Read by QxMD icon Read

Journal of Rural Health

Elizabeth A Mumford, Frances A Stillman, Erin Tanenbaum, Nathan J Doogan, M E Roberts, M E Wewers, Devi Chelluri
PURPOSE: To determine whether there are rural/urban differences in e-cigarette use and reasons for use that vary across the 10 Health & Human Services (HHS) regions. METHODS: Age-adjusted bivariate and multivariable analyses were conducted for n = 225,413 respondents to the 2014-2015 Tobacco Use Supplement-Current Population Survey to estimate the prevalence of e-cigarette use. Reasons for e-cigarette use were collected from n = 16,023 self-respondents who reported ever using e-cigarettes...
November 14, 2018: Journal of Rural Health
Michele J Josey, Jan M Eberth, Lee R Mobley, Mario Schootman, Janice C Probst, Scott M Strayer, Erica Sercy
PURPOSE: Patients with colorectal cancer (CRC) living in rural areas have lower survival rates than those in urban areas, potentially because of lack of access to quality CRC screening and treatment. The purpose of this study was to compare traditional physician density (ie, colonoscopy provider availability per capita) against a new physician density measure using an example case of colonoscopy volume and quality. The latter is particularly relevant for rural providers, who may have fewer patients and are more frequently nongastroenterologists...
November 14, 2018: Journal of Rural Health
Danielle E Carriere, Maria I Marshall, James K Binkley
OBJECTIVE: This study examines the effect of economic recession on the suicide differential between rural and urban counties. METHODS: A negative binomial regression model and county mortality data are used to estimate the effect of recession and rurality on county-level suicides from 2002-2016. RESULTS: After accounting for differences in population, urban counties have more female suicides than rural counties, but urban counties experience smaller increases in female suicide numbers during periods of recession than rural counties...
November 14, 2018: Journal of Rural Health
Katy B Kozhimannil, Tongtan Chantarat, Alexandra M Ecklund, Carrie Henning-Smith, Cresta Jones
PURPOSE: Opioid use disorder (OUD) during pregnancy is associated with poor maternal and infant outcomes, including neonatal abstinence syndrome (NAS), and both maternal OUD and NAS are increasing disproportionately among rural residents. This study describes the trajectory and characteristics associated with diagnosis of maternal OUD or NAS among rural residents who gave birth at different types of hospitals based on rural/urban location and teaching status. METHODS: Hospital discharge data from the all-payer National Inpatient Sample were used to describe maternal OUD and infant NAS among rural residents from 2007-2014...
October 29, 2018: Journal of Rural Health
Alicia L Salvatore, Carolyn J Noonan, Mary B Williams, Marianna S Wetherill, Tvli Jacob, Tamela K Cannady, Joy Standridge, Mandy Grammar, Jill Fox, Andina Wiley, Jennifer Spiegel, Valarie Blue Bird Jernigan
PURPOSE: Little is known about the contribution of social support to physical activity (PA) behavior among American Indians (AIs). This community-based participatory research study examined the prevalence of and associations between different types of PA social support and PA among AIs in rural Oklahoma. METHODS: Our tribal-academic partnership surveyed AI adults (N = 513) living within the tribal jurisdictional areas of 2 tribal nations. We used the Physical Activity Social Support (PASS) scale to assess 3 types of PA social support and Poisson regression to investigate associations between PASS types and self-reported PA behavior...
October 24, 2018: Journal of Rural Health
Chiang-Hua Chang, Julie P W Bynum, Jon D Lurie
PURPOSE: Federally Qualified Health Centers (FQHCs), which were expanded under the Affordable Care Act, are federally funded health centers that aim to improve access to primary care in underserved areas. With continued federal support, the number of FQHCs in the United States has increased >80% within a decade. However, the expansion patterns and their impact on the population served are unknown. METHODS: A pre (2007)-post (2014) study of FQHC locations. FQHC locations were identified from the Provider of Services Files then linked to primary care service areas (PCSAs), which represent the service markets that FQHCs served...
