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Rural Health
Resources by Topic: HIV and AIDS

Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
Type: Document
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Indian Health Service Fact Sheet: HIV in Indian Country
Fact sheet on HIV disparities in diagnosis, awareness of HIV status, receipt of care, and more among American Indian and Alaska Native (AI/AN) people. Discusses the Indian Health Service's National HIV/HCV/STI Program, which focuses on reducing HIV, hepatitis C, and other sexually transmitted infections in AI/AN communities.
Date: 12/2024
Type: Document
Sponsoring organization: Indian Health Service
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A Qualitative Study Identifying Implementation Strategies Using the i-PARIHS Framework to Increase Access to Pre-Exposure Prophylaxis at Federally Qualified Health Centers in Mississippi
Examines barriers and facilitators of pre-exposure prophylaxis (PrEP) use at Federally Qualified Health Centers (FQHCs) in Mississippi, utilizing interview data from 19 FQHC staff and 17 PrEP-eligible patients. Identifies implementation strategies to increase PrEP use and improve HIV prevention. Includes discussion of rural-specific factors influencing access.
Author(s): Trisha Arnold, Laura Whiteley, Kayla K. Giorlando, et al.
Citation: Implementation Science Communications, 5, 92
Date: 08/2024
Type: Document
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The State of Health in Tennessee: 2024 Annual Report to the 113th Tennessee General Assembly
Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Additional links: A Healthy Environment: Housing, A Healthy Life: Income and Poverty, A Healthy Start: Poverty & Food Insecurity, A Healthy System of Care: Access
Date: 08/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Ryan White HIV/AIDS Program: Ending the HIV Epidemic in the U.S. Initiative Data Report 2022
Reports on the Ryan White HIV/AIDS Program's Ending the HIV Epidemic in the U.S. (EHE) initiative, which supports expanded programs and services to people who are not receiving regular HIV care or are unaware of their HIV status. Covers program activities, services funded, program administration, and populations served. Discusses rural providers and programs.
Date: 08/2024
Type: Document
Sponsoring organization: HRSA HIV/AIDS Bureau
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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. Requires the creation of a free account to view.
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 of Women of U3 Populations Data Book 2024
Reports on the health of women in understudied, underrepresented, and underreported (U3) populations. Discusses social determinants of health, mortality, various health conditions, mental health, substance use, violence, and more. Discusses rural throughout including a review of rural data sources in Chapter 3.
Date: 05/2024
Type: Document
Sponsoring organization: National Institutes of Health
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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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Ryan White HIV/AIDS Program AIDS Education and Training Center (AETC) Program
Reports on the Ryan White HIV/AIDS Program's AIDS Education and Training Center (AETC) Program, which focuses on increasing the size and skills of the HIV clinical workforce, improving HIV care outcomes, and decreasing HIV transmission. Provides AETC Program data for the years 2017-2022 on participants' rural/suburban/urban employment settings and training events focused on rural and U.S.-Mexico border populations.
Date: 04/2024
Type: Document
Sponsoring organization: HRSA HIV/AIDS Bureau
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