title: HIV transmission risk practices in rural persons living with HIV disease.
abstract: BACKGROUND
  Little is known about continued high-risk sexual behavior of persons living with HIV disease in rural areas of the United States. However, as HIV seroprevalence rates increase in rural communities, there is an urgent need to develop interventions to assist HIV-infected rural individuals who have difficulty refraining from high-risk sex.
  
  
  OBJECTIVE
  To characterize patterns of continued high-risk sex among 216 men and women living with HIV disease in rural areas of 12 states.
  
  
  METHODS
  Cross-sectional, self-administered survey.
  
  
  RESULTS
  Thirty-two percent of men and 38% of women reported that all of their sex partners in the previous 3 months were HIV-seronegative. Among the 33% of men who engaged in anal sex, 59% never or rarely used condoms. Of the 55% of women who engaged in vaginal sex in the previous 3 months, 31% never used condoms.
  
  
  CONCLUSIONS
  Culturally contextualized interventions are needed to initiate and facilitate the risk-reduction efforts of HIV-infected rural persons.
authors.affiliation: Department of Psychology, Ohio University, Athens, Ohio 45701, USA. heckmant@ohiou.edu
authors.forename: Timothy G
authors.initials: TG
authors.lastname: Heckman
authors.forename: Monica
authors.initials: M
authors.lastname: Silverthorn
authors.forename: Andrea
authors.initials: A
authors.lastname: Waltje
authors.forename: Melissa
authors.initials: M
authors.lastname: Meyers
authors.forename: William
authors.initials: W
authors.lastname: Yarber
mesh_terms: D000328:Adult; D017280:Condoms; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission*; D015497:HIV-1; D006306:Health Surveys; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D012747:Sexual Partners; D011795:Surveys and Questionnaires