October 23, 2018: Journal of Rural Health
Kara M Bensley, Kathleen A McGinnis, John Fortney, K C Gary Chan, Julia C Dombrowski, India Ornelas, E Jennifer Edelman, Joseph L Goulet, Derek D Satre, Amy C Justice, David A Fiellin, Emily C Williams
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regression models estimated and compared 4 alcohol use outcomes (any use [AUDIT-C > 0] and alcohol use disorder [AUD; ICD-9 codes for abuse or dependence] diagnoses among all PLWH, and AUDIT-C risk categories: lower- [1-3 men/1-2 women], moderate- [4-5 men/3-5 women], higher- 6-7]), and severe-risk [8-12], and heavy episodic drinking (HED; ≥1 past-year occasion) among PLWH reporting use) across rurality (urban, large rural, small rural) and census-defined region...
October 19, 2018: Journal of Rural Health
C Holly A Andrilla, Tessa E Moore, Davis G Patterson
PURPOSE: The United States is in the midst of a severe opioid use disorder epidemic. Buprenorphine is an effective office-based treatment that can be prescribed by physicians, nurse practitioners, and physician assistants with a Drug Enforcement Administration (DEA) waiver. However, many providers report barriers that keep them from either getting a DEA waiver or fully using it. The study team interviewed rural physicians successfully prescribing buprenorphine to identify strategies for overcoming commonly cited barriers for providing this service...
October 19, 2018: Journal of Rural Health
Jean A Talbot, Amanda R Burgess, Deborah Thayer, Lily Parenteau, Nathan Paluso, Andrew F Coburn
PURPOSE: Few studies have examined telehealth use among rural Medicaid beneficiaries. This study produced a descriptive overview of telehealth use in 2011, including the prevalence of telehealth use among rural and urban Medicaid beneficiaries, characteristics of telehealth users, types of telehealth services provided, and diagnoses associated with telehealth use. METHODS: Using data from the 2011 Medicaid Analytic eXtract (MAX), we conducted bivariate analyses to test the associations between rurality and prevalence and patterns of telehealth use among Medicaid beneficiaries...
October 4, 2018: Journal of Rural Health
Juan A A Luna, Roland S Moore, Daniel J Calac, Joel W Grube, Richard P McGaffigan
OBJECTIVES: This exploratory study examined pain management practices among American Indians and Alaska Natives in the service area of a rural tribal clinic in Southern California. METHODS: Researchers invited 325 individuals to complete an anonymous survey in clinic waiting rooms and tribal gatherings. Analyses of the 295 eligible responses included calculating frequencies and conducting multiple logistic regressions and a Mantel-Haenszel analysis. RESULTS: Among respondents in this study, being male, younger, and having less education were strong predictors for riskier methods for managing pain...
October 4, 2018: Journal of Rural Health
John C Fortney, Richard C Veith, Amy M Bauer, Paul N Pfeiffer, Marcia Valenstein, Jeffrey M Pyne, Gregory W Dalack, Teresa L Kramer, Lori J Ferro, Karla Metzger, Jay H Shore, Andrew D Carlo, Sara Coates, Susan Ward-Jones, Ed Larkins, Erin Hafer, Stephanie Shushan, Donald L Weaver, Jürgen Unützer
BACKGROUND: Federally Qualified Health Centers (FQHCs) deliver care to 26 million Americans living in underserved areas, but few offer telemental health (TMH) services. The social missions of FQHCs and publicly funded state medical schools create a compelling argument for the development of TMH partnerships. In this paper, we share our experience and recommendations from launching TMH partnerships between 12 rural FQHCs and 3 state medical schools. EXPERIENCE: There was consensus that medical school TMH providers should practice as part of the FQHC team to promote integration, enhance quality and safety, and ensure financial sustainability...
October 4, 2018: Journal of Rural Health
Alexander F Ross, Sara T Afayee
No abstract text is available yet for this article.
