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Journal of Rural Health

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https://www.readbyqxmd.com/read/28940539/financial-and-health-barriers-and-caregiving-related-difficulties-among-rural-and-urban-caregivers
#1
Erin D Bouldin, Lynn Shaull, Elena M Andresen, Valerie J Edwards, Lisa C McGuire
PURPOSE: To assess whether financial or health-related barriers were more common among rural caregivers and whether rural caregivers experienced more caregiving-related difficulties than their urban peers. METHODS: We used data from 7,436 respondents to the Caregiver Module in 10 states from the 2011-2013 Behavioral Risk Factor Surveillance System. Respondents were classified as caregivers if they reported providing care to a family member or friend because of a long-term illness or disability...
September 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28921673/safety-of-back-transfer-to-local-hospitals-during-an-acute-care-hospitalization
#2
Leah F Nelson, Karisa K Harland, Dan M Shane, Azeemuddin Ahmed, Nicholas M Mohr
PURPOSE: This paper investigates patient outcomes including length of stay (LOS), cost of hospitalization, bounce-back rates, transition to hospice care, and mortality, following back-transfer. METHODS: This study was an observational case-control study of adults hospitalized in Iowa between 2005 and 2013 to identify back-transferred patients. Back-transfer was defined as the transfer of rural patients near the end of their acute hospitalization in a comprehensive medical center back to a local community hospital for the completion of their medical care...
September 18, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28921667/polysubstance-use-among-adolescents-in-a-low-income-rural-community-latent-classes-for-middle-and-high-school-students
#3
Roderick A Rose, Caroline B R Evans, Paul R Smokowski, Matthew O Howard, Katie L Stalker
PURPOSE: Rural communities are currently being impacted by a nationwide epidemic of prescription opioid misuse. Rural adolescent substance users may be at substantial risk for later addiction to these and other drugs. METHODS: This study uses Latent Class Analysis to identify subtypes of polysubstance users among a sample of 7,074 rural adolescents. Separate models were estimated for middle- and high-school youth. Predictive validity was estimated using cumulative ordinal logistic regression of the classes on a set of youth and family characteristics...
September 18, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28913942/the-journal-of-rural-health-reviewers-july-2016-june-2017
#4
(no author information available yet)
No abstract text is available yet for this article.
September 15, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28913876/an-assessment-of-participant-described-interprofessional-oral-health-referral-systems-across-rurality
#5
Sean G Boynes, Abigail Lauer, Mark Deutchman, Amy B Martin
PURPOSE: As a means to identify and quantify oral health interprofessional collaborative practice (IPP), we examined participant-described medical-to-dental (M2D) referral networks and how they function across rurality. METHODS: We conducted a cross-sectional survey on the appraisal of IPP referral systems in 2016. Secondarily, we examined if rural health clinics (RHCs) have different experiences with M2D referrals compared to other practice types. Independent variables included geographic and organizational indicators, referral system attributes, and respondent characteristics...
September 15, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28905468/preventive-dental-checkups-and-their-association-with-access-to-usual-source-of-care-among-rural-and-urban-adult-residents
#6
Aishah Khan, Janani R Thapa, Donglan Zhang
PURPOSE: This study aimed to assess the relationship between rural or urban residence and having a usual source of care (USC), and the utilization of preventive dental checkups among adults. METHODS: Cross-sectional analysis was conducted using data from the Medical Expenditure Panel Survey 2012. We performed a logit regression on the relationship between rural and urban residence, having a USC, and having at least 1 dental checkup in the past year, adjusting for sociodemographic characteristics and health status...
September 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28905433/integrating-oral-health-into-rural-primary-care-the-what-and-the-why
#7
Mark Deutchman
No abstract text is available yet for this article.
September 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28905432/-taking-the-bull-by-the-horns-four-principles-to-align-public-health-primary-care-and-community-efforts-to-improve-rural-cancer-control
#8
Stephanie B Wheeler, Melinda M Davis
No abstract text is available yet for this article.
September 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28905422/the-role-of-primary-care-for-the-oral-health-of-rural-and-urban-older-adults
#9
Julia T Caldwell, Haena Lee, Kathleen A Cagney
CONTEXT: Rural populations often have restricted access to dental care and poor oral health. These problems may disproportionately affect older blacks in rural areas. Little is known about how access to primary health care may improve the oral health of rural seniors. PURPOSE: This study examines whether the relationship between having a usual source of health care and oral health varies for white and black older adults in rural and urban areas in the United States...
September 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28880420/latent-risk-subtypes-based-on-injection-and-sexual-behavior-among-people-who-inject-drugs-in-rural-puerto-rico
#10
Dane Hautala, Roberto Abadie, Courtney Thrash, Juan Carlos Reyes, Kirk Dombrowski
BACKGROUND: People who inject drugs (PWID) in Puerto Rico engage in high levels of injection and sexual risk behavior, and they are at high risk for HIV and hepatitis C (HCV) infection, relative to their US counterparts. Less is known, however, about the clustering of risk behavior conducive to HIV and HCV infection among rural Puerto Rican communities. OBJECTIVES: The purpose of this study was to examine concurrent injection and sexual risk subtypes among a rural sample of PWID in Puerto Rico...
September 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28872699/psychosocial-correlates-of-ever-having-a-pap-test-and-abnormal-pap-results-in-a-sample-of-rural-appalachian-women
#11
Kristen P Mark, Richard A Crosby, Robin C Vanderpool
BACKGROUND: Despite known prevention and screening efforts, there are higher invasive cervical cancer rates in Appalachia than in other areas of the United States and higher mortality rates in the Appalachian region of Kentucky compared to Appalachian regions of other states. PURPOSE: The primary purpose of this study was to investigate the association of psychosocial factors relevant to cervical cancer and the outcome of ever having a Pap test in a rural sample of women...
