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https://www.readbyqxmd.com/read/28102648/2016-rural-enrollment-in-health-insurance-marketplaces-by-state
#1
Abigail R Barker, Kelsey A Huntzberry, Timothy D McBride, Leah M Kemper, Keith J Mueller
Purpose. In this brief, cumulative county-level enrollment in Health Insurance Marketplaces (HIMs) through March 2016 is presented for state HIMs operated as Federally Facilitated Marketplaces (FFMs) and for those operated as Federally Supported State-Based Marketplaces (FS-SBMs). Enrollment rates in metropolitan and non-metropolitan areas of each state, defined as the percentage of “potential market” participants selecting plans, are presented. Monitoring annual enrollment rates provides a gauge of how well state outreach and enrollment efforts are proceeding and helps identify states with strong non-metropolitan enrollment as models for other states to emulate...
2017: Rural Policy Brief
https://www.readbyqxmd.com/read/28098080/access-to-healthcare-among-the-empowered-action-group-eag-states-of-india-current-status-and-impeding-factors
#2
Virendra Kumar, Pushpendra Singh
BACKGROUND: Access to healthcare is crucial for meeting the health needs of Indians. We explored factors impeding access to public sources of healthcare among the Empowered Action Group (EAG) states of India. We also examined the extent to which Indians depend on public and private sources of healthcare in the EAG states. METHODS: Our study is based on the unit-level records of 9988 ailing persons, who were surveyed among the EAG states in the 71st round of the National Sample Survey (NSS), conducted during January-June 2014 on the theme 'Social consumption: Health'...
September 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/28092064/critical-congenital-heart-disease-newborn-screening-implementation-lessons-learned
#3
Monica R McClain, John S Hokanson, Regina Grazel, Kim Naarden Van Braun, Lorraine F Garg, Michelle R Morris, Kathleen Moline, Keri Urquhart, Amy Nance, Harper Randall, Marci K Sontag
Introduction The purpose of this article is to present the collective experiences of six federally-funded critical congenital heart disease (CCHD) newborn screening implementation projects to assist federal and state policy makers and public health to implement CCHD screening. Methods A qualitative assessment and summary from six demonstration project grantees and other state representatives involved in the implementation of CCHD screening programs are presented in the following areas: legislation, provider and family education, screening algorithms and interpretation, data collection and quality improvement, telemedicine, home and rural births, and neonatal intensive care unit populations...
January 16, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28088739/the-effects-of-rurality-on-substance-use-disorder-diagnosis-a-multiple-groups-latent-class-analysis
#4
Billy Brooks, Matthew McBee, Robert Pack, Arsham Alamian
BACKGROUND: Rates of accidental overdose mortality from substance use disorder (SUD) have risen dramatically in the United States since 1990. Between 1999 and 2004 alone rates increased 62% nationwide, with rural overdose mortality increasing at a rate 3 times that seen in urban populations. Cultural differences between rural and urban populations (e.g., educational attainment, unemployment rates, social characteristics, etc.) affect the nature of SUD, leading to disparate risk of overdose across these communities...
January 6, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28081058/leading-causes-of-death-in-nonmetropolitan-and-metropolitan-areas-united-states-1999-2014
#5
Ernest Moy, Macarena C Garcia, Brigham Bastian, Lauren M Rossen, Deborah D Ingram, Mark Faul, Greta M Massetti, Cheryll C Thomas, Yuling Hong, Paula W Yoon, Michael F Iademarco
PROBLEM/CONDITION: Higher rates of death in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas have been described but not systematically assessed. PERIOD COVERED: 1999-2014 DESCRIPTION OF SYSTEM: Mortality data for U.S. residents from the National Vital Statistics System were used to calculate age-adjusted death rates and potentially excess deaths for nonmetropolitan and metropolitan areas for the five leading causes of death...
January 13, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/28079646/public-health-agency-accreditation-among-rural-local-health-departments-influencers-and-barriers
#6
Kate E Beatty, Paul Campbell Erwin, Ross C Brownson, Michael Meit, James Fey
OBJECTIVE: Health department accreditation is a crucial strategy for strengthening public health infrastructure. The purpose of this study was to investigate local health department (LHD) characteristics that are associated with accreditation-seeking behavior. This study sought to ascertain the effects of rurality on the likelihood of seeking accreditation through the Public Health Accreditation Board (PHAB). DESIGN: Cross-sectional study using secondary data from the 2013 National Association of County & City Health Officials (NACCHO) National Profile of Local Health Departments Study (Profile Study)...
