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CAM use, including herbal therapies, seeking care from alternative healers, and religious practices may be implicated in HIV-related health disparities for US Latinos living with HIV, but research is lacking, particularly in the context of Alternarive healthcare utilization.

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In Aim 4 we will purposively sample 20 HIV clinicians on both sides of the border and conduct in-depth interviews. H3 Among HIV-positive CAM users, disclosure of CAM kn will be higher in Latino patients who report higher satisfaction with communication with clinicians than those who report lower satisfaction with clinicians.

CAM use, including herbal therapies, seeking care from alternative healers, and religious practices may be implicated in HIV-related health disparities for US Latinos living with HIV, but research is lacking, particularly in the context of binational healthcare utilization. Concern over clinician reaction to CAM may erode Latino patient-provider communication, yet assessment of CAM use from patient and clinician perspective and health system characteristics is also lacking.

Many people have mixed reviews about having swinger parties at the nudist resorts. Most importantly, while the odds of "getting lucky" were low, they were nonzero. The United States US -Mexico border is a demographically booming region characterized by a shared population living on either side of the border and who cross frequently to Tijuana or to San Diego; US HIV care providers working in the USMexico border region serve many Latinos who access services and care on both sides of the border.

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