HIV/AIDS in the Rural United States: Epidemiology and Health Services Delivery

Robin P Graham; Maureen L. Forrester; Jere A. Wysong; Thomas C. Rosenthal; Paul A. James

doi:10.1177/107755879505200401

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HIV/AIDS in the Rural United States: Epidemiology and Health Services Delivery

Journal article

Peer reviewed

HIV/AIDS in the Rural United States: Epidemiology and Health Services Delivery

Robin P Graham, Maureen L. Forrester, Jere A. Wysong, Thomas C. Rosenthal and Paul A. James

Medical care research and review, Vol.52(4), pp.435-452

12/01/1995

DOI: 10.1177/107755879505200401

PMID: 10153308

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Abstract

This integrated research review addresses the epidemiology of rural human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and the organization, financing, and delivery of health services for rural persons living with HIV or AIDS (PLWHIVs, PLWAs). Several abstracting services, indexing services, and bibliographies were searched. An annotation form served as the guideline for data extraction. Several conclusions emerged from this review. Epidemiological evidence indicates that there has been a dramatic increase in the relative proportion of rural HIV/AIDS incident cases over the past 5 years. Explanations for the rural increase focus on injection drug use, heterosexual behavior, and sexually transmitted disease levels. Dramatically elevated rates of infection in rural Black women are indicated. Rural areas experience important levels of in-migration of HIV/AIDS-infected individuals. The health services literature suggests that rural providers and institutions have limited resources and little experience with PLWHIVs or PLWAs.

Details

Title: Subtitle: HIV/AIDS in the Rural United States: Epidemiology and Health Services Delivery
Creators: Robin P Graham - University at Buffalo, State University of New York
Maureen L. Forrester - University at Buffalo, State University of New York
Jere A. Wysong - University at Buffalo, State University of New York
Thomas C. Rosenthal - University at Buffalo, State University of New York
Paul A. James - University at Buffalo, State University of New York
Resource Type: Journal article
Publication Details: Medical care research and review, Vol.52(4), pp.435-452
DOI: 10.1177/107755879505200401
PMID: 10153308
NLM abbreviation: Med Care Res Rev
ISSN: 1077-5587
eISSN: 1552-6801
Publisher: Sage Publications
Number of pages: 18
Language: English
Date published: 12/01/1995
Academic Unit: Family and Community Medicine
Record Identifier: 9985217031702771

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