Graham R P, Forrester M L, Wysong J A, Rosenthal T C, James P A
Buffalo School of Medicine and Biomedical Sciences, Department of Family Medicine, NY 14215, USA.
Med Care Res Rev. 1995 Nov;52(4):435-52. doi: 10.1177/107755879505200401.
This integrated research review addresses the epidemiology of rural human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and the organization, financing, and delivery of health services for rural persons living with HIV or AIDS (PLWHIVs, PLWAs). Several abstracting services, indexing services, and bibliographies were searched. An annotation form served as the guideline for data extraction. Several conclusions emerged from this review. Epidemiological evidence indicates that there has been a dramatic increase in the relative proportion of rural HIV/AIDS incident cases over the past 5 years. Explanations for the rural increase focus on injection drug use, heterosexual behavior, and sexually transmitted disease levels. Dramatically elevated rates of infection in rural Black women are indicated. Rural areas experience important levels of in-migration of HIV/AIDS-infected individuals. The health services literature suggests that rural providers and institutions have limited resources and little experience with PLWHIVs or PLWAs.
本综合研究综述探讨了农村地区人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）的流行病学情况，以及为农村地区感染HIV或患有AIDS的人群（PLWHIVs，PLWAs）提供卫生服务的组织、筹资和提供情况。我们检索了多个摘要服务、索引服务和书目。一份注释表格作为数据提取的指南。本次综述得出了几个结论。流行病学证据表明，在过去5年中，农村HIV/AIDS新发病例的相对比例急剧上升。农村地区病例增加的原因集中在注射吸毒、异性性行为和性传播疾病水平上。有迹象表明农村黑人女性的感染率大幅上升。农村地区有大量感染HIV/AIDS的人迁入。卫生服务文献表明，农村医疗服务提供者和机构资源有限，对PLWHIVs或PLWAs的经验很少。
