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Rural Health
Resources by Topic: HIV and AIDS

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
Type: Document
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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
Type: Document
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
Type: Document
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
Type: Document
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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
Type: Document
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Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois
Highlights a study on access to opioid use disorder treatment services provided by local health departments in rural Illinois. Looks at services available, as well as county rates of opioid overdoses, HIV, and hepatitis C diagnosis rates.
Author(s): Colleen McLuckie, Mai T. Pho, Kaitlin Ellis, et al.
Citation: International Journal of Environmental Research and Public Health, 16(6), 989
Date: 03/2019
Type: Document
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Ending the HIV Epidemic: A Plan for America (Presentation Slides)
Presentation slides from the 2019 Presidential Advisory Council on HIV/AIDS (PACHA). Includes 2016 and 2017 data on new HIV diagnoses in the U.S. and territories most affected by the epidemic: 48 counties with 50% of the new HIV diagnoses, 7 states with disproportionate HIV diagnoses located in rural areas, the District of Columbia, and San Juan, Puerto Rico. Discusses the implementation plan that includes a focus on working in rural and other areas with high incidences of HIV.
Date: 03/2019
Type: Presentation Slides
Sponsoring organizations: HIV.gov, U.S. Department of Health and Human Services
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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
Presents a study on culturally adapted Cognitive Processing Therapy (CPT) to improve PTSD and substance abuse outcomes and lower the risk of contracting HIV in Native American women. Details data by age, education, and employment status, among other measures.
Author(s): Cynthia R. Pearson, Debra Kaysen, David Huh, Michele Bedard-Gilligan
Citation: AIDS and Behavior, 23(3), 695-706
Date: 03/2019
Type: Document
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Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Assessing Differences in CDC-Funded HIV Testing by Urbanicity, United States, 2016
Explores the rural, urban, and metropolitan differences in 2016 HIV testing funded by the Centers for Disease Control and Prevention (CDC). Includes demographic and geographic information for individuals tested for, or newly diagnosed with, HIV and analyzes data on linkages and referrals to HIV care and prevention services.
Author(s): Deesha Patel, Nicole Taylor-Aidoo, Angèle Marandet, Janet Heitgerd, Barbara Maciak
Citation: Journal of Community Health, 44(1), 95-102
Date: 02/2019
Type: Document
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