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Rural Health
Resources by Topic: HIV and AIDS

Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program — United States, March 2023–March 2024
Reports on people who ordered and used a direct-to-consumer HIV self-test through the Together TakeMeHome HIV self-test distribution program. Also provides data on related testing and services used by those requesting the self-test. Includes data by participant location for metropolitan, micropolitan, and noncore areas.
Author(s): Travis Sanchez, Robin J. MacGowan, Jennifer Hecht, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(24), 558-564
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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The Dynamic Risk Factors of Cardiovascular Disease Among People Living with HIV: A Real-World Data Study
Analyzes the relationship between cardiovascular disease (CVD) and people living with HIV (PLWH) in South Carolina. Examines risk factors for CVD among PLWH by breaking down data by health status and sociodemographic variables, including rural versus urban residence.
Author(s): Ziang Liu, Jiajia Zhang, Xueying Yang, et al.
Citation: BMC Public Health, 24, 1162
Date: 04/2024
Type: Document
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Spatial and Temporal Analysis of HIV Clinical Outcomes in Florida Reveals Counties with Persistent Racial and Ethnic Disparities During 2012-2019
Analyzes health and treatment disparities among White, Hispanic, and Black people with HIV in Florida, covering viral suppression and immune reconstitution, impact of social and ecological factors, geographic variation, and changes over time. Utilizes 2012-2019 Florida Department of Health Ryan White program enrollee data. See Supplemental Table 1 for county-by-county data on risk of non-suppression among Black versus Non-Black people with HIV.
Author(s): Shannan N Rich, Yiyang Liu, Rebecca Fisk-Hoffman, et al.
Citation: BMC Public Health, 749
Date: 03/2024
Type: Document
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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A Mixed Methods Evaluation Assessing the Feasibility of Implementing a PrEP Data Dashboard in the Southeastern United States
Explores perspectives from clinicians, administrators, and data personnel related to implementing a pre-exposure prophylaxis (PrEP) dashboard that assists in providing preventive HIV infection care in rural Alabama. Analyzes survey data regarding the acceptability and feasibility of implementing a PrEP dashboard and the potential barriers of sustaining the technology long-term.
Author(s): Kaylee Burgan, C. Greer McCollum, Alfredo Guzman, et al.
Citation: BMC Health Services Research, 24, 101
Date: 01/2024
Type: Document
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Effectiveness of Syringe Services Programs
Presents a literature review of the studies evaluating SSP interventions across the country. Report aims to evaluate the overall efficacy of SSPs at reducing the transmission of HIV/HCV. Four of the 100 studies were conducted in completely rural settings, and 5 were conducted in both rural and urban settings. Makes recommendations for VA policy makers.
Additional links: Appendices, Executive Summary
Author(s): Katherine M. Mackey, Erin H. Beech, Beth E. Williams, et al.
Date: 12/2023
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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HIV Care and Treatment in Rural Communities: HRSA's Ryan White HIV/AIDS Program, 2021
Fact sheet providing an overview of the Ryan White HIV/AIDS Program in rural areas for the year 2021. Presents statistics on services delivered, impact, and client characteristics, and describes available resources.
Date: 11/2023
Type: Document
Sponsoring organization: HRSA HIV/AIDS Bureau
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Distance as a Barrier to HIV Testing Among Sexual and Gender Minority Populations in the Rural Southern US: A Cross-Sectional Study
Explores the role distance plays in access to HIV testing for gay, transgender, and gender non-conforming people in the rural southern U.S. Breaks down data by age, race, and distance traveled to receive care, among other measures.
Author(s): Alyssa Clausen, Rob B Stephenson, Patrick S Sullivan, et al.
Citation: Rural and Remote Health, 23(4), 8227
Date: 11/2023
Type: Document
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