BioMed Central Infectious Diseases
The importance of depression as a complication of HIV infection is increasingly understood, and people living in rural areas are at increased risk for depression. However, it is not known whether living in rural areas amplifies the risk of depression in patients with HIV. We compared the prevalence of depression between rural and metropolitan HIV patients seen at the Dartmouth-Hitchcock HIV Program in a retrospective cohort study. Using the validated Rural-Urban Commuting Area Score, we categorized patients as living in small town/rural areas, micropolitan or metropolitan towns. Then, using a multivariate logistic regression model to adjust for demographic factors that differed between rural and metropolitan patients, we estimated the impact of living in rural areas on the odds of depression.
Sheth, Siddharth H.; Jensen, Paul T.; and Lahey, Timothy, "Living in Rural New England Amplifies the Risk of Depression in Patients with HIV" (2009). Open Dartmouth: Faculty Open Access Articles. 629.