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Abstract
Some gay men spend their entire lives living in small towns or rural areas. Many more grow up there and emigrate to large cities, with some returning to the communities they grew up in when they become symptomatic with AIDS. Gay men living in rural areas face different obstacles than those living in large urban centers with well defined gay communities. When a rural gay man comes down with HIV or AIDS his problems in gaining access to needed medical and social services are even greater than his urban counterpart. This article details the difficulties encountered by rural gay men living with HIV/AIDS. It reviews some of the research on rural individuals living with HIV and discusses how this pertains to gay men in particular. In addition, some suggestions for meeting the social service needs of this population are offered.