Rural acquired immunodeficiency syndrome in low and high prevalence areas

Rural acquired immunodeficiency syndrome in low and high prevalence areas
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DOI:
10.1097/00007611-200093010-00007
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发表时间:
2000-01-01
影响因子:
1.1
通讯作者:
Berry, DE
Berry, DE
中科院分区:
医学4区
文献类型:
--
作者:
Berry, DE

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背景:人们对获得性免疫缺陷综合征(AIDS)在美国农村地区的传播知之甚少。本研究主要关注两个艾滋病低流行区和两个艾滋病高流行区5年来的变化。1993年进行的一项初步研究为这项研究提供了一个基线。根据调查地点的农村化程度、患病率水平和危险类别对数据进行分析。艾滋病病例数量的变化从缓慢稳定增长到流行病规模的增加不等。一些环境的特点是主要由白色同性恋男子,和其他人有一个更多样化的人口生活在贫困中。应扩大国家艾滋病基金优先考虑的人群,将美国农村地区作为目标群体,基金应为社区提供适应当地需求的自由度。
Background, Too little is understood about the spread of the acquired immunodeficiency syndrome (AIDS) in rural America. This study focuses on changes over 5 years in two low prevalence and two high prevalence human immunodeficiency virus (HIV) rural service areas.Methods. An initial study conducted in 1993 provided a base line for the study Each site was revisited in the summer of 1998. Data were analyzed by degree of rurality of the site, prevalence levels, and risk categories.Results. Changes in the number of AIDS cases ranged from slow steady growth to increases of an epidemic magnitude. Some settings were characterized primarily by white homosexual men, and others had a more diverse population living in poverty.Conclusions. Populations receiving priority for national AIDS funding should be expanded to include rural America as a target group, and funding should provide the latitude for communities to match their local needs.