AIDS in Rural and Small Town America

Smith, Joseph E.; Landau, Jeremy; Bahr, G. Richard

doi:10.1089/apc.1990.4.17

Cited by 30 publications

(7 citation statements)

References 2 publications

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“…The rural AIDS epidemic of the 21st century is very different from the epidemic described by early writers (c.f., Patton, 1989;Rounds, 1988;Smith, Landau, & Bahr, 1990;Verghese, Berk, & Sarubbi, 1989). As compared to the late 1980s, HIV-positive rural residents now are more likely to be non-White, female, heterosexual, and locally infected (Graham, Forrester, Wysong, Rosenthal, & James, 1995;Whetten-Goldstein, Nguyen, & Heald, 2001a).…”

Section: Methodsmentioning

confidence: 99%

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

McKinney¹

2002

The Journal of Rural Health

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This article reviews AIDS surveillance data and the rural health literature to summarize what is known about the rural AIDS epidemic, characteristics of rural environments that affect HIV service delivery, and approaches that rural areas are using to address the health and support service needs of HIV-positive residents. During 1999, nonmetropolitan (non-MSA) adult/adolescent AIDS rates were highest in the South (11 per 100,000) and Northeast (9 per 100,000). The South had the highest non-MSA proportion of adult/adolescent AIDS cases (12%), followed by the North Central region (9%), the West (4%), and the Northeast (3%). Variations in rural HIV/AIDS epidemiologic patterns and the demographic, socio-economic, and cultural characteristics of rural environments are likely to require different levels of resource investment and different methods of organizing and delivering HIV services. Currently, many HIV-positive rural residents are traveling to metropolitan areas for medical care because of concerns about confidentiality or a lack of confidence in the HIV management capabilities of local physicians. Rural communities are attempting to address these problems by developing the HIV care capacity of existing clinics, building local networks of physicians with HIV management experience, and cultivating "shared care" arrangements with urban-based specialists.

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Section: Methodsmentioning

confidence: 99%

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

McKinney¹

2002

The Journal of Rural Health

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“…Previous research has identified place of residence as a correlate of HIV disclosure. Rural residents tend to have more conservative moral values, stronger religious beliefs, less familiarity with HIV infection, and greater fears about loss of anonymity than those who live in urban areas (Casteneda, 2000;Rounds, 1988;Smith, Landau, & Bahr, 1990). This combination of attributes can lead to fear and intolerance, which results in lack of social support and ineffective coping behaviors among HIV-infected persons and their families.…”

Section: Factors Correlated With Felt Stigmamentioning

confidence: 99%

To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers^*

Shehan

Uphold²,

Bradshaw

et al. 2005

Family Relations

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Disclosing an HIV diagnosis to his mother may be the first step in a man's successful management of his illness, but it may also lead to added stress due to stigmatization. Analyzing data provided by 166 HIV-positive men who lived in the southeastern United States, we found that the most powerful correlate of disclosure was exposure to HIV through homosexual contact. Additionally, those who had AIDS rather than HIV and exhibited more severe symptoms were significantly more likely to have disclosed to their mothers; older and more highly educated men were significantly less likely to have done so. We discuss the implications of our findings for maternal caregiving to adult sons in middle and later life.

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“…These factors include advanced level of illness (4,5), lower income earners and holders of government owned or no medical insurance (6), lack of a usual source of care (7), living alone (8,9), and areas with low AIDS prevalence (10,11). Empirical work on the unmet oral health needs of HIV/AIDS patients in sub-Saharan Africa has not been done, but rather much effort has been directed towards documenting the prevalence of the oral manifestations of this disease.…”

Section: Introductionmentioning

confidence: 99%

Self-Perceived And Unmet General Health Need Among Plwha In Nigeria

Ogunbodede²,

So³

et al. 2009

East Afr. J. Pub. Health

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Objective: This study set out to determine the self-reported unmet health needs of people living with HIV/AIDS (PLWHA) in a Nigerian population. Methods: A prospective study conducted among consecutive 209 consenting PLWHA in the South-western Nigeria; who sought for care in the Obafemi Awolowo University Teaching Hospitals complex, Ile-Ife and General Hospital, Ilesa were recruited. Participants completed a comprehensive survey seeking information to determine their unmet needs in the following areas: Medication, Dental, Mental, Home care, Hospital admission, access to antiretroviral therapy and emergency services. Results: One or more unmet needs were reported by 79.4% of the sample. Needs for medication, home-based care and mental care were more likely to be unmet. There was a statistically significant relationship between unmet needs and living arrangements (p<0.05). Conclusions: Perceived oral health status was the factor that best predicted the unmet need. Perceived oral health status of these patients should be improved to reduce the level of the unmet needs.

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AIDS in Rural and Small Town America

Cited by 30 publications

References 2 publications

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers^*

Self-Perceived And Unmet General Health Need Among Plwha In Nigeria

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AIDS in Rural and Small Town America

Cited by 30 publications

References 2 publications

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

Variations in Rural AIDS Epidemiology and Service Delivery Models in the United States

To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers*

Self-Perceived And Unmet General Health Need Among Plwha In Nigeria

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About

To tell or not to tell: Men's disclosure of their HIV‐positive status to their mothers^*