Characteristics of Poverty in Nonmetro Counties. Rural Development Research Report Number 52.

ERIC Educational Resources Information Center

Morrissey, Elizabeth S.

Economic growth and federal assistance programs lowered the overall nonmetro poverty rates during the years 1959-80, but uneven distribution of benefits resulted in high poverty rates among rural counties containing populations with distinctive demographic, socioeconomic, and employment characteristics. The 100 rural counties with the highest…

IMPACT of City-County Consolidation of the Rural-Urban Fringe: Nashville-Davidson County, Tennessee.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

This report analyzed the effect of consolidation of city and county governments in Nashville, Tenn., on local public finance and the availability of public services in the rural areas of the county. Comparisons were made between governmental costs and functions before and 3 years after the metropolitan district was formed. Some 299 voters in the…

A Profile of Selected Demographic and Socioeconomic Characteristics of Rural Georgia Counties.

ERIC Educational Resources Information Center

Pieper, Hanns; Miller, H. Max

Demographic and selected socioeconomic changes which have occurred during the past decade in rural Georgia are delineated in this paper. The sample consisted of 50 counties, none of which had any urban population in 1960 or 1970. These counties, which are representative of rural regions which are losing or gaining population, were divided into 2…

Health care utilization patterns for young children in rural counties of the I-95 corridor of South Carolina.

PubMed

McElligott, James T; Summer, Andrea P

2013-01-01

The objective of this study was to assess health care utilization patterns for young children with Medicaid insurance in the rural counties of the I-95 corridor in South Carolina relative to other regions of the state. We hypothesize that young children received less well care and higher levels of tertiary care in the rural counties along the I-95 corridor (I-95) of South Carolina. A Medicaid cohort of children less than 3 years of age was used to compare Early, Periodic, Diagnosis, Screening and Treatment (EPSDT) visits; preventable emergency department (ED) visits; and inpatient visits between I-95, other rural and urban county groupings. The adjusted odds of a child having had 80% of the recommended EPSDT visits were reduced for I-95 compared to other rural counties. The odds of a preventable inpatient or ED visit were increased for all rural counties, with the highest rates in the other rural counties. Children accessed well care less in the I-95 corridor compared to other rural areas of South Carolina. Rural children accessed tertiary care more often than urban children, a finding most prominent outside the I-95 corridor, likely attributable to more available access of tertiary care in rural counties outside the I-95 corridor. © 2012 National Rural Health Association.

Child maltreatment in rural southern counties: Another perspective on race, poverty and child welfare.

PubMed

Smith, Brenda D; Kay, Emma Sophia; Pressley, Tracy D

2018-06-01

Building on research that has identified community characteristics associated with child maltreatment, this study investigates the adequacy and equity of the child welfare response at the county level. The study focuses on states in the U.S. south with demographic characteristics that make it possible to disentangle county racial composition from county rurality. County-level child maltreatment data were merged with data from the U.S. Census and other publicly-available sources for the 354 counties in four southern states. Results from multiple regression models indicated that, despite a greater preponderance of risk factors typically associated with child maltreatment, rural, majority African-American counties had lower rates of reported and substantiated child maltreatment compared to other southern counties. Cross-sectional results were consistent across three years: 2012, 2013, and 2014. The findings suggest that children and families in rural, majority African-American counties in the South may not be receiving adequate or equitable responses from the formal child welfare system. Copyright © 2018 Elsevier Ltd. All rights reserved.

Rural counties chlamydia and gonorrhea rates in Pennsylvania among adolescents and young adults.

PubMed

Pinto, Casey N; Dorn, Lorah D; Chinchilli, Vernon M; Du, Ping; Chi, Guangqing

2017-09-01

American adolescents and young adults between the ages of 15 and 24 account for 50% of all sexually transmitted diseases (STDs) annually. Rural populations in this age group are often understudied, despite having factors that place them at higher risk for STDs. The purpose of this study was to evaluate the utility of time series analysis in the assessment of rural Pennsylvania county-level chlamydia and gonorrhea rates overtime (2004-2014) for 15- to 19- and 20- to 24-year-old age groups by gender. An exploratory analysis was completed using Pennsylvania STD surveillance case report and census data, to develop a linear mixed-effects model of the STD rate for each Pennsylvania county for the years 2004 through 2014 using 3-month increments. A cubic polynomial spline regression model was assumed over the 44 time points for each county to account for possible oscillations in the STD rate during the 11-year period. Eight out of 12 rural counties had a significant increase in chlamydia or gonorrhea rates, and five rural counties had significant decreases in chlamydia or gonorrhea rates from 2004 to 2014. Results from this study provide the first analysis of change in rates of STDs in rural settings and demonstrate the utility of time series analysis for populations with small sample sizes. Copyright © 2017 Elsevier Inc. All rights reserved.

The business cycle and mortality: Urban versus rural counties.

PubMed

Sameem, Sediq; Sylwester, Kevin

2017-02-01

Many studies have found that mortality declines during recessions, but do such results remain consistent in both urban and rural settings? To help uncover explanations for such a pro-cyclical nature of mortality, the present study revisits this topic but allows for associations between unemployment and mortality to differ between urban and rural areas. Using a total of 66 863 observations across 3066 counties of the U.S. from 1990 to 2013, we allow the coefficient on unemployment to differ between urban and rural counties. With an exception of deaths due to external accidents being pro-cyclical in rural settings, we find that the negative association between unemployment and mortality more generally holds for urban areas, particularly for females and the elderly. Moreover, we find death due to circulatory disease or influenza/pneumonia to be especially more prevalent in urban areas. Given that the negative associations between unemployment and mortality are generally stronger in cities, views attempting to explain pro-cyclical mortality should focus on characteristics in urban settings. Copyright © 2016 Elsevier Ltd. All rights reserved.

Indicators of social well-being and elements of child welfare in Minnesota rural counties.

PubMed

Menanteau-Horta, Darío; Yigzaw, Michael

2002-01-01

Organizational and structural conditions of rural communities and counties are significant factors in determining child welfare levels and general quality of life in rural areas. This article analyzes the relationship between elements of child welfare and an index of social well-being estimated for the state of Minnesota. The study suggests that social workers may enhance their services by considering county data that depict the viability of rural communities.

County-level heat vulnerability of urban and rural residents in Tibet, China.

PubMed

Bai, Li; Woodward, Alistair; Cirendunzhu; Liu, Qiyong

2016-01-12

Tibet is especially vulnerable to climate change due to the relatively rapid rise of temperature over past decades. The effects on mortality and morbidity of extreme heat in Tibet have been examined in previous studies; no heat adaptation initiatives have yet been implemented. We estimated heat vulnerability of urban and rural populations in 73 Tibetan counties and identified potential areas for public health intervention and further research. According to data availability and vulnerability factors identified previously in Tibet and elsewhere, we selected 10 variables related to advanced age, low income, illiteracy, physical and mental disability, small living spaces and living alone. We separately created and mapped county-level cumulative heat vulnerability indices for urban and rural residents by summing up factor scores produced by a principal components analysis (PCA). For both study populations, PCA yielded four factors with similar structure. The components for rural and urban residents explained 76.5 % and 77.7 % respectively of the variability in the original vulnerability variables. We found spatial variability of heat vulnerability across counties, with generally higher vulnerability in high-altitude counties. Although we observed similar median values and ranges of the cumulative heat vulnerability index values among urban and rural residents overall, the pattern varied strongly from one county to another. We have developed a measure of population vulnerability to high temperatures in Tibet. These are preliminary findings, but they may assist targeted adaptation plans in response to future rapid warming in Tibet.

Hamilton County: A Rural School District Profile.

ERIC Educational Resources Information Center

Harned, Catherine

Using state education agency, census, industry employment and occupational information data, this paper provides a detailed picture of a rural school district in Southern Illinois. Mining and agriculture are the major industries in Hamilton County. The major mining employer closed in February 1988, and the drought of 1988 is likely to adversely…

Smart Growth Self-Assessment for Rural Communities: Madison County

EPA Pesticide Factsheets

Report from a technical assistance project to help Madison County, NY, develop a tool to help rural local governments assess how well their policies are helping them achieve the type of development they want.

Local Rural Product as a "Relic" Spatial Strategy in Globalised Rural Spaces: Evidence from County Clare (Ireland)

ERIC Educational Resources Information Center

Wilson, Geoff A.; Whitehead, Ian

2012-01-01

Using a case study from County Clare (Ireland), this study critically analyses notions of "local" rural production. It investigates where rural businesses source the different components of their products and how these interrelate with the locality, how local businesses use the notion of "local" in their product branding, and…

Do smoke-free laws in rural, distressed counties encourage cessation?

PubMed

Hahn, Ellen J; Rayens, Mary Kay; Langley, Ronald E; Adkins, Sarah M; Dignan, Mark

2010-11-01

The authors examined the association between smoke-free laws and smoking/cessation behaviors and secondhand smoke exposure among current and former smokers in rural, distressed counties. A quasi-experimental, two-group design compared outcomes between participants from a county with a longstanding smoke-free law (n = 252) and those living in four demographically similar counties without smoke-free laws ( n = 250). Participants were recruited using random digit dialing. Controlling for demographic factors, those in the treatment group reported greater nicotine dependence, were more likely to have smoke-free workplaces, and less likely to have smoke-free homes. There were no differences in smoking status, past-year quit attempts, intent to quit in 5 years, cigarettes per day, or time since last cigarette. Smokers in the treatment group were just as likely to attempt to quit, despite greater nicotine dependence. Findings showed that making nonsmoking the social norm through policy change may be more difficult in rural, distressed areas.

Social Capital and Human Mortality: Explaining the Rural Paradox with County-Level Mortality Data

PubMed Central

Jensen, Leif; Haran, Murali

2014-01-01

The “rural paradox” refers to standardized mortality rates in rural areas that are unexpectedly low in view of well-known economic and infrastructural disadvantages there. We explore this paradox by incorporating social capital, a promising explanatory factor that has seldom been incorporated into residential mortality research. We do so while being attentive to spatial dependence, a statistical problem often ignored in mortality research. Analyzing data for counties in the contiguous United States, we find that: (1) the rural paradox is confirmed with both metro/non-metro and rural-urban continuum codes, (2) social capital significantly reduces the impacts of residence on mortality after controlling for race/ethnicity and socioeconomic covariates, (3) this attenuation is greater when a spatial perspective is imposed on the analysis, (4) social capital is negatively associated with mortality at the county level, and (5) spatial dependence is strongly in evidence. A spatial approach is necessary in county-level analyses such as ours to yield unbiased estimates and optimal model fit. PMID:25392565

Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States.

PubMed

Kozhimannil, Katy B; Hung, Peiyin; Henning-Smith, Carrie; Casey, Michelle M; Prasad, Shailendra

2018-03-27

Hospital-based obstetric services have decreased in rural US counties, but whether this has been associated with changes in birth location and outcomes is unknown. To examine the relationship between loss of hospital-based obstetric services and location of childbirth and birth outcomes in rural counties. A retrospective cohort study, using county-level regression models in an annual interrupted time series approach. Births occurring from 2004 to 2014 in rural US counties were identified using birth certificates linked to American Hospital Association Annual Surveys. Participants included 4 941 387 births in all 1086 rural counties with hospital-based obstetric services in 2004. Loss of hospital-based obstetric services in the county of maternal residence, stratified by adjacency to urban areas. Primary outcomes were county rates of (1) out-of-hospital births; (2) births in hospitals without obstetric units; and (3) preterm births (<37 weeks' gestation). Between 2004 and 2014, 179 rural counties lost hospital-based obstetric services. Of the 4 941 387 births studied, the mean (SD) maternal age was 26.2 (5.8) years. A mean (SD) of 75.9% (23.2%) of women who gave birth were non-Hispanic white, and 49.7% (15.6%) were college graduates. Rural counties not adjacent to urban areas that lost hospital-based obstetric services had significant increases in out-of-hospital births (0.70 percentage points [95% CI, 0.30 to 1.10]); births in a hospital without an obstetric unit (3.06 percentage points [95% CI, 2.66 to 3.46]); and preterm births (0.67 percentage points [95% CI, 0.02 to 1.33]), in the year after loss of services, compared with those with continual obstetric services. Rural counties adjacent to urban areas that lost hospital-based obstetric services also had significant increases in births in a hospital without obstetric services (1.80 percentage points [95% CI, 1.55 to 2.05]) in the year after loss of services, compared with those with continual obstetric

An Innovative Community-Based Model for Improving Preventive Care in Rural Counties

PubMed Central

Scheid, Dewey; Zhao, Daniel; Mishra, Bhawani; Greever-Rice, Tracy

2017-01-01

Objectives This quasi-experimental pilot study aimed to implement and evaluate a sustainable, rural community-based patient outreach model for preventive care provided through primary care practices located in a rural county in Oklahoma. A Wellness Coordinator (WC) working with primary care practices (PCPs), the county health department, the county hospital, and a health information exchange (HIE) organization helped county residents receive evidence-based preventive services. Methods The WC used a community wellness registry connected to electronic medical records via HIE and called patients at the county level based on PCP-prioritized and tailored protocols. The registry flagged patient-level preventive care gaps, tracked outreach efforts, and documented the delivery of preventive services throughout the community. Return on investment (ROI) for prioritized preventive services was estimated in participating organizations. Results Six of the seven primary care practices in the county expressed interest in the project. Three of these practices fully implemented the 1-year outreach program starting in mid-2015. The regional HIE supplied periodic data updates for 9,138 county residents to help the coordinators address care gaps using the community registry. A total of 5,034 outreach calls were made by the WC in the first year and 7,776 prioritized recommendations were offered when care gaps were detected. Of the 5,034 distinct patients who received a call, 1146 (22%) were up-to-date on all prioritized services, while 3,888 (78%) were due for at least one of the selected services. Healthcare organizations in the county significantly improved the delivery of selected preventive services (mean increase: 35% across 10 services; p= 0.004; range: 3% to 215%) and realized a mean ROI of 80% for these services (range: 32% to 122%). The health system that employed the WC earned an estimated revenue of $52,000 realizing a 40% ROI for the coordinator position. Conclusions

Health Education Needs: A Survey of Rural Adults in Butler County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 7.

