journal
https://read.qxmd.com/read/38082546/excess-deaths-associated-with-covid-19-by-rurality-and-demographic-factors-in-the-united-states
#21
JOURNAL ARTICLE
Katherine A Ahrens, Lauren M Rossen, Carly Milkowski, Catherine Gelsinger, Erika Ziller
PURPOSE: To estimate percent excess deaths during the COVID-19 pandemic by rural-urban residence in the United States and to describe rural-urban disparities by age, sex, and race/ethnicity. METHODS: Using US mortality data, we used overdispersed Poisson regression models to estimate monthly expected death counts by rurality of residence, age group, sex, and race/ethnicity, and compared expected death counts with observed deaths. We then summarized excess deaths over 6 6-month time periods...
December 11, 2023: Journal of Rural Health
https://read.qxmd.com/read/38054697/assessing-the-relationship-between-census-tract-rurality-and-severe-maternal-morbidity-in-california-1997-2018
#22
JOURNAL ARTICLE
Rachel L Berkowitz, Peiyi Kan, Xing Gao, Elleni M Hailu, Christine Board, Audrey Lyndon, Mahasin Mujahid, Suzan L Carmichael
PURPOSE: Recent studies have demonstrated an increased risk of severe maternal morbidity (SMM) for people living in rural versus urban counties. Studies have not considered rurality at the more nuanced subcounty census-tract level. This study assessed the relationship between census-tract-level rurality and SMM for birthing people in California. METHODS: We used linked vital statistics and hospital discharge records for births between 1997 and 2018 in California...
December 6, 2023: Journal of Rural Health
https://read.qxmd.com/read/38036456/differences-in-use-of-veterans-health-administration-and-non-veterans-health-administration-hospitals-by-rural-and-urban-veterans-after-access-expansions
#23
JOURNAL ARTICLE
Matthew P Dizon, Kenneth W Kizer, Michael K Ong, Ciaran S Phibbs, Megan E Vanneman, Emily P Wong, Yue Zhang, Jean Yoon
PURPOSE: To examine changes in rural and urban Veterans' utilization of acute inpatient care in Veterans Health Administration (VHA) and non-VHA hospitals following access expansion from the Veterans Choice Act, which expanded eligibility for VHA-paid community hospitalization. METHODS: Using repeated cross-sectional data of VHA enrollees' hospitalizations in 9 states (AZ, CA, CT, FL, LA, MA, NY, PA, and SC) between 2012 and 2017, we compared rural and urban Veterans' probability of admission in VHA and non-VHA hospitals by payer over time for elective and nonelective hospitalizations using multinomial logistic regression to adjust for patient-level sociodemographic features...
November 30, 2023: Journal of Rural Health
https://read.qxmd.com/read/38031505/trends-in-patient-perceptions-of-care-toward-rural-and-urban-hospitals-in-the-united-states-2014-2019
#24
JOURNAL ARTICLE
Zhong Li, Vivian Ho, Melinda A Merrell, Peiyin Hung
PURPOSE: Understanding rural-urban disparities in patient satisfaction is critical to identify gaps for improvement in patient-centered care and tailor interventions to specific patient needs, especially those in the Frontier and Remote areas (FAR). This study aimed to examine disparities in patient perceptions of care between urban, rural non-FAR, and FAR hospitals between 2014 and 2019. METHODS: This is a retrospective longitudinal study using 2014-2019 Hospital Consumer Assessment of Healthcare Providers and Systems data linked to American Hospital Annual Survey data (3,524 hospitals in 2014 and 3,440 hospitals in 2019)...
November 29, 2023: Journal of Rural Health
https://read.qxmd.com/read/37985592/community-engagement-through-social-media-a-promising-low-cost-strategy-for-rural-recruitment
#25
JOURNAL ARTICLE
Sarah C Vos, Reuben Adatorwovor, Michelle K Roberts, Deanna Lee Sherman, Delaney Bonds, Madeline N Dunfee, Bonnie Spring, Nancy E Schoenberg
PURPOSE: For the same reasons that rural telehealth has shown promise for enhancing the provision of care in underserved environments, social media recruitment may facilitate more inclusive research engagement in rural areas. However, little research has examined social media recruitment in the rural context, and few studies have evaluated the feasibility of using a free social media page to build a network of rural community members who may be interested in a research study. Here, we describe the rationale, process, and protocols of developing and implementing a social media approach to recruit rural residents to participate in an mHealth intervention...
