Rural-urban differences in HIV viral loads and progression to AIDS among new HIV cases

Southern Medical Journal
Sharon WeissmanHelmut Albrecht

Abstract

The human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic in the United States has shifted to the South, where an increasing proportion is occurring in rural areas. We sought to gain a better understanding of the affected rural population in this region. The statewide HIV/AIDS Electronic Reporting System database was used to examine the epidemiological characteristics of newly diagnosed HIV cases in South Carolina from 2005 to 2011. Rural-urban differences were examined in sociodemographic and clinical characteristics, including progression to AIDS and a decline in HIV viral load (VL) to undetectable levels within 1 year of diagnosis. Of the 5336 individuals newly diagnosed as having HIV, 1433 (26.9%) were from rural areas. Compared with urban residents, a higher proportion of rural residents were black, non-Hispanic (80.1% vs 68.5%; P ≤ 0.0001) and reported heterosexual risk (28.8% vs 22.9%; P = 0.0007). The proportion of female patients was higher in rural areas (29.7% vs 26.4%; P = 0.016). No significant rural-urban differences were found in initial CD4(+) T-cell and VL counts or proportion obtaining an undetectable VL at 1 year. Rural residents were significantly more likely than urban resident...Continue Reading

References

Aug 16, 2013·AIDS Care·Susan S ReifWenfeng Gong

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Citations

Dec 18, 2016·AIDS Care·Babatunde EdunSharon Weissman
Apr 3, 2016·International Journal of STD & AIDS·Hrishikesh ChakrabortyHelmut Albrecht
Apr 8, 2017·International Journal of Environmental Research and Public Health·Ali Dehghani FirouzabadiKendra Johnson
Sep 30, 2016·Health Services Research·Hrishikesh ChakrabortyChristine B Turley
Mar 16, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Miranda HillNeale Chumbler
Feb 23, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Katherine R SchaferMichael E Ohl
Mar 2, 2017·Journal of Community Health·Susan ReifKathryn Whetten
Jan 31, 2018·The American Journal of Hospice & Palliative Care·Joanne HallFrankie West
Jun 5, 2018·Southern Medical Journal·Marlon RampaulSharon Weissman
Oct 20, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Kara M BensleyEmily C Williams
May 27, 2016·Journal of the International Association of Providers of AIDS Care·Caroline Boyd DerrickPaul Brandon Bookstaver
Jun 24, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brettania L W LopesSonia Napravnik
Aug 3, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Amy R BoardAnne Marie France
Oct 21, 2020·CMAJ Open·Denise JaworskyUNKNOWN Comparative Outcomes and Service Utilization Trends (COAST) Study
Jun 10, 2021·Open Forum Infectious Diseases·Folake J LawalJose A Vazquez

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