ERIC Educational Resources Information Center

Leadley, Samuel M.; Taranto, Angelo A.

In July and August 1975, 17 men and 63 women living in rural areas in Butler County, Pennsylvania were interviewed as to their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 12% of all adults living on commercial farms and 5% of all rural nonfarm adults in the county. A…

Tourism impacts of Three Mile Island and other adverse events: Implications for Lincoln County and other rural counties bisected by radioactive wastes intended for Yucca Mountain

NASA Astrophysics Data System (ADS)

Himmelberger, Jeffery J.; Baughman, Mike; Ogneva-Himmelberger, Yelena A.

1995-11-01

Whether the proposed Yucca Mountain nuclear waste repository system will adversely impact tourism in southern Nevada is an open question of particular importance to visitor-oriented rural counties bisected by planned waste transportatin corridors (highway or rail). As part of one such county's repository impact assessment program, tourism implications of Three Mile Island (TMI) and other major hazard events have beem revisited to inform ongoing county-wide socioeconomic assessments and contingency planning efforts. This paper summarizes key research implications of such research as applied to Lincoln County, Nevada. Implications for other rural counties are discussed in light of the research findings.

Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

PubMed Central

Rust, George; Baltrus, Peter; Ye, Jiali; Daniels, Elvan; Quarshie, Alexander; Boumbulian, Paul; Strothers, Harry

2009-01-01

CONTEXT Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. PURPOSE We compared uninsured ED visit rates between rural counties in Georgia which have a community health center clinic site vs. counties without a CHC presence. METHODS We analyzed data from 100% of ED visits occurring in 117 rural (non-metropolitan statistical area [MSA]) counties in Georgia from 2003-2005. Counties were classified as having a CHC presence if a federally funded (Section 330) community health center had a primary care delivery site in that county throughout the study period. The main outcome measure was uninsured ED visit rates among the uninsured (all-cause ED visits and visits for ambulatory care sensitive conditions). Poisson regression models were used to examine the relationship between ED rates and presence of a CHC. To assure that the effects were unique to the uninsured population, we ran similar analyses on insured ED visits. FINDINGS Counties without a community health center primary care clinic site had 33% higher rates of uninsured all-cause ED visits per 10,000 uninsured population compared with non-CHC counties (rate ratio=1.33, 95% CI=1.11-1.59). Higher ED visit rates remained significant (RR=1.21, 95% CI=1.02-1.42) after adjustment for percent of population below poverty level, percent black, and number of hospitals. Uninsured ED visit rates were also higher for various categories of diagnoses, but remained statistically significant on multivariate analysis only for ambulatory care sensitive conditions (adjusted RR=1.22, 95% CI=1.01-1.47). No such relationship was found for ED visit rates of insured patients (RR=1.06, 95% CI=0.92-1.22). CONCLUSIONS Absence of a community health center is associated with a substantial excess in uninsured ED visits in

Tourism impacts of Three Mile Island and other adverse events: Implications for Lincoln County and other rural counties bisected by radioactive wastes intended for Yucca Mountain

DOE Office of Scientific and Technical Information (OSTI.GOV)

Himmelberger, J.J.; Ogneva-Himmelberger, Y.A.; Baughman, M.

Whether the proposed Yucca Mountain nuclear waste repository system will adversely impact tourism in southern Nevada is an open question of particular importance to visitor-oriented rural counties bisected by planned waste transportation corridors (highway or rail). As part of one such county`s repository impact assessment program, tourism implications of Three Mile Island (TMI) and other major hazard events have been revisited to inform ongoing county-wide socioeconomic assessments and contingency planning efforts. This paper summarizes key research implications of such research as applied to Lincoln County, Nevada. Implications for other rural counties are discussed in light of the research findings. 29more » refs., 3 figs., 1 tab.« less

Rural sewage treatment processing in Yongjia County, Zhejiang Province

NASA Astrophysics Data System (ADS)

Wang, W. H.; Kuan, T. H.

2016-08-01

Issues regarding water pollution in rural areas of China have garnered increased attention over the years. Further discussion on the circumstances and results of existing domestic sewage treatment methods may serve as an appropriate reference in solving these important issues. This article explored the current conditions of water contamination in rural areas of China, introduced the characteristics and effects of applicable sewage treatment technology, and summarized the results of the planning, installation, and operation of rural sewage treatment facilities in Yongjia County in Zhejiang Province. However, relying on a single technical design rule is not adequate for solving the practical problems that these villages face. Instead, methods of planning rural sewage treatment should be adapted to better suit local conditions and different residential forms. It is crucial, ultimately, for any domestic sewage treatment system in a rural area to be commissioned, engineered, and maintained by a market-oriented professional company.

Education in Rural County Jails: Need versus Opportunity

ERIC Educational Resources Information Center

Gee, Jeremiah

2006-01-01

An action research project was undertaken by a GED instructor at a rural county jail. A survey tool was developed to determine if the perceived needs of the students were being met by the educational and rehabilitative programs currently offered to them. Data from the survey were grouped into four domains: perceived inmate need, attitude toward…

Trempealeau County Kellogg Project: A Rural Telecommunications Service System.

ERIC Educational Resources Information Center

Szymanski, Ray

The Western Wisconsin Communications Cooperative (WWCC) was established in 1973 to develop and implement a county-wide, multi-service, broadband, interactive, telecommunications system to enhance the quality of rural life. Eight school districts adopted the system's concept and signed a 15 year lease agreement with WWCC. Funds were procured from…

Nebraska's rural behavioral healthcare workforce distribution and relationship between supply and county characteristics.

PubMed

Nguyen, Anh T; Trout, Kate E; Chen, Li-Wu; Madison, Lynda; Watkins, Katherine L; Watanabe-Galloway, Shinobu

2016-01-01

Specific attention is needed to improve mental health outcomes in rural communities. Rural communities continue to have higher unmet mental health needs than their urban counterparts. Quantifying workforce supply and shortages can aid in identifying areas in need of the recruitment, training, licensure, and retention of behavioral health professionals. However, workforce analyses have presented a challenge as comprehensive workforce data are limited. This study examines the geographic distribution of behavioral healthcare professionals and the relationship between supply and county characteristics in Nebraska in 2012. Practice location data for behavioral healthcare professionals were obtained from the 2012 University of Nebraska Medical Center's Health Profession Tracking Service Survey. Behavioral healthcare professionals included were psychiatric prescribers, independent behavioral professionals, mental health practitioners, and addiction counselors. The rural and urban distribution of professionals was examined using descriptive statistics. The relationships between county-level provider-to-population ratios and county characteristics were examined using multivariate Poisson regression analyses. In 2012, there were 2468 behavioral health professionals actively practicing in Nebraska. The majority (71.2%) of all behavioral professionals in Nebraska were actively practicing in metropolitan areas as compared to 27.3% in rural and 1.5% in frontier areas. For all categories of professions, excluding physician assistants, Nebraska's urban areas had the highest ratios of provider to 100 000 population as compared to rural and frontier areas in Nebraska. The total supply of behavioral health professionals was positively associated with metropolitan areas and the percentage of populations in poverty. The total supply of behavioral health professionals was negatively associated with the percentage of children under 18 years of age and the percentage of elderly aged 65

HOME ENVIRONMENT AND CHILDHOOD ASTHMA IN A RURAL IOWA COUNTY

EPA Science Inventory

HOME ENVIRONMENT AND CHILDHOOD ASTHMA IN A RURAL IOWA COUNTY
Erik R. Svendsen*?, Stephen J. Reynolds*?, James A. Merchant*, Allison L. Naleway*?, Ann M. Stromquist*, Peter S. Thorne*.
*University of Iowa College of Public Health, Iowa City, IA ?Current: USEPA RTP, NC ?Curre...

Agricultural Chemical Use and White Male Cancer Mortality in Selected Rural Farm Counties.

ERIC Educational Resources Information Center

Stokes, C. Shannon; Brace, Kathy D.

A study of 1,497 nonmetropolitan counties was conducted to test the possible contribution of agricultural chemical use to cancer mortality rates in rural counties. The dependent variables were 20-year age-adjusted mortality rates for 1950 to 1969 for five categories of cancer: genital, urinary, lymphatic, respiratory, and digestive. Because sex…

Recent trends in breast cancer incidence in US white women by county-level urban/rural and poverty status.

PubMed

Hausauer, Amelia K; Keegan, Theresa H M; Chang, Ellen T; Glaser, Sally L; Howe, Holly; Clarke, Christina A

2009-06-26

Unprecedented declines in invasive breast cancer rates occurred in the United States between 2001 and 2004, particularly for estrogen receptor-positive tumors among non-Hispanic white women over 50 years. To understand the broader public health import of these reductions among previously unstudied populations, we utilized the largest available US cancer registry resource to describe age-adjusted invasive and in situ breast cancer incidence trends for non-Hispanic white women aged 50 to 74 years overall and by county-level rural/urban and poverty status. We obtained invasive and in situ breast cancer incidence data for the years 1997 to 2004 from 29 population-based cancer registries participating in the North American Association of Central Cancer Registries resource. Annual age-adjusted rates were examined overall and by rural/urban and poverty of patients' counties of residence at diagnosis. Joinpoint regression was used to assess trends by annual quarter of diagnosis. Between 2001 and 2004, overall invasive breast cancer incidence fell 13.2%, with greater reductions among women living in urban (-13.8%) versus rural (-7.5%) and low- (-13.0%) or middle- (-13.8%) versus high- (-9.6%) poverty counties. Most incidence rates peaked around 1999 then declined after second quarter 2002, although in rural counties, rates decreased monotonically after 1999. Similar but more attenuated patterns were seen for in situ cancers. Breast cancer rates fell more substantially in urban and low-poverty, affluent counties than in rural or high-poverty counties. These patterns likely reflect a major influence of reductions in hormone therapy use after July 2002 but cannot exclude possible effects due to screening patterns, particularly among rural populations where hormone therapy use was probably less prevalent.

Accessing PCS Remotely across a Rural County Library System

ERIC Educational Resources Information Center

McGeehon, Carol; Millar, Don

2004-01-01

The Douglas County Library System (DCLS) is a rural system in Southern Oregon. It's headquarters library is centrally located in Roseburg. DCLS serves a population of 100,000 with the largest concentration of people within 15 miles from the Pacific ocean. Because the library system supports around 150 machines scattered across 11 sites, it needs a…

Critical Home-Based Challenges Inhibiting Effective Participation of Pupils in Rural Public Primary Schools in Narok North Sub-County, Narok County, Kenya

ERIC Educational Resources Information Center

Mwanik, Kantim; Orodho, John Aluko

2016-01-01

The thrust of this study was to examine the critical challenges inhibiting effective participation in education by pupils from rural public primary schools in Central Division, Narok North Sub-County, in Narok County, Kenya. The study adopted a descriptive cross-sectional research design. Combinations of stratified and purposive sampling…

The Relationship of Individual, Family, and Community Characteristics with Physical Health: An Adult Study in 27 Rural Minnesota Counties

ERIC Educational Resources Information Center

Wickrama, K. A. Thulitha; Wickrama, K. A. S.; Romas, John A.

2005-01-01

Context and Purpose: This study investigates associations between the proportion of farm families in rural counties and the health of rural individuals, independent of county poverty rate and individual and family socioeconomic factors. This study also examines relationships of these socioeconomic factors and prevalence of specific diseases.…

Economic effects of smoke-free laws on rural and urban counties in Kentucky and Ohio.

PubMed

Pyles, Mark K; Hahn, Ellen J

2012-01-01

Numerous empirical studies have examined the influence of smoke-free legislation on economic activity, with most finding a null effect. The influence could possibly differ in rural areas relative to urban areas due to differing rates of smoking prevalence and access to prevention and treatment programs. Furthermore, the discussion of the effectiveness of smoke-free laws has been extended to consider local ordinances relative to statewide laws. This study examines these issues using 21 local laws in Kentucky and the Ohio statewide smoke-free law. The number of employees, total wages paid, and number of reporting establishments in all hospitality and accommodation services in Kentucky and Ohio counties were documented, beginning the first quarter 2001 and ending the last quarter of 2009. A generalized estimating equation time-series design is used to estimate the impact of local and state smoke-free laws in Kentucky and Ohio rural and urban counties. There is no evidence that the economies in Kentucky counties were affected in any way from the implementation of local smoke-free laws. There was also no evidence that total employment or the number of establishments was influenced by the statewide law in Ohio, but wages increased following the implementation of the law. Furthermore, there is no evidence that either rural or urban counties experienced a loss of economic activity following smoke-free legislation. The study finds no evidence that local or state smoke-free legislation negatively influences local economies in either rural or urban communities.

Prevalence of pediatric epilepsy in low-income rural Midwestern counties.