January 11, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28075508/differences-in-access-to-and-use-of-electronic-personal-health-information-between-rural-and-urban-residents-in-the-united-states
#7
Alexandra J Greenberg, Danielle Haney, Kelly D Blake, Richard P Moser, Bradford W Hesse
PURPOSE: The increase in use of health information technologies (HIT) presents new opportunities for patient engagement and self-management. Patients in rural areas stand to benefit especially from increased access to health care tools and electronic communication with providers. We assessed the adoption of 4 HIT tools over time by rural or urban residency. METHODS: Analyses were conducted using data from 7 iterations of the National Cancer Institute's Health Information National Trends Survey (HINTS; 2003-2014)...
January 11, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28070825/prevalence-and-predictors-of-giardia-in-the-united-states
#8
Haley M Zylberberg, Peter H R Green, Kevin O Turner, Robert M Genta, Benjamin Lebwohl
BACKGROUND: Infection with Giardia lamblia is a common cause of diarrheal disease in the developing and industrialized world. AIMS: We aimed to assess the prevalence of giardiasis in the United States (US) among patients with duodenal biopsies, investigating demographic and clinical factors associated with this condition. METHODS: We conducted a cross-sectional study of patients with duodenal biopsies submitted to a national pathology laboratory between January 2, 2008, and December 31, 2015...
January 9, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28069138/disparities-in-access-to-trauma-care-in-the-united-states-a-population-based-analysis
#9
Brendan G Carr, Ariel J Bowman, Catherine S Wolff, Michael T Mullen, Daniel N Holena, Charles C Branas, Douglas J Wiebe
BACKGROUND: Injury is a major contributor to morbidity and mortality in the United States. Accordingly, expanding access to trauma care is a Healthy People priority. The extent to which disparities in access to trauma care exist in the US is unknown. Our objective was to describe geographic, demographic, and socioeconomic disparities in access to trauma care in the United States. METHODS: Cross-sectional study of the US population in 2010 using small units of geographic analysis and validated estimates of population access to a Level I or II trauma center within 60minutes via ambulance or helicopter...
January 3, 2017: Injury
https://www.readbyqxmd.com/read/28057065/-they-re-younger%C3%A2-it-s-harder-primary-providers-perspectives-on-hypertension-management-in-young-adults-a-multicenter-qualitative-study
#10
Heather M Johnson, Ryan C Warner, Christie M Bartels, Jamie N LaMantia
BACKGROUND: Young adults (18-39 year-olds) have the lowest hypertension control rates among adults with hypertension in the United States. Unique barriers to hypertension management in young adults with primary care access compared to older adults have not been evaluated. Understanding these differences will inform the development of hypertension interventions tailored to young adults. The goals of this multicenter study were to explore primary care providers' perspectives on barriers to diagnosing, treating, and controlling hypertension among young adults with regular primary care...
January 3, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28053009/progressive-rural-urban-disparity-in-acute-stroke-care
#11
Sergio Gonzales, Michael T Mullen, Leslie Skolarus, Dylan P Thibault, Uduak Udoeyo, Allison W Willis
OBJECTIVE: To explore rural-urban differences and trends in tissue plasminogen activator (tPA) utilization among acute ischemic stroke (AIS) patients and examine the association between primary stroke center (PSC) growth and geographic disparity in tPA use. METHODS: We used hospital discharge data from the National Inpatient Sample (NIS) from 2000 to 2010 and indicators of tPA utilization and describe temporal trends in geographic disparities in AIS care during PSC growth...
January 4, 2017: Neurology
https://www.readbyqxmd.com/read/28005531/nutrition-standards-for-food-service-guidelines-for-foods-served-or-sold-in-municipal-government-buildings-or-worksites-united-states-2014
#12
Stephen J Onufrak, Hatidza Zaganjor, Latetia V Moore, Susan Carlson, Joel Kimmons, Deborah Galuska
INTRODUCTION: The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities. METHODS: We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied...
December 22, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28001101/palatal-fistula-risk-after-primary-palatoplasty-a-retrospective-comparison-of-a-humanitarian-organization-and-tertiary-hospitals
#13
Kimberly M Daniels, Emily Yang Yu, Rebecca G Maine, Yin Heng, Li Yang, Bing Shi, D Scott Corlew, William Y Hoffman, George A Gregory
BACKGROUND:   Humanitarian surgical organizations provide palatoplasties for patients without access to surgical care. Few organizations have evaluated the outcomes of these trips. This study evaluates the palatal fistula rate in patients from two cohorts in rural China and one in the United States. METHODS:   This study compared the odds of fistula formation among three cohorts whose palates were repaired between 2005 and 2009. One cohort included 97 Chinese patients operated on by teams from the United States and Canada under the auspices of Resurge International...
December 21, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27997482/bringing-healthy-aging-to-scale-a-randomized-trial-of-a-quality-improvement-intervention-to-increase-adoption-of-evidence-based-health-promotion-programs-by-community-partners
#14
James H Ford, Betsy Abramson, Meg Wise, Melissa Dattalo, Jane E Mahoney
OBJECTIVE: To evaluate the effectiveness of a quality improvement intervention to increase delivery of 2 evidence-based health promotion workshops, Stepping On and Chronic Disease Self-Management Program (CDSMP), in rural communities. DESIGN: A cluster-randomized wait-list control group design. SETTING: Rural Wisconsin counties with trained workshop leaders but no workshops in the prior year were eligible to participate. INTERVENTION: Sixteen counties were randomized to receive the NIATx intervention or wait-list control...
