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Rural Health
Resources by Topic: Rural-urban differences

Rural-Urban Differences in Chronic Disease and Drug Utilization in Older Oregonians
Provides secondary analysis of 3 longitudinal brain-aging studies of adults 85 years of age or older in Oregon. Compares the results of a study with a rural cohort and 2 studies with urban cohorts to identify the disease burden and medication usage of each elderly population. Analysis uses Modified Cumulative Illness Rating Scale (MCIRS) to measure chronic illness, and medication usage is estimated based on the mean number of total self-reported prescription and non-prescription medications per cohort.
Author(s): Leah M. Goeres, Allison Gille, Jon P. Furuno, et al.
Citation: Journal of Rural Health, 32(3), 269-279
Date: 06/2016
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Disparities in Adolescents' Residence in Neighborhoods Supportive of Physical Activity — United States, 2011–2012
Discusses the connection between adolescents living in neighborhoods that support physical activity (have sidewalks and walking paths, parks, playgrounds, and/or recreation centers) and overall health. Identifies differences in access to neighborhoods supportive of physical activity by ethnicity and race, income level, parental education level, and rurality. Provides recommendations for community-based projects for improvement.
Author(s): Kathleen B. Watson, Carmen D. Harris, Susan A. Carlson, Joan M. Dorn, Janet E. Fulton
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(23), 598-601
Date: 06/2016
Sponsoring organization: Centers for Disease Control and Prevention
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Impact of the Affordable Care Act Coverage Expansion on Rural and Urban Populations
Discusses the advances supported by provisions in the Affordable Care Act (ACA) related to health insurance coverage, premium tax credits, and healthcare access for rural and urban populations with a special focus on rural individuals.
Author(s): Kelsey Avery, Kenneth Finegold, Xiao Xiao
Date: 06/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Oral Health Care in North Dakota Long Term Care Facilities
Provides data on oral health in long-term care (LTC) facilities in North Dakota. Compares rural and urban variation in oral health policies regarding services and staff training. Includes recommendations to encourage LTC facilities to strengthen relationships with oral health providers and improve access to oral health for their residents.
Author(s): Shawnda Schroeder
Date: 06/2016
Sponsoring organization: University of North Dakota Center for Rural Health
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Are Rural Older Adults Benefiting from Increased State Spending on Medicaid Home and Community-Based Services?
Discusses the availability and use of home and community-based services (HCBS) by rural and urban elderly receiving Medicaid funding for long-term services and supports (LTSS) using national Medicaid Analytical Extract claims data.
Author(s): Andrew F. Coburn, Eileen Griffin, Deborah Thayer, Zachariah T. Croll, Erika C. Ziller
Date: 06/2016
Sponsoring organization: Maine Rural Health Research Center
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Causes and Disparities in Death Rates among Urban American Indian and Alaska Native Populations, 1999-2009
Describes the leading causes of death for urban American Indian/Alaska Native (AI/AN) populations; includes a comparison with both urban White and rural AI/AN populations. Covers statistics for the leading causes of death for urban and rural AI/AN populations by contract health service delivery area.
Author(s): Jasmine L. Jacobs-Wingo, David K. Espey, Amy V. Groom, et al.
Citation: American Journal of Public Health, 106(5), 906-914
Date: 05/2016
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Rural Tobacco Use Across the United States: How Rural and Urban Areas Differ, Broken down by Census Regions and Divisions
Examines rural and urban differences in tobacco use and variations across the U.S. by Census regions and divisions using 2012-2013 National Survey on Drug Use and Health (NSDUH) data. Covers rural and urban prevalence rates for tobacco products.
Author(s): Megan E. Roberts, Nathan J. Doogan, Allison N. Kurti, et al.
Citation: Health & Place, 39, 153-159
Date: 05/2016
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Neighborhood Contextual Factors, Alcohol Use, and Alcohol Problems in the United States: Evidence from a Nationally-Representative Study of Young Adults
Examines Wave III of the National Longitudinal Study of Adolescent to Adult Health data for young adults, aged 18-26, to better understand alcohol use and related problems from the past year. Analyzes neighborhood contextual factors, such as density of on- and off-premises alcohol outlets, neighborhood disadvantage, and rural versus urban residence, and mapped alcohol outlet licenses. Includes statistics for demographics, neighborhood context, and alcohol use and problems.
Author(s): Wendy S. Slutske, Arielle R. Deutsch, Thomas M. Piasecki
Citation: Alcoholism: Clinical and Experimental Research, 40(5), 1010-1019
Date: 05/2016
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Prescription Opioid Use: Patient Characteristics and Misuse in Community Pharmacy
Highlights a study on prescription opioid use in both rural and urban communities in southwestern Pennsylvania. Analyzes data from an anonymous survey about opioid usage by type of drug and participant characteristics, such as age, gender, and education, among others.
Author(s): Gerald Cochran, Jennifer L. Bacci, Thomas Ylioja, et al.
Citation: Journal of the American Pharmacists Association, 56(3), 248-256
Date: 05/2016
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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