PubMed

Hawley, Suzanne R; Ablah, Elizabeth; Hesdorffer, Dale; Pellock, John M; Lindeman, David P; Paschal, Angelia M; Thurman, David J; Liu, Yi; Warren, Mary Beth; Schmitz, Terri; Rogers, Austin; St Romain, Theresa; Hauser, W Allen

2015-12-01

Epilepsy is one of the most common disabling neurological disorders, but significant gaps exist in our knowledge about childhood epilepsy in rural populations. The present study assessed the prevalence of pediatric epilepsy in nine low-income rural counties in the Midwestern United States overall and by gender, age, etiology, seizure type, and syndrome. Multiple sources of case identification were used, including medical records, schools, community agencies, and family interviews. The prevalence of active epilepsy was 5.0/1000. Prevalence was 5.1/1000 in males and 5.0/1000 in females. Differences by age group and gender were not statistically significant. Future research should focus on methods of increasing study participation in rural communities, particularly those in which research studies are rare. Copyright © 2015 Elsevier Inc. All rights reserved.

Program Integration: An Alternative for Improving County Rural Human Services Delivery. Technical Paper No. 13.

ERIC Educational Resources Information Center

Center for Rural Pennsylvania, Harrisburg.

This report examines program integration as a way to improve the delivery of rural human services in Pennsylvania. A panel of policymakers, human services providers, and representatives of state agencies identified barriers to effective rural human services delivery and generated policy recommendations. Most county-based human services in…

Adolescents' Values, Sexuality, and Contraception in a Rural New York County.

ERIC Educational Resources Information Center

McCormick, Naomi; And Others

1985-01-01

Examined personal values and sexual and contraceptive experiences of 75 male and 88 female high school students from a rural county of New York. Results suggested that religiosity was unrelated to students' sexual behavior and use of contraceptives. The different groups of high school students exhibited remarkably homogeneous sexual and…

Community-wide cardiovascular disease prevention programs and health outcomes in a rural county, 1970-2010.

PubMed

Record, N Burgess; Onion, Daniel K; Prior, Roderick E; Dixon, David C; Record, Sandra S; Fowler, Fenwick L; Cayer, Gerald R; Amos, Christopher I; Pearson, Thomas A

2015-01-13

Few comprehensive cardiovascular risk reduction programs, particularly those in rural, low-income communities, have sustained community-wide interventions for more than 10 years and demonstrated the effect of risk factor improvements on reductions in morbidity and mortality. To document health outcomes associated with an integrated, comprehensive cardiovascular risk reduction program in Franklin County, Maine, a low-income rural community. Forty-year observational study involving residents of Franklin County, Maine, a rural, low-income population of 22,444 in 1970, that used the preceding decade as a baseline and compared Franklin County with other Maine counties and state averages. Community-wide programs targeting hypertension, cholesterol, and smoking, as well as diet and physical activity, sponsored by multiple community organizations, including the local hospital and clinicians. Resident participation; hypertension and hyperlipidemia detection, treatment, and control; smoking quit rates; hospitalization rates from 1994 through 2006, adjusted for median household income; and mortality rates from 1970 through 2010, adjusted for household income and age. More than 150,000 individual county resident contacts occurred over 40 years. Over time, as cardiovascular risk factor programs were added, relevant health indicators improved. Hypertension control had an absolute increase of 24.7% (95% CI, 21.6%-27.7%) from 18.3% to 43.0%, from 1975 to 1978; later, elevated cholesterol control had an absolute increase of 28.5% (95% CI, 25.3%-31.6%) from 0.4% to 28.9%, from 1986 to 2010. Smoking quit rates improved from 48.5% to 69.5%, better than state averages (observed - expected [O - E], 11.3%; 95% CI, 5.5%-17.7%; P < .001), 1996-2000; these differences later disappeared when Maine's overall quit rate increased. Franklin County hospitalizations per capita were less than expected for the measured period, 1994-2006 (O - E, -17 discharges/1000 residents; 95% CI

Overcoming Persistent Poverty--and Sinking into It. Income Trends in Persistent-Poverty and Other High-Poverty Rural Counties, 1989-94.

ERIC Educational Resources Information Center

Nord, Mark

In 1989, 31.6 percent of the rural poor lived in persistent-poverty counties (those with poverty rates exceeding 20 percent for every decennial census year since 1960), and an additional 12.6 percent lived in "new" high-poverty counties. While this represents less than half the rural poor, high and persistent poverty is of particular…

Improving Immunization Coverage in a Rural School District in Pierce County, Washington

ERIC Educational Resources Information Center

Peterson, Robin M.; Cook, Carolyn; Yerxa, Mary E.; Marshall, James H.; Pulos, Elizabeth; Rollosson, Matthew P.

2012-01-01

Washington State has some of the highest percentages of school immunization exemptions in the country. We compared school immunization records in a rural school district in Pierce County, Washington, to immunization records in the state immunization information system (IIS) and parent-held records. Correcting school immunization records resulted…

An Evaluation of a Wide Range of Job-Generating Activities for Rural Counties.

ERIC Educational Resources Information Center

Finsterbusch, Kurt; And Others

1992-01-01

Examines the job-generating activities in 15 rural counties in Maryland through 175 interviews and field work. Those ranking high included industrial park development, economic development activities, and tourism. Special financial arrangements for relocating and new businesses also received high marks. Includes 48 references. (JOW)

Disparities in the access to primary healthcare in rural areas from the county of Iasi - Romania.

PubMed

Duma, Olga-Odetta; Roşu, Solange Tamara; Manole, M; Petrariu, F D; Constantin, Brânduşa

2014-01-01

To identify the factors that may conduct to various forms of social exclusion of the population from the primary healthcare and to analyze health disparities as population-specific differences in the access to primary healthcare in rural compared to urban residence areas from Iasi, the second biggest county, situated in the North--East region of Romania. This research is a type of inquiry-based opinion survey of the access to primary healthcare in rural compared to urban areas of the county of Iasi. Data were collected by face-to-face interviews. There were taken into account the socioeconomic status (education level in the adult population, employment status, family income, household size) and two temporal variables (the interval of time spent to arrive at the primary healthcare office as a marker for the geographical access and the waiting time for a consultation). The study group consisted of two samples, from rural and urban area, each of 150 patients, all ages, randomly selected, who were waiting at the family doctor's practice. The study has identified disparities related to a poor economic status assessed through the employed status ("not working" 15% in urban and of 20% in rural).The income calculated per member of family and divided in terciles has recorded significant differences for "high" (36.7% urban and 14.7% rural) and "low", respectively (14.6% urban and 56.6% rural). High household size with more than five members represented 22.6% of the total subjects in rural and 15.3% in urban areas. The assessment of the education level in the adult population (> 18 years) revealed that in the rural areas more than a half (56%) of the sample is placed in the category primary and secondary incomplete, whereas the value for secondary complete and postsecondary was 37.3%. The proportion of respondents in the urban areas who have post-secondary education is five times higher than those in rural areas (15.4% vs. 2.7%). The reduced geographical access assessed as

Future economic outlook of Nebraska rural community pharmacies based on break-even analysis of community operational costs and county population.

PubMed

Keast, Shellie L; Jacobs, Elgene; Harrison, Donald; Farmer, Kevin; Thompson, David

2010-09-01

There is growing concern over increasingly limited access to local health care, including pharmacies, for rural citizens of the United States. Although geographically distant from most competitors, rural pharmacies may still struggle to generate an acceptable profit to remain economically viable. Therefore, a method for calculating the economic viability for a community pharmacy to recruit a potential new owner to assume the entrepreneurial risk is an important issue to consider when evaluating rural pharmacy access. The primary objective of this study was to use a modified break-even analysis to predict the future financial potential of the current pharmacy business to attract a new owner. The secondary objective was to forecast a risk level for a Nebraska county to sustain the number of pharmacies in the country beyond current ownership. This research used data provided by pharmacies that responded to a Nebraska Medicaid cost of dispensing (COD) survey in addition to data from the US Census Bureau, US Office of Management and Budget, and the Nebraska State Board of Pharmacy. Break-even analysis was used to determine the point where the prescription volume of the pharmacy not only covered the variable and fixed costs but also maintained a reasonable profit to attract new ownership. Counties were classified into 3 risk levels based on the projected available prescription volume and the number of pharmacies in each county. Sensitivity analysis was performed on the risk levels to determine the impact of variance in projected available prescription volume on the projected future outlook for the pharmacies in each county. Regression analysis of responses to the COD survey indicated that the annual break-even prescription volume ranged from 44,790 to 49,246 prescriptions per pharmacy per annum. The number of rural Nebraska pharmacies was projected to decline from 126 to 78. The number of counties in Nebraska without a single pharmacy was projected to increase from 19 to

HIV Testing and HIV/AIDS Treatment Services in Rural Counties in 10 Southern States: Service Provider Perspectives

ERIC Educational Resources Information Center

Sutton, Madeline; Anthony, Monique-Nicole; Vila, Christie; McLellan-Lemal, Eleanor; Weidle, Paul J.

2010-01-01

Context: Forty percent of AIDS cases are reported in the southern United States, the region with the largest proportion of HIV/AIDS cases from rural areas. Data are limited regarding provider perspectives of the accessibility and availability of HIV testing and treatment services in southern rural counties. Purpose: We surveyed providers in the…

Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand.

PubMed

Fanwei, Q U; Yanling, J; Chongsuvivatwong, V; Liabsuetrakul, T; Yan, L; Le, C; Runsheng, J

2017-01-01

To compare health status between Hat Yai city of Songkhla Province in Thailand and Yulong county of Yunnan province in China about rural health care workers and local residents, analyzing of both differences, learning from the advanced experience and practice of Thailand, adjusting policy, especially for the implementation of measures to improve the lack of human resources construction of Yulong County rural health, promote the level of rural health service of Lijiang. A qualitative study consisting of focus group discussions and individual in-depth interviews were conducted in Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand from. Compared to 41(100%) bachelor's degree of medical staffs in Hat Yai, this accounted only 94 (42%) bachelor's degree of medical staffs in Yulong county hospital, and 31 (12%)in townships hospitals. For medical workers in Hat Yai, they have at least one time on-job training per year, but for Yulong county, only 144 (29%)of the medical personnel participated in the training per year. Health expenditures of Yulong county was mainly borne by the local government, and medical insurance coverage rate is 217,107 (99%). Insurance average awareness of Hat Yai is 4449 (66.4%), Yulong County is 62,501 (28.5%), P<0.001, there are statistically significant differences between two cities. Thailand has good experience in training, well-paid, motivating and retaining talent for rural health human resources; multi-pronged, mechanism innovation, establish and perfect the system of human resources for health, is the essential way to solve the problem.

Challenges in responding to the ebola epidemic - four rural counties, Liberia, August-November 2014.

PubMed

Summers, Aimee; Nyenswah, Tolbert G; Montgomery, Joel M; Neatherlin, John; Tappero, Jordan W; T, Nyenswah; M, Fahnbulleh; M, Massaquoi

2014-12-19

The first cases of Ebola virus disease (Ebola) in West Africa were identified in Guinea on March 22, 2014. On March 30, the first Liberian case was identified in Foya Town, Lofa County, near the Guinean border. Because the majority of early cases occurred in Lofa and Montserrado counties, resources were concentrated in these counties during the first several months of the response, and these counties have seen signs of successful disease control. By October 2014, the epidemic had reached all 15 counties of Liberia. During August 27-September 10, 2014, CDC in collaboration with the Liberian Ministry of Health and Social Welfare assessed county Ebola response plans in four rural counties (Grand Cape Mount, Grand Bassa, Rivercess, and Sinoe, to identify county-specific challenges in executing their Ebola response plans, and to provide recommendations and training to enhance control efforts. Assessments were conducted through interviews with county health teams and health care providers and visits to health care facilities. At the time of assessment, county health teams reported lacking adequate training in core Ebola response strategies and reported facing many challenges because of poor transportation and communication networks. Development of communication and transportation network strategies for communities with limited access to roads and limited means of communication in addition to adequate training in Ebola response strategies is critical for successful management of Ebola in remote areas.

The Increasingly Long Road to School in Rural China: The Impacts of Education Network Consolidation on Broadly Defined Schooling Distance in Xinfeng County of Rural China

ERIC Educational Resources Information Center

Zhao, Dan; Barakat, Bilal

2015-01-01

In the early 2000s, China's Ministry of Education embarked on a program of school mapping restructure (SMR) that involved closing small rural schools and opening up larger centralized schools in towns and county seats.The stated aim of the policy was to improve educational resources and raise the human capital of rural students. Any progress that…

Marriage Form and Son Preference in Rural China: An Investigation in Three Counties

ERIC Educational Resources Information Center

Jin, Xiaoyi; Li, Shuzhuo; Feldman, Marcus W.

2007-01-01

Using data from two surveys in three counties among which the prevalence of uxorilocal marriage varies greatly, this paper analyzes effects of marriage form, as well as individual, family, and social factors on son preference in the context of strict birth control in rural China. It is shown that, under the Chinese patrilineal joint family system,…

Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification - United States, 2015.

