Online Program

Health status of HIV-infected women of color in rural and urban sites entering HIV care

Wednesday, November 6, 2013 : 11:00 a.m. - 11:15 a.m.

Evelyn BYRD Quinlivan, MD, Center for Infectious Diseases, UNC Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC
Arthur E. Blank, PhD, Department of Family Medicine and Social Medicine, Center for the Evaluation of Health Programs/Division of Research, Bronx, NY
Jason J. Fletcher, PhD, Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY
Elizabeth A. Eastwood, PhD, Dept. Health & Nutrition Sciences, Brooklyn College, City University of NewYork, Brooklyn, NY
Niko Verdecias, MPH, Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY
Background and Methods: In 2009, the HIV/AIDS Bureau funded a multi-site initiative to engage and retain in care women of color living with HIV. Data were collected from 633 HIV-infected WOC at 3 rural, 6 urban sites using standardized multi-site surveys that included demographics, general health status, HIV health status, HIV-related illnesses, and women's health issues. Significance of differences in percentages between groups was assessed using Chi-square tests, or exact statistics at P <0.05 (**).

Results. In contrast to rural women (R), more urban (U) women reported a history of AIDS ** (22%U vs. 13%R), and more days with a depressed mood in the last month**(72%U vs. 63%R), compared with rural (R) women. More rural women reported having excellent/very good general health** (23%U vs. 30%R) and reported having “very healthy days” in the last month (76%U vs. 84%R)**. Rural women also reported more vaginal yeast infections** (46%U vs. 63%R), sexually transmitted infections** (40%U vs. 50%R), trichomoniasis** (18%U vs. 32%R), and current pregnancy** (14%U vs. 27%R). Hypertension** (18%U vs. 32%R) was also reported more frequently by rural women. Also noted, rural women reported more chlamydia and heart problems and urban women reported more genital herpes, chronic pain and hepatitis C but these did not reach statistical significance.

Conclusion. Urban women have a lower health status and more AIDS than rural HIV+ women, whereas, rural women are more likely to report STIs and to be pregnant at the time of the interview.

Learning Areas:

Assessment of individual and community needs for health education
Clinical medicine applied in public health
Provision of health care to the public

Learning Objectives:
Describe differences in the health status of HIV-infected women entering or re-entering care.

Keyword(s): Access and Services, Co-morbid

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple federally funded grants focusing on HIV treatment, prevention and co-occurring disorders. Among my scientific interests has been the development and evaluation of clinical programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5116.1: Women & HIV