@article{ref1,
title="Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South",
journal="Southern medical journal",
year="2007",
author="Pence, Brian Wells and Reif, Susan and Whetten, Kathryn and Leserman, J. and Stangl, D. and Swartz, M. and Thielman, Nathan and Mugavero, Michael J.",
volume="100",
number="11",
pages="1114-1122",
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.<p /> <p>Language: en</p>",
language="en",
issn="0038-4348",
doi="10.1097/01.smj.0000286756.54607.9f",
url="http://dx.doi.org/10.1097/01.smj.0000286756.54607.9f"
}