Cross-Cultural Considerations in the Recruitment of Latinos of Mexican Origin into HIV/Aids Clinical Trials in the U.S.-Mexico Border Region

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

Clinical trial · Concordance · Family medicine · Focus group · Human immunodeficiency virus (HIV · Immigration · Political science · Psychiatry · Social stigma · Sociology · Stigma (botany · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Migration, Health and Trauma · Gerontology

• The Discovery of Grounded Theory

  Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

  Incluir item

• HIV vaccine trial preparedness among Spanish-speaking Latinos in the US

  Ronald A Brooks, P A Newman et al.•AIDS Care•2007

  Incluir item

• 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

  Open Access•María Luisa Zúñiga, Jesse J Brennan et al.•Journal of Immigrant and Minority…•2007

  Incluir item

• Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women

  Open Access•Peter A Vanable, Michael P Carey et al.•AIDS and Behavior•2006

  Incluir item

• Does Patient–Provider Racial/Ethnic Concordance Influence Ratings of Trust in People with HIV Infection

  Open Access•Nancy Sohler, Nancy Lynn Sohler et al.•AIDS and Behavior•2007

  Incluir item

• The Impact of HIV on Oral Health and Subsequent Use of Dental Services

  Open Access•Aram Dobalian, Ronald Andersen et al.•Journal of Public Health Dentistry•2003

  Incluir item

• Estimated Numbers of Men and Women Infected with HIV/Aids in Tijuana, Mexico

  Open Access•Kimberly C Brouwer, Steffanie A Strathdee et al.•Journal of Urban Health•2006

  Incluir item

• Basics of Qualitative Research

  Carolyn Ellis, Anselm Strau et al.•Contemporary Sociology A Journal…•1992

  Incluir item

• Revisiting the Behavioral Model and Access to Medical Care

  Ronald Andersen, Ronald M Andersen•Journal of Health and Social…•1995

  Incluir item