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Journal of Rural Health

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https://www.readbyqxmd.com/read/28731204/urban-rural-differences-in-tubal-ligation-incidence-in-the-state-of-georgia-usa
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28685885/mental-health-and-substance-use-care-among-young-adults-before-and-after-affordable-care-act-aca-implementation-a-rural-and-urban-comparison
#7
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...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685884/correlates-of-injection-drug-use-among-rural-appalachian-women
#8
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...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685866/examining-key-stakeholder-and-community-residents-understanding-of-environmental-influences-to-inform-place-based-interventions-to-reduce-obesity-in-rural-communities-kentucky-2015
#9
Alison Gustafson, Margaret McGladrey, Emily Liu, Nicole Peritore, Kelly Webber, Brooke Butterworth, Ann Vail
PURPOSE: Rural residents report high rates of obesity, physical inactivity, and poor eating habits. The objectives of this study were to (1) use the collective impact model to guide efforts to elicit community members' perceptions of county-specific factors influencing high obesity rates; (2) determine the association between utilization of food retail venues and concern about obesity and healthy eating; and (3) determine community members' utilization of physical activity infrastructure and concern about physical inactivity...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685864/rural-and-appalachian-disparities-in-neonatal-abstinence-syndrome-incidence-and-access-to-opioid-abuse-treatment
#10
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...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685852/the-relationship-between-rural-health-clinic-use-and-potentially-preventable-hospitalizations-and-emergency-department-visits-among-medicare-beneficiaries
#11
Brad Wright, Andrew J Potter, Amal N Trivedi, Keith J Mueller
PURPOSE: High rates of potentially preventable hospitalizations and emergency department (ED) visits indicate limited primary care access. Rural Health Clinics (RHCs) are intended to increase access to primary care. The goal of this study was to evaluate the role of RHCs and their impact on potentially preventable hospitalizations and ED visits among Medicare beneficiaries based on actual individual-level utilization patterns. METHODS: With Medicare Part A and Part B claims data from 2007 to 2010, we constructed a series of individual-level negative binomial regression models to examine the relationship between RHC use and the number of potentially preventable hospitalizations and ED visits...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685850/return-on-investment-roi-analyses-of-an-inpatient-lay-health-worker-model-on-30-day-readmission-rates-in-a-rural-community-hospital
#12
Roberto Cardarelli, Gregory Bausch, Joan Murdock, Michelle Renee Chyatte
PURPOSE: The purpose of the study was to assess the return-on-investment (ROI) of an inpatient lay health worker (LHW) model in a rural Appalachian community hospital impacting 30-day readmission rates. METHODS: The Bridges to Home (BTH) study completed an evaluation in 2015 of an inpatient LHW model in a rural Kentucky hospital that demonstrated a reduction in 30-day readmission rates by 47.7% compared to a baseline period. Using the hospital's utilization and financial data, a validated ROI calculator specific to care transition programs was used to assess the ROI of the BTH model comparing 3 types of payment models including Diagnosis Related Group (DRG)-only payments, pay-for-performance (P4P) contracts, and accountable care organizations (ACOs)...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28543829/what-challenges-do-nonprofit-hospitals-face-in-taking-on-community-health-needs-assessments-a-qualitative-study-from-appalachian-ohio
#13
Daniel Skinner, Berkeley Franz, Kelly Kelleher
PURPOSE: The purpose of this study is to understand the experiences of Appalachian hospitals in undertaking Community Health Needs Assessments (CHNAs). Of particular interest is whether new requirements to undertake regular evaluation and public health programming pose challenges for rural, Appalachian hospitals. METHODS: Using a sample of nonprofit hospitals in Appalachian Ohio, we conducted in-depth qualitative interviews with hospital administrators overseeing community benefit activities and external consultants hired to complete assessments...