PubMed

Boring, Michael A; Hootman, Jennifer M; Liu, Yong; Theis, Kristina A; Murphy, Louise B; Barbour, Kamil E; Helmick, Charles G; Brady, Terry J; Croft, Janet B

2017-05-26

Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.4 million adults (3). The impact of arthritis is considerable: an estimated 23.7 million adults have arthritis-attributable activity limitation (AAAL). The age-standardized prevalence of AAAL increased nearly 20% from 2002 to 2015 (3). Arthritis prevalence varies widely by state (range = 19%-36%) and county (range = 16%-39%) (4). Despite what is known about arthritis prevalence at the national, state, and county levels and the substantial impact of arthritis, little is known about the prevalence of arthritis and AAAL across urban-rural areas overall and among selected subgroups. To estimate the prevalence of arthritis and AAAL by urban-rural categories CDC analyzed data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS). The unadjusted prevalence of arthritis in the most rural areas was 31.8% (95% confidence intervals [CI] = 31.0%-32.5%) and in the most urban, was 20.5% (95% CI = 20.1%-21.0%). The unadjusted AAAL prevalence among adults with arthritis was 55.3% in the most rural areas and 49.7% in the most urban. Approximately 1 in 3 adults in the most rural areas have arthritis and over half of these adults have AAAL. Wider use of evidence-based interventions including physical activity and self-management education in rural areas might help reduce the impact of arthritis and AAAL.

Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults

PubMed Central

Henneberger, Paul K.; Humann, Michael J.; Liang, Xiaoming; Kelly, Kevin M.; Cox-Ganser, Jean M.

2017-01-01

Problem/Condition Many rural residents work in the field of agriculture; however, employment in nonagricultural jobs also is common. Because previous studies in rural communities often have focused on agricultural workers, much less is known about the occupational exposures in other types of jobs in rural settings. Characterizing airborne occupational exposures that can contribute to respiratory diseases is important so that differences between rural and urban working populations can be assessed. Reporting Period 1994–2011. Description of System This investigation used data from the baseline questionnaire completed by adult rural residents participating in the Keokuk County Rural Health Study (KCRHS). The distribution of jobs and occupational exposures to vapor-gas, dust, and fumes (VGDF) among all participants was analyzed and stratified by farming status (current, former, and never) then compared with a cohort of urban workers from the Multi-Ethnic Study of Atherosclerosis (MESA). Occupational exposure in the last job was assessed with a job-exposure matrix (JEM) developed for chronic obstructive pulmonary disease (COPD). The COPD JEM assesses VGDF exposure at levels of none or low, medium, and high. Results The 1,699 KCRHS (rural) participants were more likely to have medium or high occupational VGDF exposure (43.2%) at their last job than their urban MESA counterparts (15.0% of 3,667 participants). One fifth (20.8%) of the rural participants currently farmed, 43.1% were former farmers, and approximately one third (36.1%) had never farmed. These three farming groups differed in VGDF exposure at the last job, with the prevalence of medium or high exposure at 80.2% for current farmers, 38.7% for former farmers, and 27.4% for never farmers, and all three percentages were higher than the 15.0% medium or high level of VGDF exposure for urban workers. Interpretation Rural workers, including those who had never farmed, were more likely to experience occupational VGDF

Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults.

PubMed

Doney, Brent C; Henneberger, Paul K; Humann, Michael J; Liang, Xiaoming; Kelly, Kevin M; Cox-Ganser, Jean M

2017-11-03

Many rural residents work in the field of agriculture; however, employment in nonagricultural jobs also is common. Because previous studies in rural communities often have focused on agricultural workers, much less is known about the occupational exposures in other types of jobs in rural settings. Characterizing airborne occupational exposures that can contribute to respiratory diseases is important so that differences between rural and urban working populations can be assessed. 1994-2011. This investigation used data from the baseline questionnaire completed by adult rural residents participating in the Keokuk County Rural Health Study (KCRHS). The distribution of jobs and occupational exposures to vapor-gas, dust, and fumes (VGDF) among all participants was analyzed and stratified by farming status (current, former, and never) then compared with a cohort of urban workers from the Multi-Ethnic Study of Atherosclerosis (MESA). Occupational exposure in the last job was assessed with a job-exposure matrix (JEM) developed for chronic obstructive pulmonary disease (COPD). The COPD JEM assesses VGDF exposure at levels of none or low, medium, and high. The 1,699 KCRHS (rural) participants were more likely to have medium or high occupational VGDF exposure (43.2%) at their last job than their urban MESA counterparts (15.0% of 3,667 participants). One fifth (20.8%) of the rural participants currently farmed, 43.1% were former farmers, and approximately one third (36.1%) had never farmed. These three farming groups differed in VGDF exposure at the last job, with the prevalence of medium or high exposure at 80.2% for current farmers, 38.7% for former farmers, and 27.4% for never farmers, and all three percentages were higher than the 15.0% medium or high level of VGDF exposure for urban workers. Rural workers, including those who had never farmed, were more likely to experience occupational VGDF exposure than urban workers. The occupational exposures of rural adults assessed

Implementation of a "County-Township-Village" Allied HIV Prevention and Control Intervention in Rural China.

PubMed

Yu, Jun; Zhang, Yi; Jiang, Junjun; Lu, Qinglin; Liang, Bingyu; Liu, Deping; Fang, Keyong; Huang, Jiegang; He, Yang; Ning, Chuanyi; Liao, Yanyan; Lai, Jingzhen; Wei, Wudi; Qin, Fengxiang; Ye, Li; Geng, Wenkui; Liang, Hao

2017-09-01

In China, rural areas are a weak link of HIV/AIDS prevention and control. From September 2011, an innovative "county-township-village" allied intervention was implemented in Longzhou County, Guangxi, which assigned the tasks of HIV/AIDS prevention and control to the county Centers for Disease Control and Prevention (CDC), township hospitals, and village clinics, respectively, instead of traditional intervention in which the county CDC undertook the entire work. A 6-year consecutive cross-sectional survey, including 3-year traditional intervention (2009-2011) and 3-year innovative intervention (2012-2014), was conducted to evaluate the effects of the new intervention. Compared to traditional intervention, the innovative intervention achieved positive effects in decreasing risky behaviors. Among female sex workers, condom use rate in the last month increased from 72.06% to 96.82% (p < 0.01). Among drug users, having commercial sex rate in the last year reduced from 17.20% to 5.94% and condom use rate increased from 14.06% to 76.09% (p < 0.01). The risk ratio of HIV infection during innovative intervention was 0.631 (95% confidence interval 0.549-0.726) compared with traditional one. Cost-effectiveness analysis indicates that innovative intervention restores each disability-adjusted life year costing an average of $124.26. Taken together, Longzhou's innovative intervention has achieved good effects on HIV/AIDS prevention and control and provides a good reference for rural China.

Longitudinal study of rural health workforce in five counties in China: research design and baseline description

PubMed Central

2013-01-01

Background The village doctors have served rural residents for many decades in China, and their role in rural health system has been highly praised in the world; unfortunately, less attention has been paid to the health workforce during the ambitious healthcare reform in recent years. Therefore, we conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce. Methods The self-administered structured Village Clinic Questionnaire and Village Doctor Questionnaire, which were modified from the official questionnaires of the Ministry of Health, were constructed after three focus groups, in-depth interviews in Hebei Province, and a pilot survey in Sichuan Province. Using a stratified multistage cluster sampling process, we gathered baseline data for a longitudinal survey of village doctors, village clinics from Changshu County, Liyang County, Yongchuan District, Mianzhu County, and Jingning County in China in 2011. Well-trained interviewers and strict procedures were employed to ensure the quality of this survey. Descriptive and correlation analyses were performed with Stata 12.0. Results After four months of surveying, 1,982 Village Doctor Questionnaires were collected, and the response rate was 88.1%. There were 1,507 (76.0%) male and 475 (24.0%) female doctors, with an average age of 51.3 years. The majority of village doctors (58.5%) practiced both western medicine and Traditional Chinese Medicine, and 91.2% of the doctors received their education below college level. Their practice methods were not correlated with education level (P = 0.43), but closely related to the way they obtained their highest degree (that is, prior to starting work or as on-the-job training) (P < 0.01). The mean income of the village doctors was 1,817 (95% CI 1,733 to 1,900) RMB per month in 2011; only 757 (41.3%) doctors had pensions, and the self-reported expected pension was 1,965 RMB per month. Conclusions Village doctors

Inequality in early childhood neurodevelopment in six poor rural counties of China: a decomposition analysis.

PubMed

Zhang, Cuihong; Zhao, Chunxia; Liu, Xiangyu; Wei, Qianwei; Luo, Shusheng; Guo, Sufang; Zhang, Jingxu; Wang, Xiaoli; Scherpbier, Robert W

2017-12-08

Previous studies about inequality in children's health focused more on physical health than the neurodevelopment. In this study, we aimed to evaluate the inequality in early childhood neurodevelopment in poor rural China and explore the contributions of socioeconomic factors to the inequality. Information of 2120 children aged 0 to 35 months and their households in six poor rural counties of China was collected during July - September, 2013. Age and Stages Questionnaire-Chinese version, concentration index and decomposition analysis were used to assess the neurodevelopment of early childhood, measure its inequality and evaluate the contributions of socioeconomic factors to the inequality, respectively. The prevalence of suspected developmental delay in children under 35 months of age in six poor rural counties of China was nearly 40%, with the concentration index of -0.0877. Household economic status, caregivers' depressive symptoms, learning material and family support for learning were significantly associated with children's suspected developmental delay, and explained 34.1, 14.1, 8.9 and 7.0% of the inequality in early childhood neurodevelopment, respectively. The early childhood neurodevelopment in the surveyed area is poor and unfair. Factors including household economic status, caregivers' depressive symptoms, learning material and family support for learning are significantly associated with children's suspected developmental delay and early developmental inequality. The results highlight the urgent need of monitoring child neurodevelopment in poor rural areas. Interventions targeting the caregivers' depressive symptoms, providing learning material and developmental appropriate stimulating activities may help improve early childhood neurodevelopment and reduce its inequality.

Spatiotemporal Discordance in Five Common Measures of Rurality for US Counties and Applications for Health Disparities Research in Older Adults.

PubMed

Cohen, Steven A; Kelley, Lauren; Bell, Allison E

2015-01-01

Rural populations face numerous barriers to health, including poorer health care infrastructure, access to care, and other sociodemographic factors largely associated with rurality. Multiple measures of rurality used in the biomedical and public health literature can help assess rural-urban health disparities and may impact the observed associations between rurality and health. Furthermore, understanding what makes a place truly "rural" versus "urban" may vary from region to region in the US. The objectives of this study are to compare and contrast five common measures of rurality and determine how well-correlated these measures are at the national, regional, and divisional level, as well as to assess patterns in the correlations between the prevalence of obesity in the population aged 60+ and each of the five measures of rurality at the regional and divisional level. Five measures of rurality were abstracted from the US Census and US Department of Agriculture (USDA) to characterize US counties. Obesity data in the population aged 60+ were abstracted from the Behavioral Risk Factor Surveillance System (BRFSS). Spearman's rank correlations were used to quantify the associations among the five rurality measurements at the national, regional, and divisional level, as defined by the US Census Bureau. Geographic information systems were used to visually illustrate temporal, spatial, and regional variability. Overall, Spearman's rank correlations among the five measures ranged from 0.521 (percent urban-urban influence code) to 0.917 (rural-urban continuum code-urban influence code). Notable discrepancies existed in these associations by Census region and by division. The associations between measures of rurality and obesity in the 60+ population varied by rurality measure used and by region. This study is among the first to systematically assess the spatial, temporal, and regional differences and similarities among five commonly used measures of rurality in the US. There

Social health assistance schemes: the case of Medical Financial Assistance for the rural poor in four counties of China

PubMed Central

2011-01-01

Background Economic transition which took place in China over the last three decades, has led to a rapid marketization of the health care sector. Today inequity in health and poverty resulting from major illness has become a serious problem in rural areas of China. Medical Financial Assistance (MFA) is a health assistance scheme that helps rural poor people cope with major illness and alleviate their financial burden from major illness, which will definitely play a significant role in the process of rebuilding Chinese new rural health system. It mainly provides assistance to cover medical expenditure for inpatient services or the treatment of major illnesses, with joint funding from the central and local government. The purpose of this paper is to review the design, funding, implementation and to explore the preliminary effects of four counties' MFA in Hubei and Sichuan province of China. Methods We used an analytical framework built around the main objective of any social assistance scheme. The framework contains six 'targeting' procedural 'steps' which may explain why a specific group does not receive the assistance it ought to receive. More specifically, we explored to what extent the targeting, a key component of social assistance programs, is successful, based on the qualitative and quantitative data collected from four representative counties in central and western China. Results In the study sites, the budget of MFA ranged from 0.8 million Yuan to 1.646 million Yuan in each county and the budget per eligible person ranged from 32.67 Yuan to 149.09 Yuan. The preliminary effects of MFA were quite modest because of the scarcity of funds dedicated to the scheme. The coverage rate of MFA ranged from 17.8% to 24.1% among the four counties. MFA in the four counties used several ways to ration a restricted budget and provided only limited assistance. Substantial problems remained in terms of eligibility and identification of the beneficiaries, utilization and

Health Education Needs: A Survey of Rural Adults in Armstrong County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 8.

ERIC Educational Resources Information Center

Leadley, Samuel M.; Taranto, Angelo A.

In July and August 1975, 138 rural residents of Armstrong County, Pennsylvania were interviewed as to their behaviors, beliefs, and attitudes regarding the prevention of cancer and coronary heart disease. Respondents were selected by interviewing an adult living on a commercial farm (a farm that either sold $10,000 or more produce per year or the…

Tourism Impacts of Three Mile Island and Other Adverse Events: Implications for Lincoln County and Other Rural Counties Bisected by Radioactive Wastes Intended for Yucca Mountain.

ERIC Educational Resources Information Center

Himmelberger, Jeffery J.; And Others

1995-01-01

Summarizes key research implications of Three Mile Island and other major hazard events as related to tourism. Examines how the proposed Yucca Mountain nuclear waste repository system will impact tourism in southern Nevada and other visitor-oriented rural counties bisected by planned waste transportation corridors. (AIM)

Factors Affecting Post-High School. Educational and Job Plans of Rural Youth in Eight Illinois Counties in the 1963-64 School Year.

