Rural Health
Resources by Topic: Women
Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America
Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Input from Multiple Stakeholder Levels Prioritizes Targets for Improving Implementation of an Exercise Intervention for Rural Women Cancer Survivors
Presents findings from group technique meetings with interventionists, community/organizational stakeholders, and cancer survivors to identify facilitators for participation and implementation of a multicomponent exercise intervention for women in rural settings. Highlights factors relevant to program strategy and planning, including differences in perspective and priorities among stakeholders, interventionists, and participants.
Author(s): Haiyan Qu, Richard Shewchuk, Xuejun Hu, et al.
Citation: Implementation Science Communications 2020, 1, 97
Date: 11/2020
Type: Document
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Presents findings from group technique meetings with interventionists, community/organizational stakeholders, and cancer survivors to identify facilitators for participation and implementation of a multicomponent exercise intervention for women in rural settings. Highlights factors relevant to program strategy and planning, including differences in perspective and priorities among stakeholders, interventionists, and participants.
Author(s): Haiyan Qu, Richard Shewchuk, Xuejun Hu, et al.
Citation: Implementation Science Communications 2020, 1, 97
Date: 11/2020
Type: Document
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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The Complex Geographies of Telelactation and Access to Community Breastfeeding Support in the State of Ohio
Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
Type: Document
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Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
Type: Document
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Promoting Access to Care for Women of Reproductive Age with Mental Health and Substance Use Disorders in Rural Communities
Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Type: Document
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Type: Document
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Emergency Obstetric Training Needed in Rural Hospitals without Obstetric Units
Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Doulas Enhance the Birthing Experience: Brookings Health System, Brookings, SD
Case study profiling Brookings Health System, a rural health system in South Dakota, and its implementation of a free doula program. Discusses the impact of the doula program, patient and staff, satisfaction, lessons learned, and future goals for the program.
Date: 11/2020
Type: Document
Sponsoring organization: American Hospital Association
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Case study profiling Brookings Health System, a rural health system in South Dakota, and its implementation of a free doula program. Discusses the impact of the doula program, patient and staff, satisfaction, lessons learned, and future goals for the program.
Date: 11/2020
Type: Document
Sponsoring organization: American Hospital Association
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Urban-Rural Differences in Visits to Office-based Physicians by Adults With Hypertension: United States, 2014–2016
Examines urban-rural differences in office-based physician visits made by adults 18 and older with hypertension. Provides data by age group, by sex, and by race/ethnicity for non-Hispanic White, non-Hispanic Black, and Hispanic populations.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Danielle Davis, Pinyao Rui
Date: 11/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines urban-rural differences in office-based physician visits made by adults 18 and older with hypertension. Provides data by age group, by sex, and by race/ethnicity for non-Hispanic White, non-Hispanic Black, and Hispanic populations.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Danielle Davis, Pinyao Rui
Date: 11/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Making it Work: Models of Success in Rural Maternity Care
Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Joint Effect of Race/Ethnicity or Location of Residence and Sex on Low Density Lipoprotein-Cholesterol among Veterans with Type 2 Diabetes: A 10-year Retrospective Cohort Study
Details a study exploring the intersection of race/ethnicity, gender, and rurality in the effective management of cardiovascular disease by veterans with type 2 diabetes. Highlights the importance and difficulty of managing low-density lipoproteins (LDL) for patients with both cardiovascular disease and type 2 diabetes. Breaks down data by race, sex, and rural versus urban location.
Author(s): Erin R. Weeda, Kinfe G. Bishu, Ralph Ward, et al.
Citation: BMC Cardiovascular Disorders, 20, 449
Date: 10/2020
Type: Document
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Details a study exploring the intersection of race/ethnicity, gender, and rurality in the effective management of cardiovascular disease by veterans with type 2 diabetes. Highlights the importance and difficulty of managing low-density lipoproteins (LDL) for patients with both cardiovascular disease and type 2 diabetes. Breaks down data by race, sex, and rural versus urban location.
Author(s): Erin R. Weeda, Kinfe G. Bishu, Ralph Ward, et al.
Citation: BMC Cardiovascular Disorders, 20, 449
Date: 10/2020
Type: Document
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