The care of HIV-infected adults in rural areas of the United States

Susan E. Cohn*, Marc L. Berk, Sandra H. Berry, Naihua Duan, Martin R. Frankel, Jonathan D. Klein, Martha M. McKinney, Afshin Rastegar, Stephen Smith, Martin F. Shapiro, Samuel A. Bozzette

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

56 Scopus citations

Abstract

Objective: This study describes the population of HIV-infected adults receiving care in rural areas of the United States and compares HIV care received in rural and urban areas. Methods: Interviews were conducted with a nationally representative sample of 367 HIV-infected adults receiving health care in rural areas and 2806 HIV-infected adults receiving health care in urban areas of the contiguous United States. Results: We estimate that 4800 HIV-infected persons received medical care in rural areas during the first half of 1996. Patients in rural HIV care were more likely than patients in urban HIV care to receive care from providers seeing few (<10) HIV-infected patients (38% vs. 3%; p < .001). Rural care patients were less likely than urban care patients to have taken highly active antiretroviral agents (57% vs. 73%; p < .001) or Pneumocystis carinii pneumonia prophylactic medication when indicated (60% vs. 75%; p = .006). Conclusions: Few American adults received HIV care in rural areas of the United States. Our findings suggest ongoing disparities between urban and rural areas in access to high-quality HIV care.

Original languageEnglish (US)
Pages (from-to)385-392
Number of pages8
JournalJournal of Acquired Immune Deficiency Syndromes
Volume28
Issue number4
DOIs
StatePublished - Dec 1 2001

Keywords

  • AIDS
  • Cohort studies
  • Epidemiology
  • Health services research
  • Health services/utilization
  • Rural health care
  • United States

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'The care of HIV-infected adults in rural areas of the United States'. Together they form a unique fingerprint.

Cite this