November 20, 2023: Journal of Rural Health
https://read.qxmd.com/read/37985431/the-impact-of-rural-general-hospital-closures-on-communities-a-systematic-review-of-the-literature
#26
JOURNAL ARTICLE
Carol A Mills, Valerie A Yeager, Kathleen T Unroe, Ann Holmes, Justin Blackburn
PURPOSE: To compile the literature on the effects of rural hospital closures on the community and summarize the evidence, specifically the health and economic impacts, and identify gaps for future research. METHODS: A systematic review of the relevant peer-reviewed literature, published from January 2005 through December 2021, included in the EMBASE, CINAHL, PubMed, EconLit, and Business Source Complete databases, as well as "gray" literature published during the same time period...
November 20, 2023: Journal of Rural Health
https://read.qxmd.com/read/37974389/cross-sectional-population-based-estimates-of-a-rural-urban-disparity-in-prevalence-of-long-covid-among-michigan-adults-with-polymerase-chain-reaction-confirmed-covid-19-2020-2022
#27
JOURNAL ARTICLE
Colleen L MacCallum-Bridges, Jana L Hirschtick, Kristi L Allgood, Soomin Ryu, Robert C Orellana, Nancy L Fleischer
PURPOSE: To (1) assess whether residential rurality/urbanicity was associated with the prevalence of 30- or 90-day long COVID, and (2) evaluate whether differences in long COVID risk factors might explain this potential disparity. METHODS: We used data from the Michigan COVID-19 Recovery Surveillance Study, a population-based probability sample of adults with COVID-19 (n = 4,937). We measured residential rurality/urbanicity using dichotomized Rural-Urban Commuting Area codes (metropolitan, nonmetropolitan)...
November 16, 2023: Journal of Rural Health
https://read.qxmd.com/read/37966175/substance-use-among-rural-adolescents-with-incarcerated-parents-evidence-from-a-state-wide-sample
#28
JOURNAL ARTICLE
Luke Muentner, Katie K McLaughlin, Rebecca Shlafer
PURPOSE: Incarceration rates are highest in rural communities, disproportionately exposing rural children to parental incarceration (PI). Substance use is a pressing public health issue-and a key driver of incarceration-in rural areas, yet limited research has examined PI as a social determinant of health for adolescent alcohol and drug use. This study links exposure to PI with rural adolescent substance use and examines the role of coresidence with parents in these associations. METHODS: Data come from the 2019 Minnesota Student Survey, including 18,820 rural adolescents...
November 15, 2023: Journal of Rural Health
https://read.qxmd.com/read/37962323/the-women-farmer-stress-inventory-examining-women-farmer-stress-in-the-united-states-corn-belt
#29
JOURNAL ARTICLE
Carly E Nichols, Jonathan Davis
PURPOSE: While women identifying as primary farmers have increased in the United States, there has not been research focused on the antecedents of stress and quality of life among women farmers in particular. This study set out to construct a Women Farmer Stress Inventory (WFSI) , test its dimensionality, and assess its criterion-related validity by looking at its relationship with subjective wellbeing as measured by the Satisfaction with Life Scale (SWLS). We then examined sociodemographic and farm-level correlates to assess their relationship with stress...
November 14, 2023: Journal of Rural Health
https://read.qxmd.com/read/37957524/locations-of-covid-19-vaccination-provision-urban-rural-differences
#30
JOURNAL ARTICLE
Grace W Ryan, Amanda R Kahl, Don Callaghan, Bethany Kintigh, Natoshia M Askelson
PURPOSE: Our goal was to compare locations of COVID-19 vaccine provision in urban and rural communities over the course of the pandemic. METHODS: We used the Iowa Immunization Registry Information System (IRIS) to identify the organizations providing COVID-19 vaccines (eg, pharmacies, public health departments, and medical providers). Proportions of first-dose vaccines by organization type and patient census-based statistical area were generated. We calculated Chi-square tests to assess differences among metropolitan, micropolitan, and noncore communities...
