Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South.

TitleMinorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South.
Publication TypeJournal Article
Year of Publication2007
AuthorsPence BWells, Reif S, Whetten K, Leserman J, Stangl D, Swartz M, Thielman N, Mugavero MJ
JournalSouth Med J
Volume100
Issue11
Pagination1114-22
Date Published2007 Nov
ISSN0038-4348
KeywordsAdult, African Americans, Aged, Analysis of Variance, Antiretroviral Therapy, Highly Active, Chi-Square Distribution, Comorbidity, Domestic Violence, Female, HIV Infections, Humans, Male, Middle Aged, Poverty Areas, Risk Factors, Rural Population, Sex Factors, Southeastern United States, Survivors, Viral Load
Abstract

BACKGROUND: The HIV/AIDS epidemic in the U.S. South is undergoing a marked shift toward a greater proportion of new HIV/AIDS cases in women, African-Americans, and through heterosexual transmission.

METHODS: Using consecutive sampling, 611 participants were interviewed from eight Infectious Diseases clinics in five southeastern states in 2001 to 2002.

RESULTS: Sixty four percent of participants were African-American, 31% were female, and 43% acquired HIV through heterosexual sex; 25% had private health insurance. Eighty-one percent were on antiretroviral therapy, and 46% had HIV RNA viral loads (VL) <400. Women and racial/ethnic minorities were less likely to be on antiretrovirals and to have VL <400. Probable psychiatric disorders (54%) and history of childhood sexual (30%) and physical abuse (21%) were common.

CONCLUSIONS: Prevention and care systems need to address the HIV epidemic's shift into poor, minority, and female populations. High levels of trauma and probable psychiatric disorders indicate a need to assess for and address these conditions in HIV clinical care.

DOI10.1097/01.smj.0000286756.54607.9f
Alternate JournalSouth. Med. J.
PubMed ID17984744
Grant List5R01MH061687-05 / MH / NIMH NIH HHS / United States
T32 HS000079 / HS / AHRQ HHS / United States