ERIC Educational Resources Information Center

Lindstrom, D.E.

A study designed to determine aptitudes, skills, and sociological and personal factors characterizing rural youth analyzed educational and personal differences of 2,929 students in eight rural Illinois counties during 1963-64. From data obtained through academic tests and personal questionnaires, it was concluded that although three-fourths of…

Differential Neonatal and Postneonatal Infant Mortality Rates across US Counties: The Role of Socioeconomic Conditions and Rurality

ERIC Educational Resources Information Center

Sparks, P. Johnelle; McLaughlin, Diane K.; Stokes, C. Shannon

2009-01-01

Purpose: To examine differences in correlates of neonatal and postneonatal infant mortality rates, across counties, by degree of rurality. Methods: Neonatal and postneonatal mortality rates were calculated from the 1998 to 2002 Compressed Mortality Files from the National Center for Health Statistics. Bivariate analyses assessed the relationship…

Community coverage in a rural, church-based, hypertension screening program in Edgecombe County, North Carolina.

PubMed Central

Strogatz, D S; James, S A; Elliott, D; Ramsey, D; Cutchin, L M; Ibrahim, M A

1985-01-01

In a rural, church-based hypertension program in Edgecombe County, North Carolina, screening of the congregations was complemented by a community outreach component targeted at 18-60 year old males, a group at higher risk for untreated hypertension. Compared with its estimated frequency in the community, untreated hypertension was as common in the church congregations and somewhat less prevalent than expected among outreach screenees. PMID:3976968

Making the Invisible Visible: A Responsive Evaluation Study of ESL and Spanish Language Services for Immigrants in a Small Rural County in Indiana

ERIC Educational Resources Information Center

Pawan, Faridah; Thomalla, Therese Groff

2005-01-01

This article describes a responsive evaluation study of ESL services and Spanish language services for immigrants in a rural county in Indiana. An ESL specialist led the evaluation of language services in the county from the perspectives of language providers and recipients. The responsive evaluation--a form of action research that uses…

Associations between county and municipality zoning ordinances and access to fruit and vegetable outlets in rural North Carolina, 2012.

PubMed

Mayo, Mariel Leah; Pitts, Stephanie B Jilcott; Chriqui, Jamie F

2013-12-05

Zoning ordinances and land-use plans may influence the community food environment by determining placement and access to food outlets, which subsequently support or hinder residents' attempts to eat healthfully. The objective of this study was to examine associations between healthful food zoning scores as derived from information on local zoning ordinances, county demographics, and residents' access to fruit and vegetable outlets in rural northeastern North Carolina. From November 2012 through March 2013, county and municipality zoning ordinances were identified and double-coded by using the Bridging the Gap food code/policy audit form. A healthful food zoning score was derived by assigning points for the allowed use of fruit and vegetable outlets. Pearson coefficients were calculated to examine correlations between the healthful food zoning score, county demographics, and the number of fruit and vegetable outlets. In March and April 2013, qualitative interviews were conducted among county and municipal staff members knowledgeable about local zoning and planning to ascertain implementation and enforcement of zoning to support fruit and vegetable outlets. We found a strong positive correlation between healthful food zoning scores and the number of fruit and vegetable outlets in 13 northeastern North Carolina counties (r = 0.66, P = .01). Major themes in implementation and enforcement of zoning to support fruit and vegetable outlets included strict enforcement versus lack of enforcement of zoning regulations. Increasing the range of permitted uses in zoning districts to include fruit and vegetable outlets may increase access to healthful fruit and vegetable outlets in rural communities.

Associations Between County and Municipality Zoning Ordinances and Access to Fruit And Vegetable Outlets in Rural North Carolina, 2012

PubMed Central

Mayo, Mariel Leah; Chriqui, Jamie F.

2013-01-01

Introduction Zoning ordinances and land-use plans may influence the community food environment by determining placement and access to food outlets, which subsequently support or hinder residents’ attempts to eat healthfully. The objective of this study was to examine associations between healthful food zoning scores as derived from information on local zoning ordinances, county demographics, and residents’ access to fruit and vegetable outlets in rural northeastern North Carolina. Methods From November 2012 through March 2013, county and municipality zoning ordinances were identified and double-coded by using the Bridging the Gap food code/policy audit form. A healthful food zoning score was derived by assigning points for the allowed use of fruit and vegetable outlets. Pearson coefficients were calculated to examine correlations between the healthful food zoning score, county demographics, and the number of fruit and vegetable outlets. In March and April 2013, qualitative interviews were conducted among county and municipal staff members knowledgeable about local zoning and planning to ascertain implementation and enforcement of zoning to support fruit and vegetable outlets. Results We found a strong positive correlation between healthful food zoning scores and the number of fruit and vegetable outlets in 13 northeastern North Carolina counties (r = 0.66, P = .01). Major themes in implementation and enforcement of zoning to support fruit and vegetable outlets included strict enforcement versus lack of enforcement of zoning regulations. Conclusion Increasing the range of permitted uses in zoning districts to include fruit and vegetable outlets may increase access to healthful fruit and vegetable outlets in rural communities. PMID:24309091

Aging village doctors in five counties in rural China: situation and implications

PubMed Central

2014-01-01

Background The aging population, rapid urbanization, and epidemiology transition in China call for the improvement and adaptation of the health workforce, especially in underserved rural areas. The aging of village doctors (the former “barefoot doctors”) who have served the rural residents for many decades has become a warning signal for the human resources for health in China. This study aims to investigate the village doctors’ aging situation and its implications in rural China. Methods The data reviewed were obtained from the baseline survey of a longitudinal study of rural health workforce in five counties in rural China in 2011. Using a stratified multi-stage cluster sampling process, the baseline data was collected through the self-administered structured Village Doctor Questionnaire. Descriptive analyses, correlation analyses, and multivariate linear regression with interaction terms were conducted with the statistics software Stata 12.0. Results The average age of the 1,927 village doctors was 49.3 years (95% CI 48.8 to 49.9), 870 (45.2%) of whom were aging (50 years or older). Both the age and the recruitment time of the village doctors were demonstrated to have a bimodal distribution. A greater proportion of the male village doctors were aging. Furthermore, aging of the village doctors was significantly correlated to their education level, type of qualification, practicing methods, and their status as village clinic directors (P <0.05, respectively). As shown in the regression models, aging village doctors provided significantly more outpatient services to rural residents (P <0.01) but without an increase in income, and their expected pension was lower (P <0.01), compared with their non-aging counterparts. Conclusions Aging of village doctors is a serious and imperative issue in China, which has a complex and profound impact on the rural health system. Greater attention should be paid to the construction of the pension system and the replenishment

Aging village doctors in five counties in rural China: situation and implications.

PubMed

Xu, Huiwen; Zhang, Weijun; Gu, Linni; Qu, Zhiyong; Sa, Zhihong; Zhang, Xiulan; Tian, Donghua

2014-06-28

The aging population, rapid urbanization, and epidemiology transition in China call for the improvement and adaptation of the health workforce, especially in underserved rural areas. The aging of village doctors (the former "barefoot doctors") who have served the rural residents for many decades has become a warning signal for the human resources for health in China. This study aims to investigate the village doctors' aging situation and its implications in rural China. The data reviewed were obtained from the baseline survey of a longitudinal study of rural health workforce in five counties in rural China in 2011. Using a stratified multi-stage cluster sampling process, the baseline data was collected through the self-administered structured Village Doctor Questionnaire. Descriptive analyses, correlation analyses, and multivariate linear regression with interaction terms were conducted with the statistics software Stata 12.0. The average age of the 1,927 village doctors was 49.3 years (95% CI 48.8 to 49.9), 870 (45.2%) of whom were aging (50 years or older). Both the age and the recruitment time of the village doctors were demonstrated to have a bimodal distribution. A greater proportion of the male village doctors were aging. Furthermore, aging of the village doctors was significantly correlated to their education level, type of qualification, practicing methods, and their status as village clinic directors (P <0.05, respectively). As shown in the regression models, aging village doctors provided significantly more outpatient services to rural residents (P <0.01) but without an increase in income, and their expected pension was lower (P <0.01), compared with their non-aging counterparts. Aging of village doctors is a serious and imperative issue in China, which has a complex and profound impact on the rural health system. Greater attention should be paid to the construction of the pension system and the replenishment of the village doctors with qualified medical

Urban-rural differences in excess mortality among high-poverty populations: evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health.

PubMed

Geronimus, Arline T; Colen, Cynthia G; Shochet, Tara; Ingber, Lori Barer; James, Sherman A

2006-08-01

Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.

The New Curriculum and the Urban-Rural Literacy Gap: The Case of One County in Western China

ERIC Educational Resources Information Center

Wang, Dan

2011-01-01

This article aims to explore the impact of the new curriculum reform launched in 2001 urban-rural achievement disparities. It documents a pilot study on teachers' experiences in teaching literacy to children in primary one in a poverty-stricken county in western China. Interviews with teachers in various types of schools indicate that the…

Impact of population density on collision rates in a rapidly developing rural, exurban area of Los Angeles County.

PubMed

Fischer, Kelly; Sternfeld, Isabelle; Melnick, Douglas Sloan

2013-04-01

To determine if the commonly acknowledged relationships between population density and traffic collisions are found at the subcounty level and to describe how collision characteristics may vary substantially at a local level, with a particular emphasis on exurban areas. Los Angeles County collision data were obtained from the California Highway Patrol and the census tract and service planning area (SPA) for each collision were determined. The correlation between population density and collision rates by census tract was calculated within each SPA and for the entire county. Primary collision factors were compared for geographic areas of different population densities within one exurban SPA in Los Angeles County. An inverse relationship was found between collision rates and population density within Los Angeles County. Primary collisions factors were different in areas of the county with different population densities, with driving or biking under the influence particularly common in the most rural area. Subcounty analyses are very important to the study of traffic collisions. Traffic problems in rapidly developing exurban areas may be quite different from those in older, more established areas.

"When a woman is pregnant, her grave is open": health beliefs concerning dietary practices among pregnant Kalenjin women in rural Uasin Gishu County, Kenya.

PubMed

Riang'a, Roselyter Monchari; Nangulu, Anne Kisaka; Broerse, Jacqueline E W

2017-12-16

Reducing malnutrition remains a major global challenge especially in low- and middle-income countries. Lack of knowledge on the motive of nutritional behaviour could ultimately cripple nutrition intervention outcomes. The purpose of this study was to investigate how health beliefs influence nutritional behaviour intention of the pregnant Kalenjin women of rural Uasin Gishu County in Kenya. The study findings provide useful information for culturally congruent nutrition counselling and intervention. In this qualitative study semi-structured interviews were conducted with 42 pregnant and post-natal (with children less than one year) Kalenjin women in selected rural public health facilities of Uasin Gishu County Kenya. Furthermore, key informant interviews took place with 6 traditional birth attendants who were also pregnancy herbalists, two community health workers and one nursing officer in charge of Maternal and Child Health (MCH) for triangulation and provision of in-depth information. Content analysis of interview transcripts followed a grounded theory (Protection Motivation Theory) approach, using software MAXQDA version 12.1.3. Abstracted labour (big babies and lack of maternal strength), haemorrhage (low blood), or having other diseases and complications (evil or bad food) were the major perceived health threats that influence nutritional behaviour intention of the pregnant Kalenjin women in rural Uasin Gishu County in Kenya. The pregnancy nutritional behaviour and practices of the Kalenjin women in rural Uasin Gishu County act as an adaptive response to the perceived health threats, which seem to be within the agency of pregnant women. As a result, just giving antenatal nutritional counselling without addressing these key health assumptions that underlie a successful pregnancy outcome is unlikely to lead to changes in nutritional behaviour.

Rural Information Needs.

ERIC Educational Resources Information Center

Fowler, Dave

1989-01-01

Examines the information needs of rural populations by identifying eight national issues and interpreting these as requests made to rural county agents. Four groups of rural information users are identified, and information needs specific to each group and that cross over all groups are discussed. (CLB)

Demographic Norms for Metropolitan, Nonmetropolitan and Rural Counties. Mental Health Demographic Profile System Working Paper No. 24, July 1975.

ERIC Educational Resources Information Center

Goldsmith, Harold F.; And Others

Utilizing 1970 census statistics for metropolitan, nonmetropolitan, rural, and "all" counties, this paper presents the selected percentile values for the 130 statistics (social indicators) in the Mental Health Demographic Profile System (the MHDPS is a system which allows the delineation of residential areas with common social rank, life…

Rural Economic Development: What Makes Rural Communities Grow?

ERIC Educational Resources Information Center

Aldrich, Lorna; Kusmin, Lorin

This report identifies local factors that foster rural economic growth. A review of the literature revealed potential indicators of county economic growth, and those indicators were then tested against data for nonmetro counties during the 1980s using multiple regression analysis. The principal variables examined included demographic and labor…

Evaluating a County-Sponsored Social Marketing Campaign to Increase Mothers' Initiation of HPV Vaccine for their Pre-teen Daughters in a Primarily Rural Area.