November 13, 2023: Journal of Rural Health
https://read.qxmd.com/read/37942663/the-impact-of-patient-provider-relationships-on-choosing-between-va-and-va-purchased-care-a-qualitative-study-of-health-care-decision-making-among-rural-veterans
#31
JOURNAL ARTICLE
Daniel D Ball, Anne G Sadler, Melissa J Steffen, Monica B Paez, Michelle A Mengeling
PURPOSE: Since the Choice Act in 2014, many Veterans have had greater options for seeking Veteran Affairs (VA)-purchased care in the community. We investigated factors that influence rural Veterans' decisions regarding where to seek care. METHODS: We utilized semi-structured telephone interviews to query Veterans living in rural or highly rural areas of Midwestern states about their health care options, preferences, and experiences. Interviews were recorded and transcribed, thematically coded, and deductively analyzed using a socioecological approach...
November 9, 2023: Journal of Rural Health
https://read.qxmd.com/read/37935649/understanding-rural-urban-differences-in-veterans-internet-access-use-and-patient-preferences-for-telemedicine
#32
JOURNAL ARTICLE
Amy M J O'Shea, Mikayla Gibson, James Merchant, Kelby Rewerts, Kelly Miell, Peter J Kaboli, Stephanie L Shimada
BACKGROUND: The expansion of telemedicine (e.g., telephone or video) in the Veterans Health Administration (VA) raises concerns for health care disparities between rural and urban veterans. Factors impeding telemedicine use (e.g., broadband, digital literacy, age) disproportionally affect rural veterans. PURPOSE: To examine veteran-reported broadband access, internet use, familiarity with, and preferences for telemedicine stratified by residential rurality. METHODS: Three hundred fifty veterans with a VA primary care visit in March 2022 completed a 30-min computer-assisted telephone interview...
November 7, 2023: Journal of Rural Health
https://read.qxmd.com/read/37867249/the-role-of-comorbidities-medications-and-social-determinants-of-health-in-understanding-urban-rural-outcome-differences-among-patients-with-heart-failure
#33
JOURNAL ARTICLE
Emily P Zeitler, Joanna Joly, Christopher G Leggett, Sandra L Wong, A James O'Malley, Sally A Kraft, Matthew B Mackwood, Sarah T Jones, Jonathan S Skinner
PURPOSE: There is now a 20% disparity in all-cause, excess deaths between urban and rural areas, much of which is driven by disparities in cardiovascular death. We sought to explain the sources of these disparities for Medicare beneficiaries with heart failure with reduced ejection fraction (HFrEF). METHODS: Using a sample of Medicare Parts A, B, and D, we created a cohort of 389,528 fee-for-service beneficiaries with at least 1 heart failure hospitalization from 2008 to 2017...
October 22, 2023: Journal of Rural Health
https://read.qxmd.com/read/37859615/rural-urban-differences-in-social-and-emotional-protective-factors-and-their-association-with-child-health-and-flourishing
#34
JOURNAL ARTICLE
Rose Y Hardy, Samantha J Boch, Mattina A Davenport, Laura J Chavez, Kelly J Kelleher
BACKGROUND: Children in rural communities experience higher mortality rates and less access to health care services than those in urban communities. Protective factors like social support also vary by geography, but their contribution to differences in child health is understudied. Understanding geographic variation in protective health factors could provide insight into their impact on health and guide future intervention strategies. RESEARCH OBJECTIVE: To examine protective factors' association with child flourishing and child health status in rural and urban communities...
October 20, 2023: Journal of Rural Health
https://read.qxmd.com/read/37822033/understanding-the-impacts-of-rural-hospital-closures-a-scoping-review
#35
REVIEW
Cody Lendon Mullens, J Andres Hernandez, Jeevan Murthy, Steph Hendren, Whitney E Zahnd, Andrew M Ibrahim, John W Scott
PURPOSE: Rural hospitals are closing at unprecedented rates, with hundreds more at risk of closure in the coming 2 years. Multiple federal policies are being developed and implemented without a salient understanding of the emerging literature evaluating rural hospital closures and its impacts. We conducted a scoping review to understand the impacts of rural hospital closure to inform ongoing policy debates and research. METHODS: A comprehensive search strategy was devised by library faculty to collate publications using the PRISMA extension for scoping reviews...
