A Current Examination of HIV and Hepatitis C in Rural Counties

Research center:
Lead researcher:
Project funded:
September 2019
Project completed:
February 2021

Rural counties have witnessed significant growth in opioid pain reliever misuse and initiation of injection drug use. As a result, human immunodeficiency virus (HIV) prevalence, acute hepatitis C virus (HCV) incidence, and maternal HCV infection have grown among certain rural subpopulations over the past decade. Establishing current, county-level HIV prevalence and acute HCV incidence estimates across the rural-urban continuum could inform policies and practices aimed at addressing the transmission and treatment of HIV and HCV in rural areas.

Using existing data from federal and state sources, we produced a chartbook on county-level data on HIV prevalence and acute HCV incidence, and examined the availability of Ryan White HIV/AIDS medical providers and other HIV and HCV treatment and testing services across the rural-urban continuum. We also estimated rural and urban county-level prevalence of maternal HCV infection for every county in the U.S.