AIDS
Volume 5, Issue 11, 1991, Pages 1373-1378

AIDS in rural eastern North Carolina - Patient migration: A rural AIDS burden (Article)

Rumley R.L.* , Shappley N.C. , Waivers L.E. , Esinhart J.D.
  • a Department of Medicine, E. Carolina School of Medicine, Greenville, NC 27858-4354, United States
  • b Department of Medicine, E. Carolina School of Medicine, Greenville, NC 27858-4354, United States
  • c Department of Medicine, E. Carolina School of Medicine, Greenville, NC 27858-4354, United States
  • d Department of Medicine, E. Carolina School of Medicine, Greenville, NC 27858-4354, United States

Abstract

A descriptive retrospective study on the AIDS and HIV patients of rural eastern North Carolina was performed. Our data show what appears to be a 'second wave' of HIV-related disease (HRD) in this area. Although most of our AIDS and HIV patients migrated from urban areas such as New York State, our patient population is now largely being replaced by locally infected or 'home-grown' patients. The epidemiological characteristics of rural HRD are significantly different to those of urban HRD: rural patients are more likely to be female, heterosexual, non-white, and younger. These epidemiological differences, along with limited medical and social services in a poor economic base, will make treating HRD a more difficult problem in rural areas than in traditional urban centers.

Author Keywords

Women AIDS HIV Adolescents Rural AIDS Heterosexual Patient migration Intravenous drug use Medical insurance

Index Keywords

patient care urban area rural area Human immunodeficiency virus infection insurance human epidemiology priority journal heterosexuality health United States homosexuality medicine Adolescent female Article drug use retrospective study medical care acquired immune deficiency syndrome
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0025990084&doi=10.1097%2f00002030-199111000-00015&partnerID=40&md5=7c43dfd5cc9157365ced3316119c0b80
DOI: 10.1097/00002030-199111000-00015
ISSN: 02699370
Cited by: 53
Original Language: English