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

Cohn, S E; Berk, M L; Berry, S H; Duan, N; Frankel, M R; Klein, J D; McKinney, M M; Rastegar, A; Smith, S; Shapiro, M F; Bozzette, S A

Cohn, S E; Berk, M L; Berry, S H; Duan, N; Frankel, M R; Klein, J D; McKinney, M M; Rastegar, A; Smith, S; Shapiro, M F; Bozzette, S A.

Afiliación

Cohn SE; University of Rochester, Rochester, New York, USA. susan_cohn@urmc.rochester.edu

J Acquir Immune Defic Syndr ; 28(4): 385-92, 2001 Dec 01.

Article en En | MEDLINE | ID: mdl-11707677

RESUMEN

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.

Asunto(s)

Infecciones por VIH/epidemiología; Encuestas de Atención de la Salud; Salud Rural; Adulto; Fármacos Anti-VIH/uso terapéutico; Terapia Antirretroviral Altamente Activa; Femenino; Infecciones por VIH/tratamiento farmacológico; Humanos; Masculino; Persona de Mediana Edad; Oportunidad Relativa; Pneumocystis; Neumonía por Pneumocystis/prevención & control; Encuestas y Cuestionarios; Estados Unidos/epidemiología

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Salud Rural / Encuestas de Atención de la Salud Tipo de estudio: Etiology_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Acquir Immune Defic Syndr Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2001 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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