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Rural Health
Resources by Topic: Rural-urban differences

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
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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 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
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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
Sponsoring organization: Agency for Healthcare Research and Quality
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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
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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
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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
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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
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Rural-Urban Differences in Consumer Governance at Community Health Centers
Presents a study on the difference in the structure of community health center (CHC) governing boards in urban and rural communities. Draws conclusions from phone interviews with CHC board members in 14 different states. Discusses board composition and consumer input into the direction of CHCs.
Author(s): David Bradley Wright
Citation: Journal of Rural Health, 29(2), 125-131
Date: 2013
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Comparison of Enrollment Rates of African-American Families Into a School-Based Tobacco Prevention Trial Using Two Recruitment Strategies in Urban and Rural Settings
Describes results from using two recruitment approaches targeting rural and urban African-American elementary school families in the South for enrollment in a tobacco prevention program. The intervention used the Facilitate, Open and transparent communication, Shared benefits, Team and tailored, Educate bilaterally, and Relationships, realistic and rewards (FOSTER) approach, which is based on community-based participatory research (CBPR) principles.
Author(s): Martha S. Tingen, Jeannette O. Andrews, Janie Heath, et al.
Citation: American Journal of Health Promotion, 27(4), e91–e100
Date: 2013
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Perceptions of Disaster Risk and Vulnerability in Rural Texas
Describes how rural communities are vulnerable to natural hazards such as drought, wildfires, and floods. Provides a demographic overview of rural Texas and discusses vulnerability, risk, and disaster planning. Discusses how rural places are home to people with characteristics that increase vulnerability to impacts of disaster, such as lower incomes and lower levels of education.
Author(s): Andrew J. Prelog, Lee M. Miller
Citation: Journal of Rural Social Sciences, 28(3), 1-31
Date: 2013
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