October 1, 2018: Journal of Rural Health
John Shaver, Akshay Sharma, Rob Stephenson
PURPOSE: Health disparities among LGBTQ people have been documented across various settings and recent research has indicated that many disparities are heightened in the context of rurality. Among these disparities is the decreased rate of primary care utilization by rural LGBTQ individuals. Understanding and addressing provider knowledge and attitudes related to LGBTQ health provides a relevant avenue for addressing underutilization. METHODS: The study presented was a mail-out survey regarding rural primary care providers' knowledge and experiences regarding LGBTQ health...
September 10, 2018: Journal of Rural Health
K Bryant Smalley, Jacob C Warren, Yelena N Tarasenko, K Nikki Barefoot
PURPOSE: The purpose of this study was to examine the importance of rural location in the likelihood of adolescent drunk driving and riding in a vehicle with a driver under the influence while controlling for a variety of student-, school-, and county-level factors. METHODS: Data from the 2013 Georgia Student Health Survey (GSHS) II (a statewide assessment of student health in public school students in Georgia) were analyzed using multilevel binary regressions to examine rural-urban differences in prevalence of driving under the influence (11th and 12th graders only; n = 114,907) and riding with a driver under the influence (9th -12th graders; n = 258,610), controlling for school-level race, gender, and income, in addition to county-level education level, unemployment, alcohol use, and smoking...
August 30, 2018: Journal of Rural Health
Tyrone F Borders
No abstract text is available yet for this article.
December 2018: Journal of Rural Health
Joseph Fonseca, Andrew Chang, Feng Chang
PURPOSE: Misuse of opioids has become a public health concern across North America. Rural patients have limited access to methadone maintenance treatment (MMT), an opioid addiction-treatment service that could be offered by community pharmacists. The aim of this study was to identify rural community pharmacists' perceived barriers, motivations, and solutions to offering MMT to their patients. METHODS: One-on-one, semistructured interviews were conducted with 11 community pharmacists who practice in rural southwestern Ontario...
December 2018: Journal of Rural Health
Emily B Jones
PURPOSE: This study explores correlates of on-site availability of substance use disorder treatment services in federally qualified health centers, including buprenorphine treatment that is critical to addressing the opioid epidemic. METHODS: We employed descriptive and multivariable analyses with weighted 2010 Assessment of Behavioral Health Services survey data and the 2010 Uniform Data System. FINDINGS: In 2010, 47.6% of health centers provided on-site substance use disorder treatment, 12...
December 2018: Journal of Rural Health
Laura J Chavez, Kelly J Kelleher, Steven C Matson, Thomas M Wickizer, Deena J Chisolm
PURPOSE: Rural young adults experience greater unmet need for mental health (MH) and alcohol or drug (AOD) treatment and lower health insurance coverage than urban residents. It is unknown whether Affordable Care Act (ACA) reforms in 2010 (dependent coverage extended to age 26) or 2014 (Medicaid expansion) closed rural/urban gaps in insurance and treatment. The present study compared changes in rates of health insurance, MH treatment, and AOD treatment for rural and urban young adults over a period of ACA reforms...
December 2018: Journal of Rural Health
Michele Staton, Gabriele Ciciurkaite, Jennifer Havens, Martha Tillson, Carl Leukefeld, Matthew Webster, Carrie Oser, Bridgette Peteet
BACKGROUND: Limited research has focused on correlates of injection drug use (IDU) among high-risk subgroups of drug users, particularly women, who may be at increased risk for transmission of infectious diseases such as HIV and Hepatitis C. The purpose of this study is to better understand the contextual and health correlates of IDU among women living in rural Appalachia by examining (1) differences between injectors and noninjectors, and (2) the unique correlates of recent IDU and past IDU...
December 2018: Journal of Rural Health
Joshua D Brown, Amie J Goodin, Jeffery C Talbert
OBJECTIVE: Incidence of neonatal abstinence syndrome (NAS) is increasing due to the rise in opioid use. Rural states like Kentucky have been disproportionally impacted by opioid abuse, and this study determines NAS burden nationally and in Kentucky while quantifying differences in access to care between Appalachian and non-Appalachian counties. METHODS: NAS rates were calculated using National (2013) and Kentucky (2008-2014) National Inpatient Sample discharge data...
December 2018: Journal of Rural Health
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"