May 24, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28464402/trends-and-characteristics-of-occupational-suicide-and-homicide-in-farmers-and-agriculture-workers-1992-2010
#14
Wendy Ringgenberg, Corinne Peek-Asa, Kelley Donham, Marizen Ramirez
OBJECTIVE: We examined work-related homicides and suicides among farm operators/workers in the United States from 1992 to 2010. METHODS: Work-related homicide and suicide cases from 1992 to 2010 were obtained from the Census of Fatal Occupational Injuries. To calculate rates, denominator data on the US working population were also obtained from 2003 to 2010 Current Population Survey. Logistic regression was used to identify factors that were differentially associated with homicide and suicide...
May 2, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28464267/rural-medicine-realities-the-impact-of-immersion-on-urban-based-medical-students
#15
Allison M Crump, Karie Jeter, Samantha Mullins, Amber Shadoan, Craig Ziegler, William J Crump
PURPOSE: The purpose of our study was to determine what effect a rural-based 8-week surgical clerkship during the third year of medical school in a rural setting has on students' opinions about rural living and practice. METHODS: Thirty-three third-year medical students completed a rural health opinion survey at the beginning and end of their 8-week rural rotation and a survey measuring their interest in rural practice after the rotation. The setting was a rural hospital with an average acute care census of 100 that is a regional referral center for 5 rural counties...
May 2, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28678416/recognition-of-the-inaugural-article-of-the-year-rural-health-research-methods-information-technology-and-veterans-health-care
#16
EDITORIAL
Tyrone F Borders
No abstract text is available yet for this article.
June 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/27467119/a-facebook-follow-up-strategy-for-rural-drug-using-women
#17
Megan F Dickson, Michele Staton-Tindall, Kirsten E Smith, Carl Leukefeld, J Matthew Webster, Carrie B Oser
PURPOSE: Facebook (FB) use has grown exponentially over the past decade, including in rural areas. Despite its popularity, FB has been underutilized as a research follow-up approach to maintain contact with research participants and may have advantages in less densely populated areas and among more hard-to-reach, at-risk groups. The overall goal of this study was to examine FB as a supplemental follow-up approach to other follow-up strategies with rural drug-using women. METHODS: Face-to-face interviews were conducted with randomly selected women who completed baseline interviews in 3 rural jails in 1 state...
June 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28426915/improvements-in-colorectal-cancer-incidence-not-experienced-by-nonmetropolitan-women-a-population-based-study-from-utah
#18
Brynn Fowler, N Jewel Samadder, Deanna Kepka, Qian Ding, Lisa Pappas, Anne C Kirchhoff
PURPOSE: Little is known about disparities in colorectal cancer (CRC) incidence and mortality by community-level factors such as metropolitan status. METHODS: This analysis utilized data from the Surveillance, Epidemiology, and End Results (SEER) program from Utah. We included patients diagnosed with CRC from 1991 to 2010. To determine whether associations existed between metropolitan/nonmetropolitan county of residence and CRC incidence, Poisson regression models were used...
April 20, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28397971/availability-of-long-acting-reversible-contraception-in-kansas-health-departments
#19
Tawana Evans, Megha Ramaswamy, Catherine L Satterwhite
PURPOSE: Unintended pregnancy persists as a public health problem in the United States. Local health departments (LHDs) could play an important role in preventing unintended pregnancy by promoting and providing long-acting reversible contraception (LARC, intrauterine devices [IUDs] and implants), particularly in rural states that may lack robust family planning service infrastructure. The objective of this study was to determine availability of LARC in LHDs in Kansas. METHODS: From October 2015 to January 2016, LHD administrators in Kansas were contacted to participate in a structured, cross-sectional phone survey assessing LARC availability, staff trained to place LARC, the process for obtaining LARC, and barriers to offering LARC...
April 11, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28397970/extending-work-on-rural-health-disparities-a-commentary-on-matthews-and-colleagues-report
#20
Paul A Gilbert, Helena H Laroche, Robert B Wallace, Edith A Parker, Susan J Curry
No abstract text is available yet for this article.
April 11, 2017: Journal of Rural Health
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