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Rural Health
Resources by Topic: Rural-urban differences

Rural Residence Is Associated with Delayed Care Entry and Increased Mortality among Veterans with Human Immunodeficiency Virus Infection
Details a study of the rural-urban variation in mortality tied to delayed treatment of veterans with HIV. Looks at a variety of participant characteristics, such as alcohol abuse, drug use, and the co-occurrence of hepatitis C and B, as well as several other factors.
Author(s): Michael Ohl, Janet Tate, Mona Duggal, et al.
Citation: Medical Care, 48(12), 1064-1070
Date: 12/2010
Type: Document
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What Happens After an Elevated PSA Test: The Experience of 13,591 Veterans
Details a study on the time between prostate-specific antigen (PSA) testing and a biopsy-confirmed cancer diagnosis in veterans. Compares rural and urban areas.
Author(s): Steven B. Zeliadt, Richard M. Hoffman, Ruth Etzioni, Van Anh T. Ginger, Daniel W. Lin
Citation: Journal of General Internal Medicine, 25(11), 1205-1210
Date: 11/2010
Type: Document
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Influence of Loan Repayment on Rural Healthcare Provider Recruitment and Retention in Colorado
Reports results of a survey of health professionals who participated in three Colorado loan repayment programs between 1992 and 2007. Examines the most important recruitment factors for participants by rural versus urban location and profession. Covers factors impacting participants' decisions to leave a community, after the end of their service obligation.
Author(s): Daniel Renner, John Westfall, Lou Ann Wilroy, Adit Ginde
Citation: Rural and Remote Health, 10(4), 1605
Date: 11/2010
Type: Document
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The Effect of Minority Status and Rural Residence on Actions to Control High Blood Pressure in the U.S.
Compares differences in current and recommended strategies to control blood pressure with breakdowns by White urban, White rural, Black urban, and Black rural status. Includes statistics covering sex, age group, education, income level, marital status, employment, health status, insurance, and treatment methods.
Author(s): Charles Ellis, Anouk L. Grubaugh, Leonard E. Egede
Citation: Public Health Reports, 125(6)
Date: 11/2010
Type: Document
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Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals
Presents results from a study that estimated potentially preventable hospital readmissions (PPRs) in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals, and Critical Access Hospitals (CAHs). Focuses on rural/urban differences and whether patient demographics or health condition severity affects PPR rates.
Author(s): Marilyn G. Klug, Alana Knudson, Kyle Muus
Date: 11/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Emergency Department Visits for Adults in Community Hospitals, 2008
Uses statistics from the 2008 Nationwide Emergency Department Sample to analyze rates of emergency room visits. Compares data by demographics, acute vs. chronic care, rural vs. urban, high-income vs. low-income, and admissions vs. treat-and-release.
Author(s): Pamela L. Owens, Ryan Mutter
Date: 11/2010
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Childhood Obesity: An Urban and Rural Comparison
Examines rates of childhood obesity, compared by rural and urban location. Also discusses issues related to physical activity, sedentary behavior, dietary quality, and other associated risk factors. Includes breakdowns of data by gender, age group, and race/ethnicity.
Additional links: Fact Sheet
Author(s): Jihong Liu, Sonya J. Jones, Han Sun, Janice C. Probst, Philip Cavicchia
Date: 11/2010
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Impact of Employment Transitions on Health Insurance Coverage of Rural Residents
Explores the impact of changes in employment status on insurance coverage for rural and urban workers.
Additional links: Policy Brief: Many Urban and Rural Workers Lose Health Insurance During Job Transitions
Author(s): Nathaniel J. Anderson, Erika C. Ziller, Melanie M. Race, Andrew F. Coburn
Date: 10/2010
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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The Impact of Freestanding Ambulatory Surgery Centers on Rural Community Hospital Performance, 1997–2006
Describes the impact of ambulatory surgery centers (ASCs) on rural hospital markets. Includes a comparison of urban and rural freestanding ASC services.
Additional links: Policy Brief
Author(s): Walter Gregg, Douglas Wholey, Ira Moscovice
Date: 10/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Access to Mental Health Services and Family Impact of Rural Children with Mental Health Problems
Provides information on the prevalence of children's mental health needs and associated access to care, and family impact across rural and urban areas.
Additional links: Policy Brief: Mental Health Problems Have Considerable Impact on Rural Children and their Families
Author(s): Jennifer D. Lenardson, Erika C. Ziller, David Lambert, Melanie M. Race, Anush Yousefian
Date: 10/2010
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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