The care of HIV-infected adults in rural areas of the United States
The care of HIV-infected adults in rural areas of the United States
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DOI：
10.1097/00126334-200112010-00013
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发表时间：
2001-12-01
期刊：
影响因子：
--
通讯作者：
Bozzette, SA
中科院分区：
文献类型：
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作者：
Cohn, SE;Berk, ML;Bozzette, SA
目的：这项研究描述了人口的艾滋病毒感染的成年人接受护理在农村地区的美国和比较艾滋病毒的护理接受农村和城市area.Methods：访谈进行了全国代表性的样本367艾滋病毒感染的成年人接受医疗保健在农村地区和2806艾滋病毒感染的成年人接受医疗保健在城市地区的毗邻美国。我们估计，1996年上半年，有4 800名艾滋病毒感染者在农村地区接受了治疗。农村艾滋病毒护理的患者比城市艾滋病毒护理的患者更有可能接受很少（< 10）艾滋病毒感染者的护理（38%对3%;p <0.001）。农村护理患者比城市护理患者更不可能在有指征时服用高活性抗逆转录病毒药物（57% vs. 73%; p < .001）或卡氏肺孢子虫肺炎预防药物（60% vs. 75%-，p = .006）。我们的研究结果表明，城市和农村地区在获得高质量的艾滋病毒护理方面存在差距。
Objective: This study describes the population of HIV-infected adults receiving care in rural areas of the United States and compares HIV care received in rural and urban areas.Methods: Interviews were conducted with a nationally representative sample of 367 HIV-infected adults receiving health care in rural areas and 2806 HIV-infected adults receiving health care in urban areas of the contiguous United States.Results: We estimate that 4800 HIV-infected persons received medical care in rural areas during the first half of 1996. Patients in rural HIV care were more likely than patients in urban HIV care to receive care from providers seeing few (< 10) HIV-infected patients (38% vs. 3%;p < .001). Rural care patients were less likely than urban care patients to have taken highly active antiretroviral agents (57% vs. 73%; p < .001) or Pneumocystis carinii pneumonia prophylactic medication when indicated (60% vs. 75%-, p = .006).Conclusions: Few American adults received HIV care in rural areas of the United States. Our findings suggest ongoing disparities between urban and rural areas in access to high-quality HIV care.