McKinney M M
Community Health Solutions, Inc, Richmond, Kentucky, USA.
AIDS Patient Care STDS. 1998 Jun;12(6):471-80. doi: 10.1089/apc.1998.12.471.
Despite the fact that one of every 16 women with AIDS in the United States lives in a rural area, little is known about their demographic and epidemiologic characteristics, service needs, social support networks, or service utilization patterns. This article reports key findings from case studies of services to rural women with HIV/AIDS in southwest Georgia, northwest Mississippi, southeastern South Carolina, south Texas, and south-central Washington. Despite the growing numbers of HIV-positive women in these areas, many primary care physicians lack training in the diagnosis and treatment of HIV infection in women, and multidisciplinary protocols for the "shared care" of HIV-positive pregnant women are still being developed. Concerns about confidentiality and the lack of health insurance and transportation pose major access barriers. The findings suggest a need for new kinds of rural initiatives that embed HIV prevention and care into broader programs of educational and economic development.
尽管在美国每16名感染艾滋病的女性中就有1人生活在农村地区，但对于她们的人口统计学和流行病学特征、服务需求、社会支持网络或服务利用模式却知之甚少。本文报告了在佐治亚州西南部、密西西比州西北部、南卡罗来纳州东南部、得克萨斯州南部和华盛顿州中南部对感染艾滋病毒/艾滋病的农村妇女进行服务的案例研究的主要发现。尽管这些地区艾滋病毒呈阳性的女性人数不断增加，但许多初级保健医生缺乏对女性艾滋病毒感染诊断和治疗的培训，针对艾滋病毒呈阳性孕妇的“共享护理”多学科方案仍在制定中。对保密性的担忧以及缺乏医疗保险和交通成为主要的就医障碍。研究结果表明，需要开展新型的农村倡议，将艾滋病毒预防和护理纳入更广泛的教育和经济发展项目中。
