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Rural Health Information Hub

Rural Health
Resources by Topic: HIV and AIDS

HIV in the Southern United States
Issue brief discussing the HIV epidemic in the South. Highlights the increased number of new HIV diagnoses in suburban and rural areas of the South compared to other regions in the U.S. Covers factors contributing to the HIV epidemic in the South and includes information on how to address these issues in rural communities.
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Ending HIV in America: Policy and Program Insights From Local Health Agencies and Providers
Report evaluates strategies for combating HIV and makes policy recommendations. Discusses access to services in rural areas. Highlights rural Scott County, Indiana as a case study.
Date: 09/2019
Sponsoring organization: Bipartisan Policy Center
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Racial and Ethnic Disparities in Use of a Personal Health Record by Veterans Living with HIV
Explores a study on the social and demographic characteristics of veterans with HIV who use My HealtheVet, a web-based personal health record system. Looks at age and rural versus urban location, among other factors.
Author(s): Sarah J Javier, Lara K Troszak, Stephanie L Shimada, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 696–702
Date: 08/2019
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Extending Access to Care Across the Rural US South: Preliminary Results from the Alabama eHealth Programme
Describes Alabama eHealth, a community-based initiative of Medical Advocacy and Outreach (MAO) that provides telehealth services to rural residents living with HIV. Discusses staff interviews describing barriers and successes to implementing the program. Evaluates the effectiveness and sustainability of the program by tracking patient appointment completion rates, CD4 counts, and viral loads. Table 1 provides an overview of Alabama eHealth affiliates and their roles in providing telehealth services.
Author(s): Kriti Jain, Prashanth Bhat, Cathy Maulsby, et al.
Citation: Journal of Telemedicine and Telecare, 25(5): 301-309
Date: 06/2019
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HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in 7 states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Author(s): Marc A. Pitasi, Kevin P. Delaney, John T. Brooks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Suboptimal Geographic Accessibility to Comprehensive HIV Care in the US: Regional and Urban–Rural Differences
Discusses access to HIV care facilities in urban and rural areas based on travel distance to care sites. Analyzes national data to determine average driving time to care sites and percentage of people living with HIV who have a drive time of greater than 30 minutes. Figure 1 offers a map of the contiguous U.S. representing HIV care sites and the population living with HIV/AIDS by county based on 2014 data.
Author(s): Steven P. Masiano, Erika G. Martin, Rose S. Bono, et al.
Citation: Journal of the International AIDS Society, 22(5), e25286
Date: 05/2019
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Diagnoses of HIV Infection Among Adults and Adolescents in Metropolitan Statistical Areas-United States and Puerto Rico, 2017
Presents data on HIV infection diagnoses in 2017 and the prevalence of adults and adolescents living with diagnosed HIV infection at year-end 2016 residing in metropolitan and nonmetropolitan areas in the U.S. and Puerto Rico. Nonmetropolitan data is included at the end of each table, after all the Metropolitan Statistical Areas are listed. Nonmetro data is available on HIV infection diagnoses in adults and adolescents by sex, sex and age, sex and race/ethnicity, sex and transmission category, and race/ethnicity and transmission category. Also includes mortality data by sex for nonmetropolitan areas.
Date: 05/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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Impact of Availability of Telehealth Programs on Documented HIV Viral Suppression: A Cluster-Randomized Program Evaluation in Veterans Health Administration
Explores the efficacy of the Veterans Administration (VA) telehealth programs in providing HIV specialty care to rural veterans. Looks at telehealth availability and evaluates the outcomes for participants.
Author(s): Michael E. Ohl, Kelly Richardson, Maria C. Rodriguez-Barradas, et al.
Citation: Open Forum Infectious Diseases, 206
Date: 05/2019
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Understanding the Public Health Consequences of Suspending a Rural Syringe Services Program: A Qualitative Study of the Experiences of People Who Inject Drugs
Details a study on the public health outcomes associated with discontinuing syringe services programs (SSPs) in rural areas where people who inject drugs (PWIDs) are prevalent. Focuses on the Kanawha-Charleston Health Department in West Virginia.
Author(s): Sean T. Allen, Suzanne M. Grieb, Allison O'Rourke, et al.
Citation: Harm Reduction Journal, 16
Date: 05/2019
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