Developing Practical Tools to Inform the Allocation of Limited HIV Resources in North Carolina Public Deposited

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  • March 22, 2019
Creator
  • Hoots, Brooke Elizabeth
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
Abstract
  • In the current economy, North Carolina (NC) faces a multi-faceted HIV epidemic with limited funding and staff. As state revenue continues to decline, it is imperative that cuts to HIV program resources are based on evidence of where resources are most essential. The purpose of this dissertation was to 1) characterize the geographic distribution of HIV in order to better inform HIV resource allocation, and 2) provide practical tools to aid NC disease intervention specialists (DIS) in prioritizing their HIV partner notification caseloads. Using HIV surveillance data from 2000-2007, we identified highly localized geographic clusters, or core areas, of reported HIV cases in urban areas. These clusters were temporal in addition to spatial in nature and did not persist in the last two years of the study. The disappearance of these clusters was coincident with a dramatic increase in Internet use and distance to sexual partners among men who have sex with men (MSM). Internet-based intervention
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  • In Copyright
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  • Includes 2 supplement Word documents
Advisor
  • Miller, William
Degree
  • Doctor of Philosophy
Graduation year
  • 2011
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