Document 0009
 DOCN  M9440009
 TI    The emerging epidemiology of rural AIDS.
 DT    9404
 AU    Berry DE; College of Health Sciences, University of Nevada-Las Vegas
       89154.
 SO    J Rural Health. 1993 Fall;9(4):293-304. Unique Identifier : AIDSLINE
       AHA/94125415
 AB    The incidence of AIDS in rural areas is increasing rapidly. However,
       historically it has been overshadowed by AIDS in the epicenters. From
       1991-1992 the increased percentage of cases was higher in
       nonmetropolitan areas than in any other areas of residence. The rate per
       100,000 also increased at almost the same rate in rural areas as in the
       largest metropolitan areas, defined by the Centers for Disease Control
       (CDC) as having a population of more than 500,000, and in other
       metropolitan areas of 50,000 to 500,000 population, as designated by
       CDC. To date, the epidemiology of AIDS in rural areas has not been
       defined. This information is necessary to developing effective policies
       and programs. The research presented here reviews the literature on AIDS
       in specific areas and populations at risk as a basis for generating
       hypotheses for further study. The first wave of the epidemic, primarily
       affecting homosexual or bisexual men, is strongly evident in many rural
       locations. The second wave of the epidemic is strongly evident in the
       South and can be seen among high-risk groups such as black women,
       adolescents, migrant and seasonal farm workers, people who abuse
       alcohol, intravenous drug users, and users of crack cocaine, including
       those who trade sex for drugs. Poverty is a common characteristic of the
       second-wave population. Proximity to interstate highways as well as
       metropolitan areas may also be associated. A national study of the
       epidemiology of AIDS in rural America is imperative.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY  Adolescence  Child
       Ethnic Groups/STATISTICS & NUMER DATA  Female  Geography
       Homosexuality/STATISTICS & NUMER DATA  Human  Male  Risk Factors  Rural
       Health/*STATISTICS & NUMER DATA  Substance Abuse/EPIDEMIOLOGY
       Transients and Migrants/STATISTICS & NUMER DATA  United
       States/EPIDEMIOLOGY  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).