Document Type

Peer-Reviewed Article

Publication Date

2019

Abstract

Purpose: HIV incidence continues to increase, with a large portion of new diagnoses found in rural areas of the United States. The worsening statistics in rural areas may be attributed to stigma alone and contribute to the lack of testing available for patients. The objective of this systematic review is to identify accessible and feasible strategies to increase HIV testing within the rural communities in the United States. Methods: A systematic literature search of CINAHL Complete, MEDLINE with Full Text, and PsycINFO with restrictions of the English language and rural communities outside of the United States through August 2, 2018. Two independent investigators screened articles using predetermined inclusion and exclusion criteria. This systematic review is registered through PROSPERO: CRD42018108637. Findings: There were 14 different studies with specific interventions attempting to increase the rate of HIV testing in rural communities in the United States. Technology, faith-based stigma reduction, access, and provider interventions emerged as themes regarding HIV testing and stigma improvement. Conclusion: There exists a body of literature that supports a number of specific interventions focusing on access, provider and patient perspective, and ways to decrease stigma that improve HIV testing and could be implemented in rural communities.

Comments

Avery Petrucci was a Physician Assistant student at Sacred Heart University when this manuscript was originally developed.

DOI

10.14574/ojrnhc.v19i2.571

Publication

Online Journal of Rural Nursing and Health Care

Volume

19

Issue

2

Place of Publication

Binghamton University, Binghamton, NY

Publisher

Rural Nurse Organization

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Download
Link to Publisher Version


Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.