Abstract
The HIV/AIDS epidemic was first recognized in the United States in 1981. For the past 30 plus years, there have been a wide array of social, scientific, and political shifts in the understanding, prevention, and treatment of HIV. The HIV epidemic has historically focused on prevalence, prevention, and treatment in large metropolitan or urban areas of the United States. While urban areas saw the greatest increase in HIV cases from 1982 to 1984, the 25 counties with the greatest increase in HIV cases from 1988 to 1990 were consisted of rural areas. The rise of HIV in rural areas came with challenges, many of which persist today. This chapter discusses the historical background of the HIV epidemic, with special emphasis on prevention, treatment, and future directions to address HIV in rural communities of the United States.
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