October 11, 2023: Journal of Rural Health
https://read.qxmd.com/read/37817344/rural-urban-differences-in-receipt-of-governmental-rental-assistance-relationship-to-health-and-disability
#36
JOURNAL ARTICLE
Carrie Henning-Smith, Alexis Swendener, Katie Rydberg, Megan Lahr, Hawking Yam
PURPOSE: Housing is essential to health. Governmental rental assistance is one way to increase access to affordable housing, but little is known about how it varies by rural/urban location. This paper seeks to address that gap by examining rural/urban and within-rural differences in receipt of rental assistance, with particular attention differences by health and disability. METHODS: We used data from the 2021 National Health Interview Survey (n = 28,254) to conduct bivariate analyses to identify significant differences in receipt of rental assistance by rural/urban location...
October 10, 2023: Journal of Rural Health
https://read.qxmd.com/read/37787554/the-breast-imaging-operations-practices-and-systems-inventory-a-framework-to-examine-mammography-facility-effects-on-screening-in-rural-communities
#37
JOURNAL ARTICLE
Roger T Anderson, Marianne M Hillemeier, Fabian T Camacho, Jennifer A Harvey, Gloribel Bonilla, George P Batten, Brenna Robinson, Cara B Safon, Chris Louis
PURPOSE: Develop and test a measurement framework of mammogram facility resources, policies, and practices in Appalachia. METHODS: Survey items describing 7 domains of imaging facility qualities were developed and tested in the Appalachian regions of Kentucky, Ohio, Pennsylvania, Virginia, and West Virginia. Medicare claims data (2016-2018) were obtained on catchment area mammogram services. Construct validity was examined from associations with facility affiliation, community characteristics, mammogram screening uptake, and market reach...
October 3, 2023: Journal of Rural Health
https://read.qxmd.com/read/37771305/non-operating-revenue-is-an-important-source-of-funding-for-rural-hospitals-especially-those-that-are-government-owned
#38
JOURNAL ARTICLE
Ariana Pitcher, Ruoyu Zhang, Susie Gurzenda, George Pink, Kristin Reiter
PURPOSE: Non-operating revenue (NOR), derived from investments, contributions, government appropriations, and medical space rentals, can contribute to financial stability of hospitals by offsetting operating losses and improving profitability. NOR might benefit rural hospitals that often face intense financial pressures. However, little is known about how much rural hospitals rely on NOR and if certain organizational characteristics are associated with differences in NOR. METHODS: Healthcare Cost Report Information System data from 2011 to 2019 were used to analyze sources of revenue among Critical Access Hospitals (CAHs) and Rural Prospective Payment System (R-PPS) hospitals through descriptive statistics and regression models...
September 29, 2023: Journal of Rural Health
https://read.qxmd.com/read/37759376/rural-veterans-with-hiv-and-alcohol-use-disorder-receive-less-video-telehealth-than-urban-veterans
#39
JOURNAL ARTICLE
Alan Z Sheinfil, Giselle Day, Annette Walder, Julianna Hogan, Thomas P Giordano, Jan Lindsay, Anthony Ecker
PURPOSE: Alcohol use disorder (AUD) is highly prevalent among Veterans with HIV. Rural Veterans with HIV are at especially high risk for not receiving appropriate treatment. This retrospective cohort cross-sectional study aimed to investigate patterns of mental health treatment utilization across delivery modality among Veterans diagnosed with HIV and AUD. It was hypothesized that rural Veterans with HIV and AUD would receive a lower rate of mental health treatment delivered via video telehealth than urban Veterans with HIV and AUD...
September 27, 2023: Journal of Rural Health
https://read.qxmd.com/read/37715721/sars-cov-2-infection-and-long-covid-among-california-farmworkers
#40
JOURNAL ARTICLE
Ana M Mora, Katherine Kogut, Nimrat K Sandhu, Derry Ridgway, Chris M Patty, Melissa Renteria, Norma Morga, Maria T Rodriguez, Monica Romero, Jose M Valdovinos, Alma Torres-Nguyen, Omar Guzman, Mario Martinez, Richard L Doty, Ana Padilla, Edward Flores, Paul M Brown, Brenda Eskenazi
PURPOSE: The purpose of this cross-sectional study was to determine the prevalence of long COVID and identify its clinical manifestations among farmworkers in California. METHODS: We collected data on sociodemographic characteristics, anthropometrics, clinical chemistries and anti-SARS-CoV-2 immunoglobulin G antibodies, self-reported SARS-CoV-2 infection history, and standardized health tests and scales from 297 farmworkers in California between February and July 2022...
September 16, 2023: Journal of Rural Health
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