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Rural Health Information Hub

Rural Health
Resources by State: Iowa

Rural Unintentional Injuries: They're Not Accidents – They're Preventable
Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Staff Sharing Arrangements for Local Public Health
Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in 3 adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Type: Document
Sponsoring organizations: Center for State & Local Government Excellence, Public Health Accreditation Board Center for Innovation
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines 6 states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults
Examines differences in occupational exposure to vapor-gas, dust, and fumes in rural and urban areas. The rural population studied included both current and former farmers, and those who never farmed, thereby providing insights related to non-agriculture occupational exposure to airborne pollutants in rural areas.
Author(s): Brent C. Doney, Paul K. Henneberger, Michael J. Humann, et al.
Citation: MMWR Surveillance Summaries, 66(21), 1-5
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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PROSPER Delivery of Universal Preventive Interventions with Young Adolescents: Long-term Effects on Emerging Adult Substance Misuse and Associated Risk Behaviors
Presents a study on the long term effects of substance abuse in young adults and the effectiveness of PROSPER prevention interventions for young adolescents. Features participants from 28 rural communities in Pennsylvania and Iowa.
Author(s): Richard Spoth, Cleve Redmond, Chungyeol Shin, et al.
Citation: Psychological Medicine, 47(3), 2246-2259
Date: 10/2017
Type: Document
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A Prospective Study of Cancer Risk among Agricultural Health Study Farm Spouses Associated with Personal Use of Organochlorine Insecticides
Highlights an investigation into the health effects of exposure to organochlorine pesticides for farmers and their spouses. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Lydia M. Louis, Catherine C. Lerro, Melissa C. Friesen, et al.
Citation: Environmental Health, 16(1), 95
Date: 09/2017
Type: Document
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Using Geospatial Mapping to Determine the Impact of All-Terrain Vehicle Crashes on Both Rural and Urban Communities
Examines all-terrain vehicle (ATV) crash patterns within a Midwest state. Compares and contrasts characteristics of ATV crashes by rurality. Includes person and crash related statistics by sex, age, seating, helmet use, fatality, crash mechanism, rurality, and more.
Author(s): Evelyn S. Qin, Charles A. Jennissen, Caroline A. Wadman, Gerene M. Denning
Citation: Western Journal of Emergency Medicine, 18(5), 913-922
Date: 08/2017
Type: Document
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Improving Rural Oral Health: Six States' Response to the United States Department of Health and Human Services Oral Health Strategic Framework
Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Pesticide Use and Age-Related Macular Degeneration in the Agricultural Health Study
Highlights a study on age-related macular degeneration (AMD) and pesticide use among agricultural pesticide applicators. Analyzes self-reported data from a cohort of workers and their spouses in Iowa and North Carolina in 1993-1997.
Author(s): Martha P. Montgomery, Eric Postel, David M. Umbach, et al.
Citation: Environmental Health Perspectives, 125(7)
Date: 07/2017
Type: Document
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on rural/urban geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Additional links: Full Report
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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