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Rural Health
Resources by Topic: Rural-urban differences

Behavioral, Mental, and Physical Health Characteristics and Opioid Medication Misuse among Community Pharmacy Patients: A Latent Class Analysis
Study of opioid misuse risk factors based on mental, behavioral, and physical health characteristics for patients in 2 rural and 2 urban Pennsylvania counties. Uses latent class analysis methodology to identify combinations of indicators that may be visible to pharmacists and that may suggest increased risk of opioid misuse, including age, employment, whether a pharmacy is in a rural area, and education level.
Author(s): Gerald Cochran, Valerie Hruschak, Jennifer L. Bacci, Kenneth C. Hohmeier, Ralph Tarter
Citation: Research in Social and Administrative Pharmacy, 13(6), 1055-1061
Date: 11/2017
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Infrequent Provision of Palliative Care to Patients with Dialysis-Requiring AKI
Explores the use of palliative care among patients with acute kidney injury (AKI) who require dialysis. Examines data contained in the National Inpatient Sample (NIS) database from 44 states and over 4,000 hospitals. Compares palliative care use across different comorbidities, patient demographics, and hospital types, including urban and rural hospitals.
Author(s): Kelly Chong, Samuel A. Silver, Jin Long, et al.
Citation: Clinical Journal of the American Society of Nephrology, 12(11), 1744-1752
Date: 11/2017
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Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Older Adult Social Participation and Its Relationship with Health: Rural-Urban Differences
Analyzes social participation among older adults and if the relationships between social participation and health differ between rural and urban settings in Wisconsin. Includes study population statistics on current and past self-reported health status, marital status, employment, age, income, social participation, and rurality.
Author(s): Eric M. Vogelsang
Citation: Health & Place, 42, 111-119
Date: 11/2017
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Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy
Examines current trends, causes, costs, and potential solutions to the drug, alcohol, and suicide crises in the U.S. Includes rural data and discussion of rural-specific issues.
Author(s): Laura M. Segal, Anne De Biasi, Jennifer L. Mueller, Kendra May, Molly Warren
Date: 11/2017
Sponsoring organization: Trust for America's Health
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Concentrated Poverty Increased in Both Rural and Urban Areas Since 2000, Reversing Declines in the 1990s
Reports on trends in poverty rates between the 2000 Decennial Census and 2011-2015 American Community Survey (ACS). Examines spatially concentrated poverty, with a map showing county-level poverty rates for nonmetropolitan counties. Compares metropolitan and nonmetropolitan poverty rates by race/ethnicity.
Author(s): Brian C. Thiede, Hyojung Kim, Matthew Valasik
Date: 11/2017
Sponsoring organization: Carsey School of Public Policy
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Preventable Tooth Loss in Hawai'i: The Role of Socioeconomic Status, Diabetes, and Dental Visits
Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
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Leveling the Playing Field for Rural Students
Provides a snapshot of rural schools and discusses the challenges they face. Challenges include how to provide new, high quality educational opportunities, health barriers that affect learning, providing career and technical education programs, food insecurity for rural children, and investments in rural schools.
Date: 11/2017
Sponsoring organizations: School Superintendents Association, The Rural School and Community Trust
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Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Sponsoring organization: Center for Health Care Strategies
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Rural Health Research Recap: Rural Behavioral Health
Summarizes key findings from the Rural Health Research Centers' most recent rural behavioral health projects. Discusses mental illness prevalence in rural areas, adverse childhood experiences (ACEs) among rural children, access to behavioral health services in rural communities, and rural behavioral health interventions. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 11/2017
Sponsoring organization: Rural Health Research Gateway
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