December 16, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27997132/chemical-characterization-of-water-soluble-organic-aerosol-in-contrasting-rural-and-urban-environments-in-the-southeastern-united-states
#15
Lu Xu, Hongyu Guo, Rodney J Weber, Nga Lee Ng
We developed a novel system for direct and online characterization of water-solubility of organic aerosol (OA) by coupling a Particle Into Liquid Sampler (PILS) to a High-Resolution Time-of-Flight Aerosol Mass Spectrometer (HR-ToF-AMS). We showed that approximately 88% and 77% of OA are water-soluble in rural Centreville, Alabama and urban Atlanta, Georgia, respectively. The water-solubility of OA factors, resolved with Positive Matrix Factorization analysis of AMS data, is directly investigated for the first time...
January 3, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/27990732/symptoms-among-patients-receiving-in-center-hemodialysis-a-qualitative-study
#16
Kim J Cox, Mark B Parshall, Stephen H A Hernandez, Sanah Z Parvez, Mark L Unruh
Introduction Assessment of dialysis-related symptoms is not currently a requirement for hemodialysis (HD) providers in the United States. The purpose of this study was to describe patients' perspectives on symptoms associated with end-stage chronic kidney disease treated with thrice-weekly, in-center HD. Methods We performed a qualitative study using interpretive description. Interview questions were based on a KDIGO (Kidney Disease Improving Global Outcomes) controversies conference and a literature review...
December 19, 2016: Hemodialysis International
https://www.readbyqxmd.com/read/27988975/response-of-vegetation-phenology-to-urbanization-in-the-conterminous-united-states
#17
Xuecao Li, Yuyu Zhou, Ghassem R Asrar, Jiafu Mao, Xiaoma Li, Wenyu Li
The influence of urbanization on vegetation phenology is gaining considerable attention due to its implications for human health, cycling of carbon and other nutrients in Earth system. In this study, we examined the relationship between change in vegetation phenology and urban size, an indicator of urbanization, for the conterminous United States. We studied more than 4500 urban clusters of varying size to determine the impact of urbanization on plant phenology, with the aids of remotely sensed observations since 2003-2012...
December 18, 2016: Global Change Biology
https://www.readbyqxmd.com/read/27988136/estimating-population-exposure-to-ambient-polycyclic-aromatic-hydrocarbon-in-the-united-states-part-i-model-development-and-evaluation
#18
Jie Zhang, Jingyi Li, Peng Wang, Gang Chen, Pauline Mendola, Seth Sherman, Qi Ying
PAHs (polycyclic aromatic hydrocarbons) in the environment are of significant concern due to their negative impact on human health. PAH measurements at the air toxics monitoring network stations alone are not sufficient to provide a complete picture of ambient PAH levels or to allow accurate assessment of public exposure in the United States. In this study, speciation profiles for PAHs were prepared using data assembled from existing emission profile data bases, and the Sparse Matrix Operator Kernel Emissions (SMOKE) model was used to generate the gridded national emissions of 16 priority PAHs in the US...
December 14, 2016: Environment International
https://www.readbyqxmd.com/read/27984917/the-south-carolina-rural-urban-hiv-continuum-of-care
#19
Babatunde Edun, Medha Iyer, Helmut Albrecht, Sharon Weissman
The HIV continuum of care model is widely used by various agencies to describe the HIV epidemic in stages from diagnosis through to virologic suppression. It identifies the various points at which persons living with HIV (PLWHIV) within a population fail to reach their next step in HIV care. The rural population in the Southern United States is disproportionally affected by the HIV epidemic. The purpose of this study was to examine these rural-urban disparities using the HIV care continuum model and determine at what stages these differences become apparent...
December 16, 2016: AIDS Care
https://www.readbyqxmd.com/read/27966254/diverse-ontogenies-of-reciprocal-and-prosocial-behavior-cooperative-development-in-fiji-and-the-united-states
#20
Bailey R House
Contingent reciprocity is an important foundation of human cooperation, but we know little about how reciprocal behavior develops across diverse societies, nor about how the development of reciprocal behavior is related to the development of prosocial behavior more broadly. Three- to 16-year-old children were presented with the opportunity to control the allocation of real food rewards in a binary-choice cooperative dilemma. Within dyads children alternated making choices across multiple trials, and reciprocal behavior emerged in three diverse populations (rural Fijian villages, and urban communities in both Fiji and the United States) by age 7-8...
December 13, 2016: Developmental Science
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