Binational Care-Seeking Behavior and Health-Related Quality of Life Among HIV-Infected Latinos in the U.S.-Mexico Border Region

摘要

Although binational health care seeking is common among HIV-infected Latinos living near the U.S.-Mexico border, information is lacking on whether regional indicators of health access are associated with Health-Related Quality of Life (HRQL). This study examined health care seeking behaviors across 4 HRQL domains (Emotional Well-Being, Cognitive Functioning, Physical Functioning, and Pain) using linear regression. HIV-infected Latinos (n = 239) were recruited from U.S. community clinics situated near California’s border with Mexico. The Spanish-language (81%) and male (84%) dominant population had generally positive indicators of HRQL. AIDS diagnosis predicted poorer HRQL (Cognitive Functioning, Physical Functioning, and Pain), as did receipt of traditional medications/herbs in Mexico (Physical Functioning and Pain). Staying 1 or more months in Mexico in the previous year was associated with higher Cognitive Functioning and less pain. Border-related factors were inconsistently implicated in HRQL measures. Improved understanding of complementary and alternative medicine use by HIV-infected Latinos is warranted.