@article{ETD,
      recid = {490},
      author = {Stanley, Kathryn},
      title = {The correlation between rural residence and clinical  outcomes in HIV-positive patients},
      publisher = {Oregon Health and Science University},
      school = {M.P.H.},
      address = {2009},
      number = {ETD},
      abstract = {Rural residence may influence HIV outcomes by limiting  access to specialized care. Using Oregon’s 2007 Medical  Monitoring Project, we conducted a cross‑sectional analysis  of 296 adults with HIV to examine whether rural residence  and travel time to care were associated with recent CD4  ≥350 cells/µL. Logistic regression showed sex‑specific  patterns: rural men had lower odds of CD4 ≥350 than  non‑rural men (≈51% lower; p=0.067), whereas rural women  had higher odds than non‑rural women (OR 10.16; p=0.020).  Travel time moderated outcomes: among patients living ≤1  hour from their provider, higher historical nadir CD4 was  strongly associated with CD4 ≥350 (p<0.001), an association  that was weaker and nonsignificant for those >1 hour away.  Findings indicate a complex, gender‑differentiated rural  effect and suggest access factors shape immunologic  status.},
      url = {http://digitalcollections.ohsu.edu/record/490},
      doi = {https://doi.org/10.6083/M4JH3J5Z},
}