PubMed

Cates, Joan R; Shafer, Autumn; Diehl, Sandra J; Deal, Allison M

2011-01-01

Routine vaccination against human papillomavirus (HPV), the main cause of cervical cancer, is recommended for 11-12 year old girls, yet vaccine uptake is low. This study evaluates a social marketing campaign initiated by 13 North Carolina counties to raise awareness among parents and reduce barriers to accessing the vaccine in a primarily rural area. The 3-month campaign targeted mothers of girls ages 11-12 and healthcare practices serving pre-teen girls in four counties. Principles of social marketing were: product (recommended vaccine against HPV), price (cost, perception of safety and efficacy, and access), promotion (posters, brochures, website, news releases, doctor's recommendation), and place (doctors' offices, retail outlets). We analyzed (1) website traffic, hotline calls, and media placement; (2) cross-sectional surveys of mothers and providers; and (3) HPV immunization rates in intervention versus non-intervention counties. Of respondent mothers (n=225), 82% heard or saw campaign messages or materials. Of respondent providers (n=35), 94% used campaign brochures regularly or occasionally in conversations with parents. HPV vaccination rates within six months of campaign launch were 2% higher for 9-13 year old girls in two of the four intervention counties compared to 96 non-intervention counties. This evaluation supports campaign use in other primarily rural and underserved areas.

A comparison of rural high school students in Germany with rural Tennessee high school students' mathematics and science achievement

NASA Astrophysics Data System (ADS)

Harding, R. Fredrick

This descriptive study compared the science and mathematics aptitudes and achievement test scores for the final school year students in rural White County and Van Buren County, Tennessee with rural county students in Germany. In accordance with the previous research literature (Stevenson, 2002), German students outperformed U.S. students on The International Trends in Math and Science test (TIMSS). As reform in the U.S. education system has been underway, this study intended to compare German county student final school year performance with White County and Van Buren County (Grade 12) performance in science and mathematics. The entire populations of 176 White and Van Buren Counties senior high final school year students were compared with 120 school final year students from two rural German county high schools. The student responses to identical test and questionnaire items were compared using the t-test statistical analysis. In conclusion after t-test analyses, there was no significant difference (p>.05 level) in student attitudes on the 27 problem achievement and the 35 TIMSS questionnaire items between the sampled population of 120 German students compared with the population of 176 White and Van Buren students. Also, there was no statistically significant difference (p>.05 level) between the German, White, and Van Buren County rural science and math achievement in the TIMSS problem section of the final year test. Based on the research, recommendations to improve U.S. student scores to number one in the world include making changes in teaching methodology in mathematics and science; incorporating pamphlet lessons rather than heavily reliance on textbooks; focusing on problem solving; establishing an online clearinghouse for effective lessons; creating national standards in mathematics and science; matching students' course choices to job aspirations; tracking misbehaving students rather than mainstreaming them into the regular classroom; and designing

A Longitudinal Evaluation of the Positive Action Program in a Low-Income, Racially Diverse, Rural County: Effects on Self-Esteem, School Hassles, Aggression, and Internalizing Symptoms.

PubMed

Guo, Shenyang; Wu, Qi; Smokowski, Paul R; Bacallao, Martica; Evans, Caroline B R; Cotter, Katie L

2015-12-01

Positive Action is a school-based program that aims to decrease problem behaviors (e.g., violence, substance use) and increase positive behaviors (e.g., school engagement, academic achievement). Although a number of studies have shown that Positive Action successfully achieves these goals, few studies have evaluated the program's effectiveness in rural schools. Given that rural youth are at an increased risk for risky behaviors (e.g., violence, substance use), this is a critical gap in the existing Positive Action research base. The current study assesses the impact of Positive Action on change rates of self-esteem, school hassles, aggression, and internalizing symptoms in a group (N = 1246, 52% female) of ethnically/racially diverse (27% White, 23% African American, 12% mixed race/other, 8% Latino, 30% as American Indian) middle school youth (age range 9-20) located in two violent, low-income rural counties in North Carolina. One county engaged in Positive Action over the 3-year study window while the other county did not. Following multiple imputation and propensity score analysis, 4 two-level hierarchical linear models were run using each of the outcome measures as dependent variables. The results indicate that the program generates statistically significant beneficial effects for youth from the intervention county on self-esteem scores and school hassles scores. Although the program generates beneficial effects for intervention youth on the change in aggression scores, the finding is not statistically significant. The finding on the change in internalizing scores shows a non-significant detrimental effect: the youth from the comparison county have lower internalizing scores than those from the intervention county. Implications are discussed.

Comparison of Health-Related Measures of Two Groups of Adolescents in a Rural Southeastern County in the United States

ERIC Educational Resources Information Center

Sands, Charles D.; Hensarling, Robert W.; Angel, James B.

2009-01-01

Objective: The purpose of this study was to establish baseline values on physiological parameters for 7-11 graders (n = 146) in a rural area of Alabama and to examine whether differences existed among the adolescents in the county. Design: Descriptive. Setting: Many adolescents in the southern portion of the United States suffer disproportionately…

County-level poverty is equally associated with unmet health care needs in rural and urban settings.

PubMed

Peterson, Lars E; Litaker, David G

2010-01-01

Regional poverty is associated with reduced access to health care. Whether this relationship is equally strong in both rural and urban settings or is affected by the contextual and individual-level characteristics that distinguish these areas, is unclear. Compare the association between regional poverty with self-reported unmet need, a marker of health care access, by rural/urban setting. Multilevel, cross-sectional analysis of a state-representative sample of 39,953 adults stratified by rural/urban status, linked at the county level to data describing contextual characteristics. Weighted random intercept models examined the independent association of regional poverty with unmet needs, controlling for a range of contextual and individual-level characteristics. The unadjusted association between regional poverty levels and unmet needs was similar in both rural (OR = 1.06 [95% CI, 1.04-1.08]) and urban (OR = 1.03 [1.02-1.05]) settings. Adjusting for other contextual characteristics increased the size of the association in both rural (OR = 1.11 [1.04-1.19]) and urban (OR = 1.11 [1.05-1.18]) settings. Further adjustment for individual characteristics had little additional effect in rural (OR = 1.10 [1.00-1.20]) or urban (OR = 1.11 [1.01-1.22]) settings. To better meet the health care needs of all Americans, health care systems in areas with high regional poverty should acknowledge the relationship between poverty and unmet health care needs. Investments, or other interventions, that reduce regional poverty may be useful strategies for improving health through better access to health care. © 2010 National Rural Health Association.

Overweight and obesity among low-income women in rural West Virginia and urban Los Angeles County.

PubMed

Robles, Brenda; Frost, Stephanie; Moore, Lucas; Harris, Carole V; Bradlyn, Andrew S; Kuo, Tony

2014-10-01

We described the prevalence of overweight and obesity among low-income women in rural West Virginia (WV) and urban Los Angeles County (LA County). Both communities participated in the national Communities Putting Prevention to Work program during 2010-2012. In each community, we completed health assessments on adult women recruited from public-sector clinics serving low-income populations. All participants answered survey questions regarding socio-demographics and diets. In both jurisdictions, we assessed obesity using objectively measured height and weight (calculated BMI). As part of each community case study, we performed multivariable regression analyses to describe the relationships between overweight and obesity and selected covariates (e.g., dietary behaviors). Overweight and obesity were prevalent among low-income women from WV (73%, combined) and LA County (67%, combined). In both communities, race and ethnicity appeared to predict the two conditions; however, the associations were not robust. In LA County, for example, African American and Hispanic women were 1.4 times (95% CI=1.12, 1.81) more likely than white women to be overweight and obese. Collectively, these subpopulation health data served as an important guide for further planning of obesity prevention efforts in both communities. These efforts became a part of the subsequent Community Transformation Grants portfolio. Copyright © 2014 Elsevier Inc. All rights reserved.

Evaluating a County-Sponsored Social Marketing Campaign to Increase Mothers’ Initiation of HPV Vaccine for their Pre-teen Daughters in a Primarily Rural Area

PubMed Central

Cates, Joan R.; Shafer, Autumn; Diehl, Sandra J.; Deal, Allison M.

2011-01-01

Routine vaccination against human papillomavirus (HPV), the main cause of cervical cancer, is recommended for 11–12 year old girls, yet vaccine uptake is low. This study evaluates a social marketing campaign initiated by 13 North Carolina counties to raise awareness among parents and reduce barriers to accessing the vaccine in a primarily rural area. The 3-month campaign targeted mothers of girls ages 11–12 and healthcare practices serving pre-teen girls in four counties. Principles of social marketing were: product (recommended vaccine against HPV), price (cost, perception of safety and efficacy, and access), promotion (posters, brochures, website, news releases, doctor’s recommendation), and place (doctors’ offices, retail outlets). We analyzed (1) website traffic, hotline calls, and media placement; (2) cross-sectional surveys of mothers and providers; and (3) HPV immunization rates in intervention versus non-intervention counties. Of respondent mothers (n=225), 82% heard or saw campaign messages or materials. Of respondent providers (n=35), 94% used campaign brochures regularly or occasionally in conversations with parents. HPV vaccination rates within six months of campaign launch were 2% higher for 9–13 year old girls in two of the four intervention counties compared to 96 non-intervention counties. This evaluation supports campaign use in other primarily rural and underserved areas. PMID:21804767

Rural rustic roads improvement program

DOT National Transportation Integrated Search

2002-11-11

This program provides for the initial pavement of rural roads. Under the Rural Rustic Roads Program, the governing body of any county, in consultation with the Department, may designate a road or road segment as a Rural Rustic Road provided such road...

Washington State Annual Rural Manpower Report, 1973.

ERIC Educational Resources Information Center

Washington State Dept. of Employment Security, Olympia.

The annual report of the Rural Manpower Program, Employment Service Division, contains narrative and statistical data that describe important developments in Washington State during 1973. In terms of man-months of labor, rural counties provided less than 25% of the total seasonal farm employment in 1973, while urban Yakima County alone provided…

Application of Deep Learning and Supervised Learning Methods to Recognize Nonlinear Hidden Pattern in Water Stress Levels from Spatiotemporal Datasets across Rural and Urban US Counties

NASA Astrophysics Data System (ADS)

Eisenhart, T.; Josset, L.; Rising, J. A.; Devineni, N.; Lall, U.

2017-12-01

In the wake of recent water crises, the need to understand and predict the risk of water stress in urban and rural areas has grown. This understanding has the potential to improve decision making in public resource management, policy making, risk management and investment decisions. Assuming an underlying relationship between urban and rural water stress and observable features, we apply Deep Learning and Supervised Learning models to uncover hidden nonlinear patterns from spatiotemporal datasets. Results of interest includes prediction accuracy on extreme categories (i.e. urban areas highly prone to water stress) and not solely the average risk for urban or rural area, which adds complexity to the tuning of model parameters. We first label urban water stressed counties using annual water quality violations and compile a comprehensive spatiotemporal dataset that captures the yearly evolution of climatic, demographic and economic factors of more than 3,000 US counties over the 1980-2010 period. As county-level data reporting is not done on a yearly basis, we test multiple imputation methods to get around the issue of missing data. Using Python libraries, TensorFlow and scikit-learn, we apply and compare the ability of, amongst other methods, Recurrent Neural Networks (testing both LSTM and GRU cells), Convolutional Neural Networks and Support Vector Machines to predict urban water stress. We evaluate the performance of those models over multiple time spans and combine methods to diminish the risk of overfitting and increase prediction power on test sets. This methodology seeks to identify hidden nonlinear patterns to assess the predominant data features that influence urban and rural water stress. Results from this application at the national scale will assess the performance of deep learning models to predict water stress risk areas across all US counties and will highlight a predominant Machine Learning method for modeling water stress risk using spatiotemporal

What is New in the “New Rural Co-operative Medical System”? An Assessment in One Kazak County of the Xinjiang Uyghur Autonomous Region*

PubMed Central

Klotzbücher, Sascha; Lässig, Peter; Jiangmei, Qin; Weigelin-Schwiedrzik, Susanne

2011-01-01

In 2002, the Chinese leadership announced a change in national welfare policy: Voluntary medical schemes at county level, called the “New Rural Co-operative Medical System” should cover all counties by 2010. This article addresses the main characteristics of this system, analyses the introduction of local schemes based on our own field studies in one Kazak county of the Xinjiang Uyghur Autonomous Region since 2006, and argues that the fast progressing of the local scheme and the flexibility shown by local administrators in considering structural and procedural adjustments are not the result of central directives but of local initiatives. Recentralization from the township governments to functional departments in the provincial and the central state administration is only one aspect of current rural governance. Complementary forms of locally embedded responsiveness to the needs of health care recipients are crucial in restructuring the administration and discharge of health care. These new modes of governance are different from the hierarchical control and institutionalized representation of interests of the local population. PMID:22058584

Planning for transportation in rural areas

DOT National Transportation Integrated Search

2001-07-01

The purpose of this document, Planning for Transportation in Rural Areas, is to provide a resource to rural planners, city and county engineers, stakeholders, local officials, and other decision-makers involved with developing rural transportation pl...

Will Employment Growth Benefit All Households? A Case Study in Nine Nonmetro Kentucky Counties. Rural Development Research Report Number 55.

ERIC Educational Resources Information Center

Larson, Donald K.; White, Claudia K.

An estimated 44,340 longer term resident households in rural Kentucky were studied to identify the variables that explained changes in household income status between 1974-79. In a nine-county area of south-central Kentucky, rapid employment growth between 1974 and 1979 created new job opportunities, but employment growth did not benefit all…

Preliminary Findings on Rural Homelessness in Ohio.

ERIC Educational Resources Information Center

First, Richard J.; And Others

This report is designed to present preliminary findings from the first comprehensive study of rural homelessness in the United States. The study was conducted during the first 6 months of 1990, and data were collected from interviews with 921 homeless adults in 21 randomly selected rural counties in Ohio. The sample counties represent 26% of the…

The Rural Turnaround in Ohio: Some Evidence Related to Implications.

