000000490 001__ 490
000000490 005__ 20260304100521.0
000000490 0247_ $$2DOI$$a10.6083/M4JH3J5Z
000000490 037__ $$aETD
000000490 245__ $$aThe correlation between rural residence and clinical outcomes in HIV-positive patients
000000490 260__ $$bOregon Health and Science University
000000490 269__ $$a2009
000000490 336__ $$aThesis
000000490 502__ $$bM.P.H.
000000490 520__ $$aRural residence may influence HIV outcomes by limiting access to specialized care. Using Oregon’s 2007 Medical Monitoring Project, we conducted a cross‑sectional analysis of 296 adults with HIV to examine whether rural residence and travel time to care were associated with recent CD4 ≥350 cells/µL. Logistic regression showed sex‑specific patterns: rural men had lower odds of CD4 ≥350 than non‑rural men (≈51% lower; p=0.067), whereas rural women had higher odds than non‑rural women (OR 10.16; p=0.020). Travel time moderated outcomes: among patients living ≤1 hour from their provider, higher historical nadir CD4 was strongly associated with CD4 ≥350 (p<0.001), an association that was weaker and nonsignificant for those >1 hour away. Findings indicate a complex, gender‑differentiated rural effect and suggest access factors shape immunologic status.
000000490 540__ $$fCC BY
000000490 542__ $$fIn copyright - single owner
000000490 650__ $$aCD4 Lymphocyte Count$$031095
000000490 650__ $$aRural Health$$025632
000000490 650__ $$aRural Population$$025633
000000490 650__ $$aHIV Infections$$028555
000000490 650__ $$aCross-Sectional Studies$$017206
000000490 650__ $$aHIV$$020258
000000490 651__ $$aOregon$$041094
000000490 691__ $$aSchool of Medicine$$041369
000000490 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000490 7001_ $$aStanley, Kathryn$$uOregon Health and Science University$$041354
000000490 8564_ $$9135d7c2f-6866-4867-88c3-e03f59d9fb86$$s769152$$uhttps://digitalcollections.ohsu.edu/record/490/files/491_etd.pdf$$ePublic$$2f4e21900edd7e8035b8d303c53164c08$$31
000000490 905__ $$a/rest/prod/qb/98/mf/46/qb98mf46v
000000490 909CO $$ooai:digitalcollections.ohsu.edu:490$$pstudent-work
000000490 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000490 980__ $$aTheses and Dissertations