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Rural Health
Resources by Topic: HIV and AIDS

Integrating Responses to the Opioid Use Disorder and Infectious Disease Epidemics
Highlights the epidemic of infectious diseases co-occurring with opioid use disorder and the need for integrated treatment. Discusses barriers. such as workforce training, payment, and data sharing, among others. Includes suggestions for rural areas.
Author(s): Sandra A. Springer, Andrew P. Merluzzi, Carlos del Rio
Citation: JAMA, 324(1), 37-38
Date: 07/2020
Type: Document
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HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments — United States, 2009–2017
Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Regional Disparities in Qualified Health Plans' Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States
Results of a study examining differences in qualified health plans (QHPs) in the South, the Midwest, the West, and the Northeast, in terms of prior authorization requirements for combined tenofovir disoproxil fumarate and emtricitabine. Features statistics comparing 16,853 QHPs, with breakdowns by urban and rural areas.
Author(s): Kathleen A. McManus, Samuel Powers, Amy Killelea, Sebastian Tello-Trillo, Elizabeth Rogawski McQuade
Citation: JAMA Network Open, 3(6)
Date: 06/2020
Type: Document
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HIV Prevention and Treatment Challenges in Rural America
Provides an overview of the prevalence of HIV and access to HIV prevention and treatment services in rural communities. Discusses challenges to providing and accessing HIV prevention and treatment efforts in rural areas, including the lack of local healthcare services, the cost of care, and HIV-related stigma. Describes federal programs that support HIV prevention and treatment services in rural areas. Offers policy recommendations to address these barriers and to reduce rural HIV disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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"Meet People Where They Are": A Qualitative Study of Community Barriers and Facilitators to HIV Testing and HIV Self-Testing among African Americans in Urban and Rural Areas in North Carolina
Summarizes community-based strategies to increase testing among African Americans in both urban and rural areas of North Carolina. Identifies concerns over confidentiality, negative treatment by healthcare workers, and lack of support regarding self-testing kits. Discusses strategies such as decentralizing HIV testing, particularly in rural areas.
Author(s): Allison Mathews, Samantha Farley, Donaldson F. Conserve, et al.
Citation: BMC Public Health, 20(494)
Date: 04/2020
Type: Document
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Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Type: Document
Sponsoring organization: National Academy for State Health Policy
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Atlanta, Georgia, March 2-4, 2020
Summarizes the 87th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Atlanta, Georgia. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural maternal health and HIV prevention and treatment.
Date: 03/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Health Resources and Services Administration's Ryan White HIV/AIDS Program in Rural Areas of the United States: Geographic Distribution, Provider Characteristics, and Clinical Outcomes
Analyzes 2017 data from the HRSA Ryan White HIV/AIDS Program (RWHAP) Services Report to determine the program's reach in rural areas. Compares rural and urban characteristics for providers, services, clinical outcomes, and clients supported by RWHAP. Discusses barriers to rural HIV care delivery and RWHAP's mediation of those barriers.
Author(s): Pamela W. Klein, Tanya Geiger, Nicole S. Chavis, et al.
Citation: PLoS One, 15(3), 1-17
Date: 03/2020
Type: Document
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky. Breaks down data by age, gender, and site county, among other measures.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
Type: Document
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HIV Testing Outcomes Among Blacks or African Americans — 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017
Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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