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Direct linkYao, Nengliang; Matthews, Stephen A.; Hillemeier, Marianne M. – Journal of Rural Health, 2012
Purpose: Appalachian counties have historically had elevated infant mortality rates. Changes in infant mortality disparities over time in Appalachia are not well-understood. This study explores spatial inequalities in white infant mortality rates over time in the 13 Appalachian states, comparing counties in Appalachia with non-Appalachian…
Descriptors: Health Services, Poverty, Physicians, Mortality Rate
Luo, Zhong-Cheng; Wilkins, Russell; Heaman, Maureen; Martens, Patricia; Smylie, Janet; Hart, Lyna; Simonet, Fabienne; Wassimi, Spogmai; Wu, Yuquan; Fraser, William D. – Journal of Rural Health, 2010
Context: It is unknown whether rural isolation may affect birth outcomes and infant mortality differentially for Indigenous versus non-Indigenous populations. We assessed birth outcomes and infant mortality by the degree of rural isolation among First Nations (North American Indians) and non-First Nations populations in Manitoba, Canada, a setting…
Descriptors: Body Weight, Mortality Rate, Health Insurance, Infant Mortality
Sontheimer, Dan; Halverson, Larry W.; Bell, Laird; Ellis, Mark; Bunting, Pamela Wilbanks – Journal of Rural Health, 2008
Purpose: This study examines the potential relationship between loss of local obstetrical services and pregnancy outcomes. Methods: Missouri Hospital Association and Missouri Department of Health birth certificate records were used as sources of information. All member hospitals of the Missouri Hospital Association that were located in cities of…
Descriptors: Body Weight, Hospitals, Pregnancy, Social Indicators
Withy, Kelley; Andaya, January May; Mikami, Judith S.; Yamada, Seiji – Journal of Rural Health, 2007
Context: Health disparities between rural and urban communities are well documented. There are many suggested causes and many proposed solutions but no one-size-fits-all answer. The most successful community interventions have been introduced by communities themselves. However, before communities invest in such interventions, each group must…
Descriptors: Comparative Analysis, Rural Areas, Public Education, Health Promotion
Liu, Jiexin (Jason); Bellamy, Gail R.; McCormick, Melissa – Journal of Rural Health, 2007
Purpose: To assess the extent of bypass for inpatient care among patients living in Critical Access Hospital (CAH) service areas, and to determine factors associated with bypass, the reasons for bypass, and what CAHs can do to retain patients locally. Methods: Six hundred and forty-seven subjects, aged 18 years and older, who had been admitted to…
Descriptors: Patients, Health Services, Hospitals, Health Conditions
Minugh, P. Allison; Janke, Susan L.; Lomuto, Nicoletta A.; Galloway, Diane K. – Journal of Rural Health, 2007
Context: Rural and frontier states are significantly affected by substance abuse and poverty. The high rate of substance abuse coupled with high levels of dependence on state-funded treatment systems places a burden on rural treatment systems and makes resource allocation a central planning issue. Purpose: The goal of this study was to combine…
Descriptors: Substance Abuse, Crime, Social Indicators, Organizational Change