September 5, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28872697/perceived-barriers-and-facilitators-to-providing-methadone-maintenance-treatment-among-rural-community-pharmacists-in-southwestern-ontario
#12
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...
September 5, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28842930/medication-assisted-opioid-treatment-prescribers-in-federally-qualified-health-centers-capacity-lags-in-rural-areas
#13
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...
August 26, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28842929/the-effect-of-rurality-on-out-of-hospital-cardiac-arrest-resuscitation-incidence-an-exploratory-study-of-a-national-registry-utilizing-a-categorical-approach
#14
Siobhán Masterson, Conor Teljeur, John Cullinan, Andrew W Murphy, Conor Deasy, Akke Vellinga
PURPOSE: Variation in incidence is a universal feature of out-of-hospital cardiac arrest (OHCA). One potential source of variation is the rurality of the location where the OHCA incident occurs. While previous work has used a simple binary approach to define rurality, the purpose of this study was to use a categorical approach to quantify the impact of urban-rural classification on OHCA incidence in the Republic of Ireland. METHODS: The observed versus expected ratio of OHCA incidence where resuscitation was attempted for the period January 1, 2012, to December 31, 2014, was calculated for each of the 3,408 electoral divisions (ED)...
August 26, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28731204/urban-rural-differences-in-tubal-ligation-incidence-in-the-state-of-georgia-usa
#15
Curtis D Travers, Jessica B Spencer, Carrie A Cwiak, Ann C Mertens, Penelope P Howards
PURPOSE: To evaluate the difference in tubal ligation use between rural and urban counties in the state of Georgia, USA. METHODS: The study population included 2,160 women aged 22-45. All participants completed a detailed interview on their reproductive histories. County of residence was categorized using the National Center for Health Statistics Urban-Rural Classification Scheme. We estimated the association between urbanization of county of residence and tubal ligation using Cox regression...
July 21, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28686799/body-mass-index-category-moderates-the-relationship-between-depressive-symptoms-and-diet-quality-in-overweight-and-obese-rural-dwelling-adults
#16
Demetrius A Abshire, Terry A Lennie, Misook L Chung, Martha J Biddle, Celestina Barbosa-Leiker, Debra K Moser
PURPOSE: This study was conducted to (1) compare diet quality among depressed and nondepressed overweight and obese rural-dwelling adults and (2) determine whether body mass index (BMI) category moderates the relationship between depressive symptoms and overall diet quality. METHODS: Rural adults in Kentucky (n = 907) completed the 9-item Patient Health Questionnaire (PHQ-9) that assessed depressive symptoms and a food frequency questionnaire that generated 2005 Healthy Eating Index (HEI) scores...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28686787/barriers-and-facilitators-of-colorectal-cancer-screening-for-patients-of-rural-accountable-care-organization-clinics-a-multilevel-analysis
#17
Hongmei Wang, Fang Qiu, Abbey Gregg, Baojiang Chen, Jungyoon Kim, Lufei Young, Neng Wan, Li-Wu Chen
PURPOSE: This study examines multilevel factors related to colorectal cancer (CRC) screening in a rural Accountable Care Organization (ACO) setting. METHODS: The study used electronic medical record data from 8 rural ACO clinics in Nebraska. The final sample included 15,866 average-risk patients aged 50-75 years who visited participating clinics at least once from June 2014 to May 2015. Logistic regression was conducted to examine simultaneous effects of patient, provider, and county characteristics on CRC screening after accounting for provider-county-level correlation using a generalized estimating equations method...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28686786/disparities-in-the-use-of-diabetes-screening-in-appalachia
#18
Jennifer M Lobo, Roger Anderson, George J Stukenborg, Anthony McCall, Hyojung Kang, Fabian Camacho, Min-Woong Sohn
PURPOSE: The Appalachian region presents disproportionately high rates of chronic disease compared to the rest of the United States. Early diagnosis of diabetes through screening is an important step in reducing diabetes complications. This study examines disparities in the use of diabetes screening in Appalachia. METHODS: We analyzed 2009 and 2010 Behavioral Risk Factor Surveillance System data for 96,111 adults aged ≥45 years from 11 Appalachian states. Based on economic status, Appalachian counties were grouped into distressed (least affluent), at-risk, transitional, and competitive (most affluent)...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685889/correlates-of-community-based-colorectal-cancer-screening-in-a-rural-population-the-role-of-fatalism
#19
Richard A Crosby, Tom Collins
One largely unexplored barrier to colorectal cancer (CRC) screening is fatalistic beliefs about cancer. The purpose of this study was to identify correlates of ever having endoscopy screenings for CRC and to determine whether fatalism plays a unique role. Because evidence suggests that cancer-associated fatalistic beliefs may be particularly common among rural Americans, the study was conducted in a medically underserved area of rural Appalachia.  METHODS: Rural residents (N = 260) between 51 and 75 years of age, from a medically underserved area of Appalachia, Kentucky, were recruited for a cross-sectional study...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685888/address-based-sampling-for-recruiting-rural-subpopulations-a-2-phase-multimode-approach
#20
Tiffany L Thomson, Julianna M Nemeth, Juan Peng, Bo Lu, Amy K Ferketich, Electra D Paskett, Mary Ellen Wewers
PURPOSE: This article describes recruitment of a subpopulation of women in a rural area, extending an existing method of a 2-phase address-based sampling protocol to include a mixed-mode approach. METHODS: Phase 1 included a household enumeration questionnaire mailed to randomly selected households (n = 1,950) in 3 Ohio Appalachian counties to identify members of the eligible subgroup. The second phase of recruitment involved contacting 1 randomly selected eligible woman enumerated by each household, based on return of the questionnaire...
July 7, 2017: Journal of Rural Health
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