UCSD

María Luisa Zúñiga, PhD

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Biography

 


Dr. María Luisa Zúñiga is an epidemiologist and Faculty member in the Department of Family & Preventive Medicine at the UCSD School of Medicine. Dr. Zúñiga has earned a national reputation as a researcher specializing in barriers to health care and health care utilization practices among Latino populations living with human immunodeficiency virus (HIV), particularly those living in the U.S.-Mexico border region. Areas of expertise include HIV-related stigma; language and culture-mediated barriers to care; binational health care access; and inequities in care access, including disparities in HIV clinical research participation.

Dr. Zúñiga has developed opportunities to expand her research collaborations in the field of global health and HIV. Dr. Zúñiga serves as a core faculty member in the USAID-funded "Cross-Border HIV/AIDS Prevention Training Program in Northwest Mexico Border Region" (Project TIES) where she has collaborated with research colleagues from the US and México to develop and teach – in Spanish – an epidemiology/public health module for cross-border training of health professionals in HIV/AIDS and Tuberculosis. Through this and additional collaborations, Dr. Zúñiga has forged collegial relationships with HIV/AIDS researchers on both sides of the U.S.-Mexico border.  Examples of these collegial relationships include the opportunity to network with scientists from other National Institutes of Health (NIH) funded research projects in HIV border health and an opportunity to work with researchers on a National Institutes of Drug Abuse (NIDA) study of the epidemiology of HIV and blood-born viruses among injection drug users in Tijuana, Baja California, Mexico.

Dr. Zúñiga's National Institutes of Health (NIH), National Center on Minority Health & Health Disparities (NCMHD), Comprehensive Research Center in Health Disparities (CRCHD) funded pilot project is described below.

 

See Also:   Selected Publications

Pilot Research

Dr. Zúñiga's study was developed in response to the disproportionately low number of persons of color enrolled in HIV/AIDS clinical research studies and the disproportionately higher number of new AIDS cases among Latinos. Dr. Zúñiga's study had five specific aims to assess:

  1. HIV+ Latino patient knowledge about and perception of access to HIV/AIDS clinical trials,
  2. HIV Primary Care Provider confidence in identifying HIV/AIDS related health issues confidence in ability to appropriately refer patients to HIV research trials, and knowledge of where to refer patients for enrollment in clinical trials,
  3. HIV Primary Care Provider perceived consistency in decision criteria for referral of patients to research studies,
  4. HIV/AIDS Case Manager potential role as a venue for promoting patients to ask about clinical trial participation, and
  5. HIV Research Recruiter perception of barriers and facilitators to Latino patient enrollment in clinical trials.
40 Latina women were recruited from three clinics within San Diego County. Each woman answered 29 closed and open-ended questions from a survey that was administered in their preferred language (Spanish or English). With the results from this instrument, the research team categorized themes and coded the qualitative data. Interviews of 40 HIV+ Latinas and 14 HIV service providers were carried out. The study found that "respondents' perceived barriers [for participation in clinical studies were]: fear of participation (32%), lack of information (18%), and denial of illness (13%)." From the data and results from this Pilot Study, Dr. Zúñiga applied and received a K01 award, the five-year Scientist Development Award for New Minority Faculty from the National Institutes of Mental Health. Her new NIMH study is entitled "Behavior & Clinical Trials Participation in HIV+ Latinos.



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