection (30%) drugs there and appear to be heavier users than those who have never traveled to Mexic…
A Binational Study of Patient-Initiated Changes to Antiretroviral Therapy Regimen Among HIV-positive Latinos Living in the Mexico–U.S. Border Region
Perceived Discrimination and Religiosity as Potential Mediating Factors Between Migration and Depressive Symptoms: A Transnational Study of an Indigenous Mayan Population
Impact of Individual-, Environmental-, and Policy-Level Factors on Health Care Utilization Among US Farmworkers
Objectives. We examined individual-, environmental-, and policy-level correlates of US farmworker health care utilization, guided by the behavioral model for vulnerable populations and the ecological model. Methods. The 2006 and 2007 administrations of the National Agricultural Workers Survey (n = 2884) provided the primary data. Geographic information systems, the 2005 Uniform Data System, and rurality and border proximity indices provided envir…
Influences of Cross-Border Mobility on Tuberculosis Diagnoses and Treatment Interruption Among Injection Drug Users in Tijuana, Mexico
Objectives. We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico. Methods. Injection drug users in Tijuana were recruited into a prospective cohort study during 2006 and 2007. We used weighted multivariate logistic regression to identify correlates of TB diagnoses. Results. Of the 1056 participants, 103 (9.8%) reported a history of TB, among whom 93% received anti-T…
Tools for Culturally Effective Care Gleaned from Community-Based Research
Discussion of and expansion upon a journal article that explains how community-based research can also teach the researchers lessons in culturally effective health care. Virtual Mentor is a monthly bioethics journal published by the American Medical Association
Barriers to HIV Care in the Context of Cross-Border Health Care Utilization among HIV-Positive Persons Living in the California/Baja California US-Mexico Border Region
Supporting Positive Living and Sexual Health (SPLASH): A Clinician and Behavioral Counselor Risk-Reduction Intervention in a University-Based HIV Clinic
Acceptance of a Nutrition Curriculum for HIV-Positive Latinos Living on the U.S.—Mexico Border
Patient-centered nutrition education and counseling can improve the health of HIV-positive persons. This article describes the development and implementation of a Spanish-language, community clinic—based, individually tailored, and culturally specific nutrition curriculum for HIV-positive Latinos living on the U.S.—Mexico border. Important considerations made in serving this population include low acculturation to U.S. culture, monolingual Spanis…
Influences of Cross-Border Mobility on Tuberculosis Diagnoses and Treatment Interruption Among Injection Drug Users in Tijuana, Mexico
Objectives. We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico. Methods. Injection drug users in Tijuana were recruited into a prospective cohort study during 2006 and 2007. We used weighted multivariate logistic regression to identify correlates of TB diagnoses. Results. Of the 1056 participants, 103 (9.8%) reported a history of TB, among whom 93% received anti-T…
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
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, Calif…
A Binational Study of Patient-Initiated Changes to Antiretroviral Therapy Regimen Among HIV-positive Latinos Living in the Mexico–U.S. Border Region
Impact of Individual-, Environmental-, and Policy-Level Factors on Health Care Utilization Among US Farmworkers
Objectives. We examined individual-, environmental-, and policy-level correlates of US farmworker health care utilization, guided by the behavioral model for vulnerable populations and the ecological model. Methods. The 2006 and 2007 administrations of the National Agricultural Workers Survey (n = 2884) provided the primary data. Geographic information systems, the 2005 Uniform Data System, and rurality and border proximity indices provided envir…
The Social and Environmental Context of Cross-Border Drug Use in Mexico: Findings from a Mixed Methods Study of Young Injection Drug Users Living in San Diego, CA
The authors report the results of qualitative (n = 19) and quantitative (n = 545) interviews with young injection drug users (IDUs) in San Diego, California about their experiences using drugs in Tijuana, Mexico, and associated risks for HIV infection. Young IDUs who have ever traveled to Mexico (n = 365) used a variety of injection (54%) and noninjection (30%) drugs there and appear to be heavier users than those who have never traveled to Mexic…
A binational comparison of HIV provider attitudes towards the use of complementary and alternative medicine among HIV-positive Latino patients receiving care in the US–Mexico border region
Use of complementary and alternative medicine (CAM) is common among Latinos living with HIV in the United States (US)-Mexico border region. Health providers may vary in their approach to communicating acceptance or non acceptance of CAM use, which can undermine patient confidence in disclosing CAM use. Patient-provider communication about CAM is important because certain types of CAM can affect antiretroviral therapy (ART) adherence. We undertook…
Alcohol Use Behaviors Among Indigenous Migrants: A Transnational Study on Communities of Origin and Destination
Cultural Perceptions and Negotiations Surrounding Sexual and Reproductive Health Among Migrant and Non-migrant Indigenous Mexican Women from Yucatán, Mexico
Deportation History Among HIV-Positive Latinos in Two US–Mexico Border Communities
Perceived Discrimination and Religiosity as Potential Mediating Factors Between Migration and Depressive Symptoms: A Transnational Study of an Indigenous Mayan Population
Healthcare provider perspectives on barriers to HIV-care access and utilisation among Latinos living with HIV in the US-Mexico border
