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Rural Health
Resources by Type: Document

The State of Rural Health in Illinois: Great Challenges and a Path Forward
Provides information and statistics regarding rural health issues in Illinois, including healthcare shortages, opioid mortality rates, childhood abuse and dysfunction, obesity rates, housing, and more. Discusses relevant strategies to address these issues.
Date: 10/2018
Type: Document
Sponsoring organization: Southern Illinois University School of Medicine
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Community Perspectives on Emergency Department Use and Care for American Indian Children
Explores parental and community perspectives of pediatric emergency department (ED) use for American Indian (AI) populations. Utilizes qualitative data from 70 parents who participated in focus groups to report on issues such as healthcare access, healthcare environment, and culturally insensitive interactions with professionals. Includes participants from both rural and urban areas and presents differentiated experiences according to location.
Author(s): Wyatt J. Pickner, Katherine M. Ziegler, Jessica D. Hanson, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 5(5), 939-946
Date: 10/2018
Type: Document
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Ensuring Access to Healthy Food in Beaufort County
Describes a collaborative community effort establishing a city market to increase access to healthy food in rural Beaufort County, North Carolina. The Washington City Market provides a venue for local growers to sell their products and matches restaurants in the region with local growers and their products.
Date: 10/2018
Type: Document
Sponsoring organization: Kate B. Reynolds Charitable Trust
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Examining the Association Between Intervention-Related Changes in Diet, Physical Activity, and Weight as Moderated by the Food and Physical Activity Environments among Rural, Southern Adults
Study examining changes in weight, diet, and physical activity in rural adults who took part in a lifestyle intervention in rural Lenoir County, North Carolina. Reports data on self-reported and objectively-measured changes over 6 months, covering access to different kinds of food retailers, gyms, and parks, as well as community walkability, crime, and barriers to physical activity.
Author(s): Stephanie B. Jilcott Pitts, Thomas C. Keyserling, Larry F. Johnston, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 117(10), 1618-1627
Date: 10/2018
Type: Document
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Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Counting Rural America: A Guide to 2020 Census Operations
Discusses the U.S. Census Bureau's special operations for counting populations in remote rural areas, including locations without mailing addresses, with high seasonal vacancies, or areas recovering from national disasters. Addresses the challenges of limited internet access and cell phone service, and methods to improve the count in these areas. Identifies specific Hard-to-count (HTC) populations, and ways local governments, businesses, and service providers can ensure an accurate count in rural areas.
Author(s): Cara Brumfield, Sophie Khan
Date: 10/2018
Type: Document
Sponsoring organization: Georgetown Center on Poverty and Inequality
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Rationale and Development of a Randomized Pragmatic Trial to Improve Diabetes Outcomes in Patient-Centered Medical Homes Serving Rural Patients
Reports on a randomized trial developed to determine the effectiveness of a health literacy intervention supporting diabetes self-management education compared to enhanced usual care. Clinical trial occurred in six rural clinics in Arkansas that are Patient-Centered Medical Homes (PCMH), targeting patients with uncontrolled type 2 diabetes.
Author(s): Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, et al.
Citation: Contemporary Clinical Trials, 75, 152-157
Date: 10/2018
Type: Document
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Evidence Review — Social Determinants of Health for Veterans
Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
Type: Document
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Geographic Representativeness of a Web-Based Smoking Cessation Intervention: Reach Equity Analysis
Compares the use of a web-based smoking cessation program by 67,854 users across large metro, small metro, and nonmetro populations throughout the United States between 2013 and 2017. Examines if the location of program participants is proportional to the national smoking population.
Author(s): Michael S. Amato, Amanda L. Graham
Citation: Journal of Medical Internet Research, 20(10), e11668
Date: 10/2018
Type: Document
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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