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

Publication ,  Journal Article
Pence, BW; Reif, S; Whetten, K; Leserman, J; Stangl, D; Swartz, M; Thielman, N; Mugavero, MJ
Published in: South Med J
November 2007

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.

Duke Scholars

Published In

South Med J

DOI

ISSN

0038-4348

Publication Date

November 2007

Volume

100

Issue

11

Start / End Page

1114 / 1122

Location

United States

Related Subject Headings

  • Viral Load
  • Survivors
  • Southeastern United States
  • Sex Factors
  • Rural Population
  • Risk Factors
  • Poverty Areas
  • Middle Aged
  • Male
  • Humans
 

Citation

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Pence, B. W., Reif, S., Whetten, K., Leserman, J., Stangl, D., Swartz, M., … Mugavero, M. J. (2007). Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South. South Med J, 100(11), 1114–1122. https://doi.org/10.1097/01.smj.0000286756.54607.9f
Pence, Brian Wells, Susan Reif, Kathryn Whetten, Jane Leserman, Dalene Stangl, Marvin Swartz, Nathan Thielman, and Michael J. Mugavero. “Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South.South Med J 100, no. 11 (November 2007): 1114–22. https://doi.org/10.1097/01.smj.0000286756.54607.9f.
Pence BW, Reif S, Whetten K, Leserman J, Stangl D, Swartz M, et al. Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South. South Med J. 2007 Nov;100(11):1114–22.
Pence, Brian Wells, et al. “Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South.South Med J, vol. 100, no. 11, Nov. 2007, pp. 1114–22. Pubmed, doi:10.1097/01.smj.0000286756.54607.9f.
Pence BW, Reif S, Whetten K, Leserman J, Stangl D, Swartz M, Thielman N, Mugavero MJ. Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South. South Med J. 2007 Nov;100(11):1114–1122.

Published In

South Med J

DOI

ISSN

0038-4348

Publication Date

November 2007

Volume

100

Issue

11

Start / End Page

1114 / 1122

Location

United States

Related Subject Headings

  • Viral Load
  • Survivors
  • Southeastern United States
  • Sex Factors
  • Rural Population
  • Risk Factors
  • Poverty Areas
  • Middle Aged
  • Male
  • Humans