Document Type
Policy Brief
Publication Date
2-2021
Keywords
rural, HIV, hepatitis C, public health, capacity, testing, treatment, substance use, MRHRC
Abstract
HIV and hepatitis C (HCV) are major public health concerns in the United States and are a focus of significant federal health policy attention. Rural counties may be potentially vulnerable to an HIV or HCV outbreak among persons who inject drugs due to greater prevalence of high-risk injection practices as well as limited public health capacity to prevent, prepare for, and respond to an HIV or HCV outbreak. This study identified states potentially at risk for an HIV or HCV outbreak and used data from the 2016 Association of State and Territorial Health Officials (ASTHO) Profile Survey, 2016 National Association of City and County Health Officials (NACCHO) National Profile of Local Health Departments (LHD), and 2016-2017 Area Health Resource File to examine rural-urban differences in (1) state-level infectious disease surveillance, prevention activities, and collaboration with stakeholders; (2) LHD-level activities related to preventing, preparing for, and responding to an HIV or HCV outbreak; and (3) socioeconomic characteristics and health resources of counties at potential risk for an HIV or HCV outbreak. LHDs located in rural counties in at-risk states were less likely to offer services that may help address an HIV or HCV outbreak, including HIV testing, HIV services, and infectious disease surveillance. Rural LHDs were also less likely to report a history of partnerships with community-based organizations that may be important resources during an outbreak, including community health centers and faith-based organizations.
Funding Organization
Federal Office of Rural Health Policy
Grant Number
CA#U1CRH03716
Recommended Citation
Lenardson, J., Janis, J., Burgess, A., Pearson, K., Elbaum, M., & Ziller, E. (2021). Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak (PB-78). University of Southern Maine, Muskie School, Maine Rural Health Research Center.
Included in
Health Policy Commons, Public Administration Commons, Public Health Commons, Substance Abuse and Addiction Commons
Comments
For more information, please contact Dr. Erika Ziller, erika.ziller@maine.edu
This study was funded by a cooperative agreement between the US Federal Office of Rural Health Policy, Health Resources and Services Administration, Department of Health and Human Services (CA#U1CRH03716) and the University of Southern Maine. The findings and conclusions expressed in this report are those of the authors and do not necessarily represent the official position of the US Federal Office of Rural Health Policy.