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rewrite this in different wording Despite global progress in HIV treatment, border regions continue to experience disparities in testing, treatment, and prevention (Rosales et al., 2023). These communities often have lower socioeconomic status, poor access to healthcare, and limited HIV awareness. Structural barriers, including fragmented healthcare systems and insufficient binational communication, further complicate efforts to manage HIV (Gandhi et al., 2025). Without intervention, these factors may contribute to higher transmission rates and worse health outcomes for people living with HIV.

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