ERIC Educational Resources Information Center

Thomas, Donald W.; Bachtel, Douglas C.

Limited to residents of small towns, villages and the rural open country, the study assessed the implications of the rural turnaround in the southern Ohio counties of Athens, Gallia, Jackson, Meigs, and Vinton. All five counties experienced outmigration in the 1950s, and all but Athens County lost population through outmigration in the 1960s. In…

A Profile of Hardee County, Florida.

ERIC Educational Resources Information Center

Beaulieu, Lionel J.; Anderson, Deborah S.

In 1977 leaders of Hardee County, Florida, listed relationships and attitudes of residents, rural atmosphere, environmental conditions, and economic potential among the county's strong points, and public service and facility improvements, developing economic potential, recreational and entertainment development, and planning and zoning as its most…

77 FR 36996 - South Mississippi Electric Cooperative: Plant Ratcliff, Kemper County Integrated Gasification...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-20

... DEPARTMENT OF AGRICULTURE Rural Utilities Service South Mississippi Electric Cooperative: Plant Ratcliff, Kemper County Integrated Gasification Combined-Cycle (IGCC) Project AGENCY: Rural Utilities... Combined-Cycle (IGCC) Project currently under construction in Kemper County, Mississippi (hereinafter ``the...

Hydrologic and chemical-quality data from four rural basins in Guilford County, North Carolina, 1985-88

USGS Publications Warehouse

Hill, C.L.

1989-01-01

An investigation was begun in 1984 in Guilford County, North Carolina, to monitor water quality and soil erosion in basins with various land-management practices. Hydrologic and chemical-quality data were collected from four rural drainage basins, including two agricultural basins (7.4 and 4.8 acres) cultivated in tobacco and small grains, a mixed rural land-use basin (665 acres) currently under standard land-management practices, and a forested control basin (44 acres) characterizing background conditions. Mean concentrations of total nitrite plus nitrate were 1.0 milligrams per liter from the agricultural basin under standard land-management practices. This was nearly 10 times greater than concentrations from the forested basin. Records of streamflow discharge, chemical quality, ground-water levels, precipitation, and farming activities collected from October 1984 through September 1988 at one or more of the basins are also presented in this report.

Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

PubMed Central

2013-01-01

Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions Most of villages are in underserved health services areas. An unequal distribution of health service

Examination of the relative importance of hospital employment in non-metropolitan counties using location quotients.

PubMed

Smith, Jon L

2013-01-01

The US Health Care and Social Services sector (North American Industrial Classification System 'sector 62') has become an extremely important component of the nation's economy, employing approximately 18 million workers and generating almost $753 billion in annual payrolls. At the county level, the health care and social services sector is typically the largest or second largest employer. Hospital employment is often the largest component of the sector's total employment. Hospital employment is particularly important to non-metropolitan or rural communities. A high quality healthcare sector serves to promote economic development and attract new businesses and to provide stability in economic downturns. The purpose of this study was to examine the intensity of hospital employment in rural counties relative to the nation as a whole using location quotients and to draw conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations. Estimates for county-level hospital employment are not commonly available. Estimates of county-level hospital employment were therefore generated for all counties in the USA the Census Bureau's County Business Pattern Data for 2010. These estimates were used to generate location quotients for each county which were combined with demographic data to generate a profile of factors that are related to the magnitude of location quotients. The results were then used to draw inferences regarding the possible impact of the Patient Protection and Affordable Care Act 2010 (ACA) and the possible imposition of aspects of the Budget Control Act 2011 (BCA). Although a very high percentage of rural counties contain medically underserved areas, an examination of location quotients indicates that the percentage of the county workforce employed by hospitals in the most rural counties tends to be higher than for the nation as a whole, a counterintuitive finding. Further, when location quotients are regressed upon data

Preventable hospitalizations: does rurality or non-physician clinician supply matter?

PubMed

Nayar, Preethy; Nguyen, Anh T; Apenteng, Bettye; Yu, Fang

2012-04-01

This study examines the relationship between rurality as well as the proportion of non-physician clinicians and county rates of ambulatory care sensitive hospitalizations (ACSHs) for pediatric, adult and elderly populations in Nebraska. The study design was a cross-sectional observational study of county level factors that affect the county level rates of ACSHs using Poisson regression models. Rural (non-metro) counties have significantly higher ACSHs for both pediatric and adult population, but not for the elderly. Frontier counties have significantly higher adult ACSHs. The proportion of primary care providers who are non-physician clinicians does not have a significant association with ACSHs for any of the age groups. The results indicate that rurality may have a greater impact on pediatric and adult ACSHs and the proportion of NPCs in the primary care provider workforce does not significantly impact ACSH rates.

The share of southeastern black counties in the southern rural renaissance: were they bypassed by factory job gains, 1959-77?

PubMed

Till, T E

1986-04-01

Some authors have suggested that a leading problem associated with US factory employment for blacks may be that the nonfarm jobs--specifically manufacturing--have tended to go to heavily white counties rather than to the mainly black counties of the Deep South. This study is limited to the 1959-1977 period, the time of the most vigorous nonmetropolitan employment growth. To test the hypothesis that factory jobs have bypassed heavily black counties, a 100% sample of nonmetropolitan counties was used from 13 Southern states for the 2 time periods, 1959-1969 and 1969-1977. Results show that the minority counties were not bypassed by Southern rural factory job growth either in the 1960s or the 1970s, but their gains were not as sizeable as those of more heavily white counties. Both the neoclassical economics of discrimination--with its individualistic "taste for discrimination"--and the stinging critique by Marshall in 1974 that such analysis ignores the important role of institutionalized racism--can "explain the empirical conclusions of this article." Traditional "smokestack-chasing" methods are by no means hopeless. While co-ops and community development corporation strategies can be combined with traditional methods, it is important that foundations, government agencies, anti-poverty programs, and black leadership also focus on projects to competitively attract jobs in the traditional fashion.

Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

PubMed

Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

2016-11-01

Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Preventive Health Education Needs Among Rural Farm and Rural Nonfarm Adults.

ERIC Educational Resources Information Center

Leadley, Samuel M.; And Others

Focusing on heart disease and cancer, the study compared the preventive health education needs of farm and nonfarm rural adults. During July and August 1975, face-to-face interviews were conducted with 57 men and 161 women living in Armstrong and Butler Counties, Pennsylvania. The sample included 119 commercial farm households and 99 rural nonfarm…

Early Development of Low-Income Rural Appalachian Children. Rural Health Monograph Series.

ERIC Educational Resources Information Center

Fish, Margaret; Jacquet, Ellen; Frye, Hadassah

The Rural Appalachian Infant Temperament Project followed a group of 80 low-income rural Appalachian children from birth to kindergarten, focusing on two areas of child development: social/emotional functioning and cognitive skills. Subjects were recruited at a Lincoln County, West Virginia, clinic; all were white; and 73 percent had family…

Marriage Squeeze and Intergenerational Support in Contemporary Rural China: Evidence from X County of Anhui Province

PubMed Central

Guo, Qiuju; Feldman, Marcus W.

2017-01-01

With China’s gender imbalance and increasingly severe male marriage squeeze, patterns of intergenerational support in rural areas are likely to undergo significant change. Using data from a survey of four towns from X county in Anhui province carried out in 2008, this paper analyzes the effects of sons’ marital status on intergenerational support. Random-effect regression analysis shows that son’s marital status has strong effects on financial support to and co-residence with parents. Compared with married sons, older unmarried sons (so-called forced bachelors) tend to provide less financial support to their parents, and are more likely to live with their parents. Parents’ support of sons, as well as the parents’ own needs and sons’ capabilities all affect the support provided by sons. These results show that both theories of exchange and altruism are simultaneously relevant in the context of the marriage squeeze of contemporary rural China. PMID:26243325

Rural Governments in the Municipal Bond Market.

ERIC Educational Resources Information Center

Palumbo, George; Sacks, Seymour

The differential interest costs to rural governments associated with borrowing in the tax-exempt bond market is a function of the advantageous position of several large partially rural counties and the dominance of school district borrowing in rural communities, rather than a disadvantage of predominantly rural governments. This conclusion is the…

Availability of more healthful food alternatives in traditional, convenience, and nontraditional types of food stores in two rural Texas counties.

PubMed

Bustillos, Brenda; Sharkey, Joseph R; Anding, Jenna; McIntosh, Alex

2009-05-01

Limited research has focused on the availability of more healthful food alternatives in traditional food stores (supermarkets and grocery stores) in rural areas. Current market trends suggest that food items may be available for purchase in stores other than traditional food stores. An observational survey was developed and used on-site to document the availability and variety of fruit and vegetables (fresh, canned, and frozen), meats (meat, poultry, fish, and eggs), dairy (milk, yogurt, and cheese), and grains (whole grains and refined grains) in all traditional food stores, convenience stores, and nontraditional food stores (dollar stores and mass merchandisers) in two rural Texas counties. Descriptive statistics and t tests identified that although the widest selection of more healthful food items was available in supermarkets, not all supermarkets carried all items. Grocery stores carried less variety of fresh fruits (8+/-0.7 vs 4.7+/-0.3; P<0.01) and vegetables (10.7+/-0.2 vs 6+/-0; P<0.001) than supermarkets. Fresh fruits and vegetables were not readily available in convenience or nontraditional food stores. Among convenience and nontraditional food stores, "dollar" stores offered the best variety of more healthful canned fruits and vegetables, whole-wheat bread, and whole-grain cereal. Mass merchandisers and dollar stores offered a greater variety of more healthful types of canned tuna and poultry, reduced-fat and skim milk, and low-fat tortillas. In these rural counties, traditional food stores offered greater availability of more healthful food choices across food groups. More healthful food choices in canned fruits and vegetables, canned meat and fish, milk, and grains were also available in dollar stores, mass merchandisers, and convenience stores. Results suggest that a complete understanding of the food environment, especially in rural areas, requires knowledge of the availability and variety of healthful food in all types of stores that are accessible

Health providers' perspectives on delivering public health services under the contract service policy in rural China: evidence from Xinjian County.

PubMed

Zhou, Huixuan; Zhang, Weijun; Zhang, Shengfa; Wang, Fugang; Zhong, You; Gu, Linni; Qu, Zhiyong; Liang, Xiaoyun; Sa, Zhihong; Wang, Xiaohua; Tian, Donghua

2015-02-27

To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. Official documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy. While the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service. Contract service is a crucial step for the government to

Middle Grade Students of Iris County: A Descriptive Study from Southern Appalachia.

ERIC Educational Resources Information Center

Phelps, Margaret S.; And Others

Sixth, seventh, and eighth grade students (N=301) from a rural county in Tennessee (Iris County is a pseudonym) completed a Rural School Success Inventory (RSSI) and the Learning Styles Inventory (LSI). The study explored differences between low Socioeconomic Status (SES) students and middle/high SES students. The RSSI provided information about…

Nonmetropolitan Population Increase, the Attractiveness of Rural Living, and Race.

ERIC Educational Resources Information Center

Fliegel, Frederick C.; Sofranko, Andrew J.

1984-01-01

Examines racial composition of population growth in 75 Midwestern counties experiencing substantial immigration; concludes that the inmigrant stream is predominantly White. Examines reasons given by 500 urban-to-rural migrants to those counties. Suggests exploration of the hypothesis that racial aversion is implicated in migration to rural areas.…

School Reform for Rural America

ERIC Educational Resources Information Center

Fishman, Dan

2015-01-01

Overall, one in four rural children live in poverty, and of the 50 U.S. counties with the highest child-poverty rates, 48 are rural. Drug usage abounds. In the mid-2000s, rural 8th graders were 59 percent more likely than peers in large cities to use methamphetamines and 104 percent more likely to use any amphetamine, according to the National…

Education and Development in Poor Rural Communities: An Interdisciplinary Research Agenda. ERIC Digest.

ERIC Educational Resources Information Center

Carter, Carolyn S.

More than 30 years after the Great Society initiatives, poverty continues to put large numbers of students at risk of school failure. The challenges to education and life success are most severe for children in the nation's poorest rural counties, the 535 rural persistent poverty (RPP) counties. This digest provides background on RPP counties and…

Formative Evaluation for a Healthy Corner Store Initiative in Pitt County, North Carolina: Assessing the Rural Food Environment, Part 1

PubMed Central

Bringolf, Karamie R.; Lawton, Katherine K.; McGuirt, Jared T.; Wall-Bassett, Elizabeth; Morgan, Jo; Laska, Melissa Nelson; Sharkey, Joseph R.

2013-01-01

Introduction Obesity prevalence in the rural United States is higher than in urban or suburban areas, perhaps as a result of the food environment. Because rural residents live farther from supermarkets than their urban- and suburban-dwelling counterparts, they may be more reliant on smaller corner stores that offer fewer healthful food items. Methods As part of a Communities Putting Prevention to Work (CPPW) healthy corner store initiative, we reviewed audit tools in the fall of 2010 to measure the consumer food environment in eastern North Carolina and chose the NEMS-S-Rev (Nutrition Environment Measures Survey-Stores-Revised) to assess 42 food stores. During the spring and summer of 2011, 2 trained graduate assistants audited stores, achieving interrater reliability of at least 80%. NEMS-S-Rev scores of stores in rural versus urban areas were compared. Results Overall, healthful foods were less available and of lower quality in rural areas than in urban areas. NEMS-S-Rev scores indicated that healthful foods were more likely to be available and had similar pricing and quality in rural corner stores than in urban corner stores. Conclusion Food store audit data provided a baseline to implement and evaluate a CPPW healthy corner store initiative in Pitt County. This work serves as a case study, providing lessons learned for engaging community partners when conducting rural food store audits. PMID:23866165

The Rural Texas Environment: A Profile of Stressors.

