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Rural Health
Resources by Topic: Children and youth

Activities and Situations When Young Adults Drive Drunk in Rural Montana
Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
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Peer Mentor Versus Teacher Delivery of a Physical Activity Program on the Effects of BMI and Daily Activity: Protocol of a School-based Group Randomized Controlled Trial in Appalachia
Describes a school-based program utilizing peer mentors to promote health behavior changes and improved health outcomes in rural Appalachian Ohio teens. Explores unique circumstances leading to limited physical activity among Appalachian youth, such as a lack of organized sports and recreational facilities.
Author(s): Lauren H. Smith, Rick L. Petosa, Abigail Shoben
Citation: BMC Public Health, 18, 633
Date: 05/2018
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The Validation of a School-Based, Culturally Grounded Drug Prevention Curriculum for Rural Hawaiian Youth
Details a study of a school-based drug prevention curriculum designed to be relevant to rural Native Hawaiian youth. Bases findings on faculty interviews. Breaks down the data by participants' sex, age, and position within the school.
Author(s): Scott K. Okamoto, Susana Helm, Lindsey K. Ostrowski, Lucille Flood
Citation: Health Promotion Practice, 19(3), 369-376
Date: 05/2018
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Summer Meals: Actions Needed to Improve Participation Estimates and Address Program Challenges
Examines what is known about Summer Food Service Program (SFSP) participation, other summer programs that feed low-income children, challenges in providing rural children with summer meals, and the extent to which the USDA provides assistance. Includes maps of area eligibility and meal sites in selected states.
Additional links: Full Report
Date: 05/2018
Sponsoring organization: Government Accountability Office
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Substance Use Among American Indian Youths on Reservations Compared With a National Sample of US Adolescents
Results of a study exploring substance use rates in 570 students in 8th, 10th, and 12th grades in 31 schools during the 2016-2017 school year. Features statistics comparing reservation-based American Indian youth with U.S. students in general, with breakdowns by type of substance use and previous 30-day prevalence of alcohol and drug use.
Author(s): Randall C. Swaim, Linda R. Stanley
Citation: JAMA Network Open 1(1)
Date: 05/2018
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Using Storytelling to Address Oral Health Knowledge in American Indian and Alaska Native Communities
Results of a study conducted in 3 northern California tribal locations to evaluate an intervention using storytelling to promote prevention of early childhood tooth decay. Participants were 53 women who were pregnant or who had children ages 6 or younger.
Author(s): Brenda Heaton, Christina Gebel, Andrew Crawford, et al.
Citation: Preventing Chronic Disease, 15
Date: 05/2018
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Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016
Reports on estimated coverage for selected vaccines and doses by 2 years of age for children in five United States Affiliated Pacific Islands (USAPI) jurisdictions: American Samoa, Chuuk State in the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, the Republic of the Marshall Islands, and the Republic of Palau.
Author(s): Ashley Tippins, Neil Murthy, Mehreen Meghani, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(20), 579-584
Date: 05/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Leaving the Emergency Department Without Complete Care: Disparities In American Indian Children
Examines children who leave the emergency department (ED) without complete evaluation or care (LWCET) in American Indian (AI) pediatric populations between June 2011 and May 2012. Analyzes 68,461 visits made by 47,228 children to 5 EDs and investigates factors such as demographic characteristics of patient, triage level, distance from the ED, timing of visit, ED activity level, and more.
Author(s): Tess L. Weber, Katherine M. Ziegler, Anupam B. Kharbanda, et al.
Citation: BMC Health Services Research, 18(267)
Date: 04/2018
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The IDeA States Pediatric Clinical Trials Network: Building Research Capacity among the Rural and Medically Underserved
Describes the activities of the IDeA States Pediatric Clinical Trials Network, a product of the Institutional Development Award (IDeA) program developed to enhance the competitiveness of research in states with low success rates for funding from the National Institute of Health (NIH). IDeA states exhibit high numbers of rural and medically underserved populations along with high rates of infant mortality, obesity, and poverty. Describes work underway to increase research capacity and access to clinical trials in the IDeA states. Introduces two proposed novel clinical trials with interventions for children who are overweight or obese.
Author(s): Jessica Snowden, Paul Darden, Paul Palumbo, Phil Saul, Jeannette Lee
Citation: Current Opinion in Pediatrics, 30(2), 297-302
Date: 04/2018
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Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 04/2018
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