HIV/AIDS in nonurban Alabama: risk activities and access to services among HIV-infected persons.

Beltrami JF, Vermund SH, Fawal HJ, Moon TD, Von Bargen JC, Holmberg SD
South Med J. 1999 92 (7): 677-83

PMID: 10414476 · DOI:10.1097/00007611-199907000-00006

BACKGROUND - Because AIDS is increasing in rural areas and small cities of the United States, we sought to further describe the epidemiology of HIV/AIDS in nonurban Alabama.

METHODS - Extensive interviews of HIV-infected residents of Alabama living outside of urban Birmingham were conducted at clinics throughout the state.

RESULTS - Of the 417 HIV-infected persons interviewed from January 1995 through January 1997, 310 (74%) were male, 229 (55%) were white, and 179 (43%) were black. Over time, increasing proportions of HIV infections have likely been acquired in nonurban areas. Of the 417 subjects, 43 (10%) had visited an STD clinic in the past year, and 31 (7%) had smoked crack-cocaine during the past month. Of the 166 persons who had been sexually active in the past month, 59 (36%) had used alcohol before sex and 56 (34%) used condoms inconsistently. Of the 417 subjects, 161 (39%) currently had no health insurance, and 68 (16%) had lost medical insurance since becoming HIV-infected.

CONCLUSION - HIV-infected persons in nonurban Alabama are likely to have practiced high-risk behavior, to have acquired HIV in nonurban settings, and to have inadequate health insurance.

MeSH Terms (19)

Adolescent Adult Aged Alabama Female Health Behavior Health Knowledge, Attitudes, Practice Health Services Accessibility HIV Infections Humans Male Medically Uninsured Middle Aged Needs Assessment Risk-Taking Risk Factors Rural Health Sexual Behavior Surveys and Questionnaires

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