Rural–Urban Differences in HIV Viral Loads and Progression to AIDS among New HIV Cases

Weissman, Sharon; Duffus, Wayne A.; Iyer, Medha; Chakraborty, Hrishikesh; Samantapudi, Ashok Varma; Albrecht, Helmut

doi:10.14423/smj.0000000000000255

Cited by 39 publications

(33 citation statements)

References 1 publication

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“…; Weissman et al. ). Rural residents are more likely be hospitalized for ambulatory care–sensitive conditions, be diagnosed at a later cancer stage, and experience worse outcomes for chronic kidney disease (Spoont et al.…”

Section: Discussionmentioning

confidence: 98%

Differences in Hospital Readmission Risk across All Payer Groups in South Carolina

Chakraborty

Axon

Brittingham

et al. 2016

Health Services Research

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Section: Discussionmentioning

confidence: 98%

Differences in Hospital Readmission Risk across All Payer Groups in South Carolina

Chakraborty

Axon

Brittingham

et al. 2016

Health Services Research

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“…One study of the US veteran population identified a positive association between rural-small town/remote residence and high ART adherence during the year after ART initiation, and another study of a nonurban population showed no difference at diagnosis but significantly more rapid progression to AIDS in the nonurban group. 10 , 70 Even within the same state, however, findings conflict. In contrast to the findings of no difference in virologic suppression at one year, another study in SC in which statewide viral load values from 2005 to 2012 were analyzed found that mean viral load decreases were significantly affected by urban versus nonurban residence with urban residents having better viral load decreases.…”

Section: The Hiv Continuum Of Care In the Nonurban Contextmentioning

confidence: 98%

The Continuum of HIV Care in Rural Communities in the United States and Canada: What Is Known and Future Research Directions

Schafer

Albrecht

Dillingham

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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The nature of the HIV epidemic in the United States and Canada has changed with a shift toward rural areas. Socioeconomic factors, geography, cultural context, and evolving epidemics of injection drug use are coalescing to move the epidemic into locations where populations are dispersed and health care resources are limited. Rural–urban differences along the care continuum demonstrate the implications of this sociogeographic shift. Greater attention is needed to build a more comprehensive understanding of the rural HIV epidemic in the United States and Canada, including research efforts, innovative approaches to care delivery, and greater community engagement in prevention and care.

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“…The heaviest burden of domestic HIV infection, morbidity, and mortality lies in the American South . Although early diagnosis and continuity of treatment are essential to the overall well‐being and survival of Persons Living with HIV (PLWH), delayed diagnosis, deferred HIV care linkage, and attrition to treatment are prominent issues in the South . Nonmetropolitan (rural and suburban) areas are of particular concern, as these regions have the most rapid growth of HIV infection rates and AIDS‐related deaths .…”

mentioning

confidence: 99%

Variation in Networks and Forms of Support for Care‐Seeking Across the HIV Care Continuum in the Rural Southeastern United States

Hill

Huff

Chumbler

2017

The Journal of Rural Health

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Purpose In spite of progress in understanding the importance of social support for health outcomes in Persons Living with HIV (PLWH), more remains to be known about mechanisms of support most beneficial at each stage of HIV treatment. In this study, we use a qualitative analytic approach to investigate the forms and sources of social support deemed most integral to the diagnosis, care engagement, and medication adherence behaviors of a diverse sample of PLWH in a mostly rural health district in the Southeastern United States. Methods In‐depth interviews (N = 18) were collected during the qualitative phase of a larger mixed methods needs assessment for the Northeast Georgia Health District. A deductive‐inductive analysis of participant narratives revealed variation in the perceived importance of particular forms and sources of social support during the initial versus advanced stages of HIV care. Findings PLWH identified the emotional, informational, and appraisal support provided by family as especially critical for emotional stability, coping, and care linkage during the initial stages of diagnosis and treatment. However, once in care, PLWH emphasized informational and instrumental forms of support from care providers and appraisal support from peers as key influences in care engagement and retention behaviors. Conclusion Increased understanding of the social support mechanisms that contribute to the HIV treatment behaviors of PLWH can fill knowledge gaps in research and inform the efforts of health care providers seeking to leverage various aspects of the social support toward improving the care retention, health, and wellness outcomes of PLWH.

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Rural–Urban Differences in HIV Viral Loads and Progression to AIDS among New HIV Cases

Cited by 39 publications

References 1 publication

Differences in Hospital Readmission Risk across All Payer Groups in South Carolina

Differences in Hospital Readmission Risk across All Payer Groups in South Carolina

The Continuum of HIV Care in Rural Communities in the United States and Canada: What Is Known and Future Research Directions

Variation in Networks and Forms of Support for Care‐Seeking Across the HIV Care Continuum in the Rural Southeastern United States

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