Latinos living with HIV residing in the US-Mexico border region frequently seek care on both sides of the border. Given this fact, a border health perspective to understanding barriers to care is imperative to improve patient health outcomes. This qualitative study describes and compares experiences and perceptions of Mexican and US HIV care providers regarding barriers to HIV care access for Latino patients living in the US-Mexico border region.…
Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico
An Exploratory Study of Internal Migration and Substance Use Among an Indigenous Community in Southern Mexico
The primary aim of this study was to explore the association between internal migration experience within Mexico and lifetime substance use among a sample of 442 indigenous persons from Yucatan, Mexico. Adjusting for potential confounding, correlates of lifetime substance use were assessed among participants with and without internal migration experience. Internal migration to a tourist destination was independently associated with higher odds (a…
Deportation and mental health among migrants who inject drugs along the US–Mexico border
This study describes the prevalence and factors of depressive symptoms among a sample of persons who inject drugs (PWID) with a history of deportation from the US in Tijuana, Mexico. In 2014, 132 deported PWID completed a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Short Depression Scale (CESD-10) screening instrument. Eligible participants were ≥18 years old, injected drugs in the past m…
Prevalence and correlates of “popper” (amyl nitrite inhalant) use among HIV-positive Latinos living in the U.S.-Mexico border region
Poppers (nitrite inhalants) are legal, commonly used by men who have sex with men, and associated with HIV acquisition, yet research is lacking on popper use and associated adverse outcomes. People living with HIV (PLWH) in the U.S.-Mexico border region lead binational lives, including accessing care and having sex and drug use partners on both sides of the border, with broad personal and public health implications. Understanding popper use provi…
Development of a Survivorship Care Plan (SCP) Program for Rural Latina Breast Cancer Patients: Proyecto Mariposa—Application of Intervention Mapping
Latina breast cancer survivors are less likely to receive a comprehensive Survivorship Care Plan (SCP) than non-Latina Whites. Evidence-based and theory driven interventions are needed to promote a culturally and linguistically responsive SCP. This paper describes the application of Intervention Mapping (IM) in the development of Proyecto Mariposa , a comprehensive SCP program targeting Latina breast cancer survivors living in a rural U.S.-Mexico…
Characterizing Self-Reports of Self-Identified Patient Experiences with Methadone Maintenance Treatment on an Online Community during Covid-19
Patients described unanticipated consequences to one-size-fits-all policies that are unevenly applied resulting in suboptimal dosing, increased perceived risk of acquiring COVID-19 at OTPs, and reduced interaction with OTP providers and staff. While preliminary, these results are formative for follow-up surveillance metrics for patients of OTPs as well as digitally-mediated resource needs for this online community. This study serves as a model of…
Intercepted journeys: Associations between migration and mobility experiences and depressive symptoms among substance using migrants at the Mexico-Guatemala border
Substance use and depressive psychiatric symptoms have been associated with migration and mobility. The Mexico-Guatemala border is a key transit point for internal, regional, and international migration flows. However, there is limited knowledge of the role of substance use, migration, and mobility on mental health among migrants at this border. Our paper explores the association of migration and mobility patterns with possible major depressive s…
Challenges for Latina Breast Cancer Patient Survivorship Care in a Rural US-Mexico Border Region
Rural US Latina breast cancer patients experience language barriers, health literacy issues, and limited access to health care resources that negatively impact survivorship care. This study explored the challenges to survivorship care for rural Latina breast cancer (BC) patients and approaches to supporting survivorship care plans (SCP) from the stakeholders' perspectives. Data were collected via eight focus groups (n = 40) and individual intervi…
Prevalence and correlates of self-harm in a Southern California driving under the influence treatment setting
Background Suicide and driving under the influence of alcohol and other drugs are US public health epidemics. Research exploring the associations between driving under the influence and suicide presents a research gap. This study describes the prevalence and associations between demographic, alcohol and drug-related characteristics, depression, and self-harm (suicidal thoughts, behavior, and non-suicidal self-injury) among participants in a South…
Migration and Mobility: Correlates of Recent HIV Testing Among Substance Using Female Sex Workers at the Mexico–Guatemala Border
The goal of this paper is to determine the association between traveling to engage in sex work in another country and recent access to HIV testing among substance-using female sex workers (FSWs) in the Mexico-Guatemala border region. From 2012 to 2015, through modified time-location sampling and peer referral, 255 FSWs were recruited at Mexico's southern border. Participants completed questionnaires on sociodemographics, migration and mobility ex…
Medicine (29 works) · Environmental health (19 works) · HIV/AIDS Research and Interventions (18 works) · Sociology (17 works) · HIV, Drug Use, Sexual Risk (15 works) · Psychiatry (15 works) · Public health (14 works) · Demography (13 works) · Family medicine (13 works) · Gerontology (13 works)