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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Pence, BW; Reif, S; Whetten, K; Leserman, J; Stangl, D; Swartz, M; Thielman, N; Mugavero, MJ

Published Date

  • November 2007

Published In

Volume / Issue

  • 100 / 11

Start / End Page

  • 1114 - 1122

PubMed ID

  • 17984744

International Standard Serial Number (ISSN)

  • 0038-4348

Digital Object Identifier (DOI)

  • 10.1097/01.smj.0000286756.54607.9f

Language

  • eng

Conference Location

  • United States