Online Program

Rural-urban comparison of receipt of appropriate safe-sex preventive education, rates of HIV screenings, and HIV status for LGBT-identified patients

Monday, November 4, 2013

K. Nikki Barefoot, M.S., Rural Health Research Institute, Georgia Southern University, Statesboro, GA
Jacob Coleman Warren, PhD, Rural Health Research Institute, Georgia Southern University, Statesboro, GA
K. Bryant Smalley, PhD, PsyD, MBA, Rural Health Research Institute, Georgia Southern University, Statesboro, GA
Kayla LeLeux-LaBarge, M.S., Rural Health Research Institute, Georgia Southern University, Statesboro, GA
There are currently no quantitative studies examining the screening behaviors, the receipt of appropriate safe-sex preventive education by healthcare providers, and HIV status of rural LGBT individuals. Rural LGBT individuals are not only more likely to experience unique health risks due to barriers to care and other vulnerabilities of rural living, but also have a tendency to be less comfortable disclosing their sexual identity to others due to the conservative climate of the majority of rural areas and therefore may not actively seek screenings and safe-sex education related to their sexual orientation as frequently. Rural and urban sexual minority participants are currently being recruited (current N= 1,043) using an online survey and snowballing methods. Participants complete a series of demographic and health-related questions pertaining to preventive care practices and current HIV status. Interim analysis reveals that the majority of participants deny receiving appropriate safe-sex education from their provider. In addition, a significant portion of both the male and female participants have never been screened for HIV/STIs. Final analysis with include rural-urban comparisons and it is expected that rural participants will report less frequent screenings and receive appropriate safe-sex education less often compared to urban participants. Gender differences and rates of HIV status for rural and urban participants will also be examined. Implications for rural patients and providers will be discussed.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education

Learning Objectives:
Describe unique aspects of rural living that may make rural LGBT individuals less likely to seek routine HIV/STI screenings and received appropriate safe-sex education. Discuss rural-urban differences with regards to HIV screening behaviors, receiving preventive education from providers, and current HIV status.

Keyword(s): HIV/AIDS, Rural Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a behavioral epidemiologist and Co-Executive Director of the Rural Health Research Institute within my University. I have been PI of several federally-funded projects focused on rural health issues and published several articles on HIV in sexual minorities.
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: 3298.0: HIV/AIDS and sexual health