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Rural Health
Resources by Type: Document

Process Evaluation of Strong Hearts, Healthy Communities: A Rural Community-Based Cardiovascular Disease Prevention Program
Presents the results of an evaluation of a rural community-based cardiovascular disease (CVD) prevention program targeting midlife women in rural parts of Montana and New York. The program included lesson topics and lifestyle intervention strategies to address rural-specific barriers to healthy living. Includes information on participant satisfaction with the program intended to inform future adaptations of the program for rural settings.
Author(s): Urshila Sriram, Kristin Sandreuter, Meredith Graham, et al.
Citation: Journal of Nutrition Education and Behavior, 51(2), 138-149
Date: 02/2019
Type: Document
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Rural-Urban Residence and Stage at Breast Cancer Diagnosis Among Postmenopausal Women: The Women's Health Initiative
Study examining breast cancer diagnosis among postmenopausal women, comparing rural and urban residence in relation to stage of cancer diagnosis. Discusses social support and social strain as factors affecting cancer screening. Provides data drawn from the Women's Health Initiative (WHI) on clinical and sociodemographic characteristics of 7,120 women diagnosed with breast cancer using rural-urban commuting area (RUCA) codes to identify rural and urban residence.
Author(s): Shawnita Sealy-Jefferson, Molly E. Roseland, Michele L. Cote, et al.
Citation: Journal of Women's Health, 28(2), 276-283
Date: 02/2019
Type: Document
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Developing a Culturally-Informed Survey Instrument to Assess Biomedical Research Participation among Latinos on the U.S.-Mexico Border
Reports on a project to develop a quantitative biomedical research survey tool to evaluate the beliefs, willingness, and preferences of Latino participants from the U.S.-Mexico border region. Discusses challenges in representing minority, rural, and low-income populations in research. Describes a process of developing multiple qualitative and quantitative data collection and analysis methodologies, sharing lessons learned.
Author(s): Sarah D. Hoh., Rachel Ceballos, Mary Alice Scott, Beti Thompson
Citation: Qualitative Health Research, 29(3), 445-454
Date: 02/2019
Type: Document
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Predictors of Overweight and Obesity in American Indian Families with Young Children
Highlights as study exploring the factors that predict obesity in American Indian families in rural and urban areas. Focuses on factors such as nutrition, physical activity, adult sleep, and child screen time.
Author(s): Alexandra K. Adams, Emily J. Tomayko, Kate Cronin, et al.
Citation: Journal of Nutrition Education and Behavior, 51(2), 190-198
Date: 02/2019
Type: Document
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Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania
Study exploring access to International Board-Certified Lactation Consultants in rural and urban counties in Pennsylvania. Compiles county-level data that represents breastfeeding rates, geographic access to certified lactation consultants, and demographic characteristics. Compares proportions of urban and rural young children who have ready access, presenting that information in relation to nationwide disparities in breastfeeding support.
Author(s): Kristin N. Ray, Jill R. Demirci, Lori Uscher-Pines, Debra L. Bogen
Citation: Journal of Human Lactation, 35(1), 90-99
Date: 02/2019
Type: Document
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A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina
Evaluates the Baby-Friendly Hospital Initiative's impacts on breastfeeding support and practice in North Carolina. Performs a geographic analysis of data from birth certificates between 2011–2014, including births at a participant hospital, county of residence, and whether mothers live in the same county as a Baby-Friendly hospital. Discusses disparities in breastfeeding support in North Carolina, offering county-level maps that illustrate the accessibility of Baby-Friendly hospitals.
Author(s): Abigail Liberty, Kathryn Wouk, Ellen Chetwynd, et al.
Citation: Journal of Human Lactation, 35(1), 114-126
Date: 02/2019
Type: Document
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Insights from the Geographic Spread of the Lyme Disease Epidemic
Study examining the spread of pediatric lime disease in western Pennsylvania, comparing symptoms and provider types between rural and urban areas. Compiles interview data from 773 patients at the Children's Hospital of Pittsburgh, discussing implications for public health responses to epidemics in rural and urban settings. Figure 1 illustrates symptoms by type and case rates by age, month, and year of diagnosis.
Author(s): Taylor Eddens, Daniel J. Kaplan, Alyce J. M. Anderson, et al.
Citation: Clinical Infectious Diseases, 68(3), 426-434
Date: 02/2019
Type: Document
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Using Network and Spatial Data to Better Target Overdose Prevention Strategies in Rural Appalachia
Highlights a study aiming to target individuals most likely to need overdose interventions in rural Appalachia. Examines survey data for spatial and networking patterns in rural eastern Kentucky to identify individuals at risk of a drug overdose.
Author(s): Abby E. Rudolph, April M. Young, Jennifer R. Havens
Citation: Journal of Urban Health, 96(1), 27-37
Date: 02/2019
Type: Document
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Perspectives From the Frontline of Two North American Community Paramedicine Programs: An Observational, Ethnographic Study
Discusses the motivations, job satisfaction, and challenges from the viewpoints of community paramedics and their managers in two independent programs in rural Ontario, Canada and Colorado, USA. Presents qualitative data derived through interviews, informal discussions, focus groups, and direct observation of practice.
Author(s): Angela C Martin, Peter O'Meara
Citation: Rural and Remote Health, 19(1), 4888
Date: 02/2019
Type: Document
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