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Rural Health
Resources by State: Iowa

Assessing Health and Safety Concerns and Psychological Stressors among Agricultural Workers in the U.S. Midwest
Results of a 2018 study of 540 farmers in Iowa, Ohio, Missouri, Minnesota, and Nebraska, identifying agricultural work stressors including chemical and equipment safety, finances, and health concerns such as hearing loss, respiratory problems, depression, and acute illnesses. Examines differences between mail and in-person survey modes, and compares their effectiveness in promoting farm workers' willingness to participate in the surveys. Features demographics and statistics on the types of stress experienced.
Author(s): Kanika Arora, Marsha Cheyney, Fredric Gerr, et al.
Citation: Journal of Agricultural Safety and Health, 26(1), 45-58
Date: 01/2020
Sponsoring organization: American Society of Agricultural and Biological Engineers
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Sugar-Sweetened Beverage Intake Among Adults, by Residence in Metropolitan and Nonmetropolitan Counties in 12 States and the District of Columbia, 2017
Results of a study measuring the sugar-sweetened beverage intake of 68,896 adults, using information from the Behavioral Risk Factor Surveillance System. Features demographic statistics with breakdowns by frequency of intake, state, and metropolitan or nonmetropolitan location.
Author(s): Omoye Imoisili, Sohyun Park, Elizabeth A. Lundeen, et al.
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12), e1916444
Date: 12/2019
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Responding to Crisis: Farmer Mental Health Programs in the Extension North Central Region
Provides an overview of programs and resources to address the mental health needs of farmers and farm families in Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. Discusses outreach efforts in the region and best practices in developing materials.
Author(s): Shoshanah Inwood, Florence Becot, Andrea Bjornestad, Carrie Henning-Smith, Andrew Alberth
Citation: Journal of Extension, 57(6)
Date: 12/2019
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Mobilising Cross-Sector Collaborations to Improve Population Health in US Rural Communities: A Qualitative Study
Highlights collaborations in rural communities that improve population health, such as health-promoting local contexts, seed initiatives, and hospital visions of shared leadership. Studies 4 rural communities in Iowa and conducts 22 key-informant interviews within the communities.
Author(s): Xi Zhu, Paula Weigel, Jure Baloh, et al.
Citation: BMJ Open, 9(11), e030983
Date: 11/2019
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Self-Identified Barriers to Rural Mental Health Services in Iowa by Older Adults with Multiple Comorbidities: Qualitative Interview Study
Highlights a study on the perceived barriers to mental healthcare for chronically ill elders in rural Iowa. Bases finding on phone interviews with participants where they detailed their experiences accessing mental healthcare. Breaks down data by age, sex, and mental health diagnosis, among other factors.
Author(s): Lauren Elizabeth Pass, Korey Kennelty, Barry L Carter
Citation: BMJ Open, 9(11), e029976
Date: 11/2019
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Iowa Rural Health and Primary Care: Health Professional Underserved Areas and Rural Health Program Opportunities
Provides an overview of rural healthcare workforce programs, recruitment, and retention opportunities in Iowa. Includes county-level information on Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), and Medically Underserved Populations (MUPs).
Date: 10/2019
Sponsoring organization: Iowa Department of Health and Human Services
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Overall and Cause-specific Mortality in a Cohort of Farmers and Their Spouses
Highlights a study examining the overall mortality rates of farmers and their families that participated in the Agricultural Health Survey in Iowa and North Carolina. Details participants by age, sex, education and smoking status, among other factors. Compares mortality rates to the general population.
Author(s): Srishti Shrestha, Christine G. Parks, Alexander P. Keil, et al.
Citation: Occupational and Environmental Medicine, 76(9), 632-643
Date: 09/2019
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Obesity and Diabetes in the Winnebago Tribe of Nebraska: From Community Engagement to Action, 2014-2019
Describes interventions implemented on the Winnebago Tribe reservation in rural Nebraska and Iowa, focusing on community-selected and culturally adapted policies, systems, and environmental improvements to reduce obesity and type 2 diabetes. Strategies include infant and childhood obesity prevention education, promotion of healthy foods and beverages, and improvements to pedestrian safety and built environment.
Author(s): Larry Alonso, Lorelei Decora, Ursula Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
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Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
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