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首页> 美国卫生研究院文献>Frontiers in Public Health >CAM Practices and Treatment Adherence Among Key Subpopulations of HIV+ Latinos Receiving Care in the San Diego-Tijuana Border Region: A Latent Class Analysis
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CAM Practices and Treatment Adherence Among Key Subpopulations of HIV+ Latinos Receiving Care in the San Diego-Tijuana Border Region: A Latent Class Analysis

机译：圣地亚哥-蒂华纳边境地区接受艾滋病毒+拉丁美洲人护理的关键亚人群中的CAM实践和治疗依从性：潜在类别分析

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摘要

Latinos living in the United States-Mexico border region bear a disproportionate HIV/AIDS burden compared to individuals living in the interior of both nations and face a constellation of barriers that determine their ability to access and adhere to HIV care. Use of complementary and alternative medicine (CAM) may be associated with suboptimal treatment adherence. Sociodemographic factors, health practices, and social determinants of health unique to the border region may further contribute to health disparities that undermine care engagement and continuity. Improved understanding of HIV-positive Latino subgroups and their risk profiles can lead to more effective, targeted clinical and public health interventions. We undertook this study to identify and characterize distinct classes of HIV-positive Latinos in the San Diego-Tijuana border region, differentiated by HIV and border-related factors, utilizing latent class analysis. We investigated relationships between class membership and CAM utilization and self-reported antiretroviral therapy (ART) adherence. Five distinct classes were identified with unique demographic, HIV risk, and border mobility profiles. CAM was recently used by nearly half of each class, though there were significant differences in the proportion of CAM use by class ranging from 44.4 to 90.9%. As well, all classes were currently receiving ART at similarly high rates and ART adherence outcomes were not significantly different based on class. Findings highlight the significant use of CAM by all HIV-positive Latinos in the border region and imply the need for a research framework which appropriately acknowledges the heterogeneous nature of this population, such as intersectionality. Further research is recommended into understanding how patients integrate CAM into HIV treatment and the risks and benefits of incorporating CAM into HIV treatment.
机译：与生活在两个国家内部的人相比，生活在美国-墨西哥边境地区的拉美裔人承担了不成比例的艾滋病毒/艾滋病负担，并且面临着一系列障碍，这些障碍决定了他们获得和坚持接受艾滋病毒治疗的能力。补充和替代药物（CAM）的使用可能与治疗效果欠佳相关。边境地区特有的社会人口统计学因素，卫生习惯和健康的社会决定因素，可能进一步加剧健康差距，破坏卫生保健的参与和持续性。对艾滋病毒阳性拉丁裔亚组及其风险状况的了解加深，可以导致更有效，更有针对性的临床和公共卫生干预措施。我们进行了这项研究，以利用潜在类别分析来确定和表征圣地亚哥-蒂华纳边境地区的艾滋病毒阳性拉丁裔的不同类别，并按艾滋病毒和边境相关因素加以区分。我们调查了班级成员与CAM利用率和自我报告的抗逆转录病毒疗法（ART）依从性之间的关系。确定了五种不同的类别，它们具有独特的人口统计学，艾滋病毒风险和边境流动状况。尽管每个类别的CAM使用比例之间存在显着差异，范围从44.4％到90.9％，但最近每个类别中都使用了CAM。同样，所有班级目前都以相似的高比率接受抗逆转录病毒治疗，并且依班级对ART的依从性结果无显着差异。调查结果突显了边境地区所有HIV阳性拉丁美洲人对CAM的大量使用，并暗示需要一个研究框架来适当承认该人群的异质性，例如交叉性。建议进一步研究以了解患者如何将CAM纳入HIV治疗以及将CAM纳入HIV治疗的风险和收益。

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