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Rural Health
Resources by Topic: Rural-urban differences

June 2012: Rural MA Enrollment and Premium Update
Presents key findings on rural Medicare Advantage (MA) enrollment and on rural Preferred Provider Organization (PPO) enrollment.
Author(s): Leah Kemper, Abigail Barker, Timothy D. McBride, Keith Mueller
Date: 02/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Does Core Area Theory Apply to STIs in Rural Environments?
Examines whether geographical core areas for gonorrhea and syphilis exist in rural versus urban North Carolina. Includes spatial analysis and maps of gonorrhea and syphilis rates by census tract, clusters overlaid on rural urban commuting areas, and clusters overlaid with each other.
Author(s): Dionne C. Gesink, Ashleigh B. Sullivan, Todd Norwood, Marc L. Serre, William C. Miller
Citation: Sexually Transmitted Diseases, 40(1), 32-40
Date: 01/2013
Type: Document
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Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-Access Healthcare System
Reports the results of a study examining the use of raltegravir, the first HIV integrase inhibitor, in Veterans Affairs (VA) patients. Provides rural versus urban participant characteristic statistics by race/ethnicity, AIDS defining illness, substance abuse, and more. Includes a discussion of barriers to new forms of HIV treatment for rural residents, such as geographic distance, transportation, and limited access to specialists in the field.
Author(s): Michael Ohl, Brian Lund, Pamela S. Belperio, et al.
Citation: AIDS and Behavior, 17(1), 250-259
Date: 01/2013
Type: Document
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Emergency Department Visits and Hospital Inpatient Stays for Seasonal and 2009 H1N1 Influenza, 2008-2009
Compares emergency department visits and hospitalizations for influenza in a typical year, 2008, with 2009's H1N1 pandemic. Includes data by location of the patient's residence, for urban and rural areas.
Author(s): Lori Uscher-Pines, Anne Elixhauser
Date: 01/2013
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Dialysis Availability in Rural America
Explores the availability of dialysis services in rural America including the prevalence of dialysis use across urban and rural counties, travel distance for services, and dialysis quality outcomes.
Additional links: Fact Sheet
Author(s): Amy Martin, Kevin J. Bennett, Nathan Hale, Janice C. Probst
Date: 01/2013
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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HIV/AIDS in Rural America: Prevalence and Service Availability
Examines the prevalence of HIV/AIDS in rural counties across 28 states in 2008 and the rural-versus-urban distribution of Ryan White providers.
Additional links: Fact Sheet
Author(s): Medha Vyavaharkar, Saundra Glover, Deshia Leonhirth, Janice Probst
Date: 01/2013
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Enforcement of Ohio's Smoke Free Workplace Law Through the Lens of Public Health Practice
Provides a rural versus urban comparison of Ohio's public health workforce enforcing a smoke-free workplace law in Ohio to determine agency and workforce associations. Includes demographic data and county and agency characteristic data by region, jurisdiction, rural versus urban, and status of enforcement of the law.
Author(s): David Bruckman, Terry Allan, Matthew Stefanak, et al.
Citation: Public Health Reports, 128(1), 54-63
Date: 2013
Type: Document
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Area-Level Risk Factors for Adverse Birth Outcomes: Trends in Urban and Rural Settings
Examines whether adverse birth outcomes trends were associated with ZIP code-level percent poverty or percent African-American population, based on a study of Alabama birth records from 1990-2010. Includes data on preterm birth and low birth weight by level of rurality and population density. Includes data on adverse birth outcomes by race/ethnicity, age, education level, and payment method.
Author(s): Shia T. Kent, Leslie A. McClure, Ben F. Zaitchik, Julia M. Gohlke
Citation: BMC Pregnancy & Childbirth, 13, 129
Date: 2013
Type: Document
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Geographic Accessibility and Utilization of Orthodontic Services among Medicaid Children and Adolescents
Reports the rates of Iowa children and adolescents receiving Medicaid-funded orthodontia services. Identifies geographic barriers to care and factors associated with utilization. Figure 1 illustrates the orthodontic dental service areas (DSAs) and Table 3 provides descriptive characteristics of orthodontic DSAs.
Author(s): Susan C. McKernan, Raymond A. Kuthy, Elizabeth T. Momany, et al.
Citation: Journal of Public Health Dentistry, 73(1), 56-64
Date: 2013
Type: Document
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Prevalence of Pre-ESRD Care and Associated Outcomes among Urban, Micropolitan, and Rural Dialysis Patients
Analyzes the prevalence of pre-end stage renal disease (ESRD) care and the benefits associated with pre-ESRD care between micropolitan and rural dialysis patients compared to urban dialysis patients. Includes characteristics, pre-ESRD care goals by geographic location, and association of pre-ESRD goal and long-term outcomes by urban, micropolitan, and rural.
Author(s): Saugar Maripuri, T. Alp Ikizler, Kerri L. Cavanaugh
Citation: American Journal of Nephrology, 37(3), 274-280
Date: 2013
Type: Document
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