This report, one in a series of Special Projects of National Significance (SPNS) Grantee updates, describes the urgent need for and access to quality health care along the U.S./Mexico Border. It discusses the Ryan White CARE Act SPNS Border Health initiatives established to eliminate health disparities for persons living with HIV/AIDS. The report includes charts that illustrate surveys conducted on the illness. This report includes tables.

Get the latest on culturally sensitive health care practices The United States-Mexico border region extends over 2,000 miles, and those residing there struggle to come to grips with several health and poverty challenges. Outreach and Care Approaches to HIV/AIDS Along the US-Mexico Border discusses the various complex factors influencing the control of HIV/AIDS along the US-Mexico Border. The book presents in-depth insights into the problems of language differences, lack of resources, poverty, culture, social stigma, fear of rejection from their communities, and other pressing issues dealing with this devastating health challenge. Practical approaches and strategies are detailed, emphasizing culturally sensitive health care practices. Outreach and Care Approaches to HIV/AIDS Along the US-Mexico Border reveals the latest research and assessment of services currently taking place in various states along this region. Innovative outreach strategies are described, along with accompanying studies detailing the program’s success in targeting a specific issue. The book is extensively referenced and includes numerous tables and figures to clarify ideas and quantify data. Topics in Outreach and Care Approaches to HIV/AIDS Along the US-Mexico Border include: Health Resources and Services Administration’s efforts of its HIV/AIDS Bureau (HAB) practical expanded HIV counseling and testing a study on personal lifestyles and demographics of 1200 HIV seropositive individuals current research on health access issues the New Mexico Border Health Initiative (NMBHI) use of peer outreach—with programmatic elements, implications for practice, and recommendations for program coordinators the implementation and evaluation of an AIDS Education and Training Center (AETC) physician training program examination of an effective pilot HIV prevention intervention targeting Mexican/Latino migrant day laborers counseling intervention for female sex workers Transcultural Case Management (TCM) intervention program and its results Outreach and Care Approaches to HIV/AIDS Along the US-Mexico Border shines a crucial spotlight on the neglected problem of HIV and AIDS along border areas. The book is an important addition to the literature for social workers, health care professionals, and anyone involved with providing effective social, educational, and clinical services to all individuals affected by HIV/AIDS.

The United States-Mexico border region extends over 2,000 miles, and those residing there struggle to come to grips with several health and poverty challenges. Outreach and Care Approaches to HIV/AIDS Along the US-Mexico Border discusses the various complex factors influencing the control of HIV/AIDS along the US-Mexico Border. The book presents in-depth insights into the problems of language differences, lack of resources, poverty, culture, social stigma, fear of rejection from their communities, and other pressing issues dealing with this devastating health challenge. Practical approaches and strategies are detailed, emphasizing culturally sensitive health care practices.

Research is lacking on the association between patient-physician relationships and antiretroviral therapy (ART) adherence among HIV-positive U.S. Latinos, who are disproportionately infected with HIV/AIDS and face barriers to HIV care and treatment. The aim of this study is to assess the relationship between patient-physician dialogue surrounding adherence and ART adherence, to inform potential areas of intervention to improve patient-provider communication surrounding adherence. This project is a part of a parent study entitled: "Barriers to Care and Treatment Practices in HIV-positive Latinos in the US-Mexico Border Region" whose aims are to assess binational health care seeking behavior, barriers to HIV care and HIV treatment utilization among HIV-positive Latinos along the US-Mexico border. Participants in San Diego, U.S. and Tijuana, Mexico answered a survey administered by trained interviewers, those who responded to questions from physician-patient relationship quality scale measures "Overall communication" and "Adherence dialogue" with their physician (Schneider et al., 2004) (n=199) were included in this study. We used logistic regression to identify factors independently associated with high satisfaction with both overall communication and adherence dialogue. Participants were 41 years old (SD=10), 77% male, single (67%), and with less than a high school education (61%). Being male, high school educated or having made 1 or more round trip border crossings in the last 6 months were associated with increased odds of high satisfaction with overall patient-provider communication and patient-provider ART adherence dialogue (p