ERIC Educational Resources Information Center

Mountain, Karen; and Others

Questionnaire data from 168 rural residents of Atacosa, Cass, Freestone, Scurry, and Upton counties, 153 health and human services providers and interviews with 125 residents of 25 rural communities identified and described stressors in the rural Texas environment. Rural Texans viewed economic problems (money, lack of jobs, poverty, working…

Rural-Urban Differences in Alzheimer's Disease and Related Disorders Diagnostic Prevalence in Kentucky and West Virginia.

PubMed

Abner, Erin L; Jicha, Gregory A; Christian, W Jay; Schreurs, Bernard G

2016-06-01

Older adults living in rural areas may face barriers to obtaining a diagnosis of Alzheimer's disease and related disorders (ADRD). We sought to examine rural-urban differences in prevalence of ADRD among Medicare beneficiaries in Kentucky and West Virginia, 2 contiguous, geographically similar states with large rural areas and aged populations. We used Centers for Medicare and Medicaid Services Public Use Files data from 2007 to 2013 to assess prevalence of ADRD at the county level among all Medicare beneficiaries in each state. Rural-Urban Continuum Codes were used to classify counties as rural or urban. We used Poisson regression to estimate unadjusted and adjusted prevalence ratios. Primary analyses focused on 2013 data and were repeated for 2007 to 2012. This study was completely ecologic. After adjusting for state, average beneficiary age, percent of female beneficiaries, percent of beneficiaries eligible for Medicaid in each county, Central Appalachian county, percent of age-eligible residents enrolled in Medicare, and percent of residents under age 65 enrolled in Medicare in our adjusted models, we found that 2013 ADRD diagnostic prevalence was 11% lower in rural counties (95% CI: 9%-13%). Medicare beneficiaries in rural counties in Kentucky and West Virginia may be underdiagnosed with respect to ADRD. However, due to the ecologic design, and evidence of a younger, more heavily male beneficiary population in some rural areas, further studies using individual-level data are needed to confirm the results. © 2015 National Rural Health Association.

Risk Factors for Rural Residential Fires

ERIC Educational Resources Information Center

Allareddy, Veerasathpurush; Peek-Asa, Corinne; Yang, Jingzhen; Zwerling, Craig

2007-01-01

Context and Purpose: Rural households report high fire-related mortality and injury rates, but few studies have examined the risk factors for fires. This study aims to identify occupant and household characteristics that are associated with residential fires in a rural cohort. Methods: Of 1,005 households contacted in a single rural county, 691…

County Library Service to Rural Schools. Bulletin, 1930, No. 20

ERIC Educational Resources Information Center

Lathrop, Edith A.

1930-01-01

An efficient county library contemplates maximum service for money expended. Situated at the county seat or at some other centrally located place within the county, its book stock is carried to every resident of the county through a system branches, stations, and school deposits, and the services of an automobile and the parcel post. A trained…

7 CFR 1900.3 - State, district, and county office employees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 12 2010-01-01 2010-01-01 false State, district, and county office employees. 1900.3 Section 1900.3 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF...

The Urban/Rural Dichotomy in the Distribution of Breast Cancer Across Pennsylvania.

PubMed

Boukovalas, Stefanos; Sariego, Jack

2015-09-01

Breast cancer rates clearly differ across the United States. This is due to a variety of factors, but at least one determinant is the population density. Breast cancer detection rates and treatment paradigms may differ in rural areas when compared with more urban ones. As the population becomes more mobile and diffuse, this may or may not be a worsening problem. The current analysis was undertaken to examine the breast cancer incidence and outcomes in a single state in an attempt to plan for resource allocation in the future. A retrospective analysis was performed using data available from the Pennsylvania Department of Health regarding breast cancer rates by county, the distribution of cases with regard to degree of rurality, death rates by county as a function of rurality, and the age distribution of all presenting cases. Data from 1999 were compared with those of 2009. The United States Census Bureau definition of rurality was used, which specifies that a county be classified as rural if the population density is less than 284 persons/square mile. Between 1999 and 2009, the population of Pennsylvania increased by approximately 3.4 per cent (421,325 people). The urban population increased by 3.9 per cent, whereas the rural population increased by only 2.2 per cent. During that same period, the number of cancer cases/100,000 population remained about the same: 391.41 in 1999; 390.7 in 2009. However, the distribution of cases shifted during that time toward more rural areas of the state: in 1999, there were 372.3 breast cancer cases/100,000 population compared with 2009 when the rate was 384.4/100,000 population. The number of cancer deaths/100,000 population actually dropped overall during the decade: 98.5 in 1999 versus 82.3 in 2009. Though this was true in both urban and rural counties, the decrease was much less pronounced in the rural areas. In urban counties, the death rate dropped from 100.5 to 81.5/100,000 population, whereas in rural counties, the drop was

Community-Level Exposure to the Rural Mining Industry: The Potential Influence on Early Adolescent Alcohol and Tobacco Use.

PubMed

Gay, Christopher; Clements-Nolle, Kristen; Packham, John; Ackerman, Gerald; Lensch, Taylor; Yang, Wei

2018-01-31

Rural youth have higher rates of alcohol and tobacco use compared to their urban counterparts. However, the economic dependence of rural communities may differentially influence risk behaviors. While research has shown that adults working in mining have elevated rates of alcohol and tobacco use, the influence of living in a mining community on early adolescent substance use is unknown. Using data from a representative sample of 4,535 middle school students in a state with heavy reliance on mining, we conducted weighted logistic regression to investigate whether community-level mining economic dependence influences rural-urban differences in adolescent alcohol and tobacco use. All models adjusted for sociodemographics, military family involvement, parental monitoring, and length of residence. Over one quarter of the sampled students lived in rural counties and approximately half of these counties met the USDA mining economic typology. After stratifying rural counties by mining and nonmining economic dependence, students in rural mining counties had significantly higher odds of all measures of alcohol use (AORs ranged from 1.83 to 3.99) and tobacco use (AORs ranged from 1.61 to 5.05) compared to students in urban counties. Only use of smokeless tobacco was higher among students in rural nonmining counties. Our findings demonstrate rural-urban disparities in adolescent substance use that are particularly pronounced among youth living in counties with economic dependence on mining. Future research on this subject should include a wider range of community-level factors that may have specific relevance in rural settings to inform the development of population-level interventions. © 2018 National Rural Health Association.

The People in Tennessee's Title V Counties: A Summary Report on Characteristics and Attitudes.

ERIC Educational Resources Information Center

Smith, George F.; Klindt, Thomas H.

Attitudes toward selected rural development activities and basic socioeconomic characteristics of residents of five rural Tennessee counties were examined in 1974 in a study that included interviews with household heads as well as community leaders. Claiborne, Clay, Hancock, Overton, and Pickett counties constituted the pilot area; two surveys…

Drug Use Patterns and Trends in Rural Communities

ERIC Educational Resources Information Center

Gfroerer, Joseph C.; Larson, Sharon L.; Colliver, James D.

2007-01-01

Context and Purpose: This study examines the prevalence of tobacco, alcohol, and illicit drug use among adolescents and adults in 3 types of counties: "rural" (nonmetropolitan counties with urban population less than 20,000), "urbanized nonmetropolitan" (nonmetropolitan counties with urban population 20,000 or higher), and…

Assessment of rural ecosystem health and type classification in Jiangsu province, China.

PubMed

Meng, Lingran; Huang, Jiu; Dong, Jihong

2018-02-15

Quantitative analysis of rural ecosystem health (REH) is required to comprehend the spatial differentiation of rural landscape and promote rural sustainable development under the pressure of urbanization and industrialization, especially those with dramatic changes in rural ecology of China and other developing countries. In this study, taking Jiangsu province as the case study, appropriate indicators were selected in the perspective of compound ecosystem and the rural ecosystem health index (REHI) was developed including four rural ecological subsystems of resource, environmental, social and economic. The comprehensive indicator assessment models and geographic information system (GIS) spatial methods were used to analyze the REH status and spatial differentiation of 57 counties in Jiangsu province. The REH scores of 57 rural counties were in a higher range of 0.686-0.882 and fluctuating increased from north to south, indicating that the rural ecosystem in Jiangsu province was at a relatively healthy level and counties in southern Jiangsu were healthier than those in central and northern regions. The spatial concentration of REH in Jiangsu was poor and the spatial distribution of four subsystems health levels were significantly different by spatial Gini coefficient analysis. The REH of 57 counties in Jiangsu province were classified into 13 types according to the identification of the health levels and quantity of four subsystems. Moreover, we analyzed the influencing factors of each type and proposed paths to promote the development and management of rural ecosystem. Copyright © 2017 Elsevier B.V. All rights reserved.

Williamsburg County Human Resources Campus (WCHRC): Planning Report.

ERIC Educational Resources Information Center

Wynn, Eddie D.; And Others

Investigating the feasibility of a human resources campus designed to locate all Williamsburg County (a rurally disadvantaged South Carolina county) health and social service agencies in one consolidated area, project objectives were to investigate: agency characteristics; ownership, management, and financing aspects of the campus concept;…

77 FR 50459 - Siskiyou County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-21

... will meet in Yreka, California. The committee is authorized under the Secure Rural Schools and...., Eastern Standard Time, Monday through Friday. Please make requests in advance for sign language...: https://fsplaces.fs.fed.us/fsfiles/unit/wo/secure_rural_schools.nsf/RAC/Siskiyou+County-CA . Anyone who...

78 FR 49446 - Lyon-Mineral County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

... DEPARTMENT OF AGRICULTURE Forest Service Lyon-Mineral County Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meetings. SUMMARY: The Lyon-Mineral County Resource Advisory Committee (RAC) will meet in Yerrington, Nevada. The RAC is meeting as authorized under the Secure Rural...

A Profile of Anson County, North Carolina.

ERIC Educational Resources Information Center

Farr, M. Gaston; And Others

Since 1950 Anson County, North Carolina, has had major contributions to economic development, a source of great concern to residents of the almost entirely rural area. The increased capacity of the Blewitt Falls Dam power output and the county-wide water filtration system (one of only a few in the United States today) are attractive to industry.…

Increasing the medical school applicant pool: a key to training more rural physicians.

PubMed

Anderson, Danielle M; Whitler, Elmer T; Johnson, Andrew O; Elam, Carol L; Wilson, Emery A; Asher, Linda M

2009-09-01

Workforce studies show shortages of physicians in many areas of the United States. These shortages are especially severe in states such as Kentucky with many rural counties and are predicted to worsen in the future unless there are changes throughout our educational system to build aspirations and prepare students for medical school education. To examine rural-urban differences and community characteristics of applicants and matriculants to Kentucky's two allopathic medical schools and influences on the educational aspirations of young students who wish to become physicians. The number of Kentucky applicants and matriculants to allopathic medical schools was obtained from the Association of American Medical College's data warehouse for the period from 2002-2006. A continuous, multidimensional measure was used to classify counties by degree of rurality. Socio-demographic variables were selected for the counties of residence for applicants and matriculants. Model variables were tested in a least squares multiple regression model for their ability to explain patterns among Kentucky's 120 counties in the number of both resident applicants and matriculants to medical school. Data from a survey of middle school participants in summer health camps were analyzed to help identify important influences on young students aspiring to a career as a health professional, especially becoming a physician, and how these might be supported to increase the supply of rural medical school applicants. The low number of rural applicants to medical school was highly correlated with the relative rurality of their county of residence, a low physician-to-population ratio and a low number of total primary care physicians. The percentage of county residents having a bachelor's degree level of education or higher had a positive impact on the application rate. Respondents became interested in health careers at age 15 or younger, and parents and grandparents, teachers, and close associates

Influence of Urbanicity and County Characteristics on the ...

EPA Pesticide Factsheets

Background: Air pollution epidemiology studies, often conducted in large metropolitan areas due to proximity to regulatory monitors, are limited in their ability to examine potential associations between air pollution exposures and health effects in rural locations. Methods: In a time-stratified case-crossover framework, we examined associations between asthma emergency department (ED) visits in North Carolina (2006-2008) collected by a surveillance system, and short-term ozone exposures using predicted concentrations from the Community Multiscale Air Quality (CMAQ) model. Associations were estimated by county groupings based on four urbanicity classifications (representative of county size and urban proximity) and county health. Results: Ozone was associated with asthma ED visits in all-year and warm season (April-October) analyses [Odds Ratio (OR) =1.019; 95% CI: 0.998, 1.040; OR=1.020; 95% CI: 0.997, 1.044, respectively, for a 20 ppb increase in lag 0-2 days ozone]. The association was strongest in Less Urbanized counties, with no evidence of a positive association in Rural counties. Associations were similar when adjusted for fine particulate matter in copolluant models. Associations were stronger for children (5-17 years of age) compared with other age groups, and for individuals living in counties with poorer health status compared with counties that had the highest health rankings, although estimated associations for these subgroups were imprecise. Conclu

Rural School Psychology: Re-Opening the Discussion

ERIC Educational Resources Information Center

Clopton, Kerri L.; Knesting, Kimberly

2006-01-01

The practice of school psychology in rural areas is a topic that has been fairly absent from the literature since the 1980s. A needs assessment of school psychologists practicing in rural counties in a midwestern state was conducted to explore current issues for rural school psychologists. The response rate for usable surveys was 72% (N = 106).…

A guide to understanding the variation in premiums in rural health insurance marketplaces.

PubMed

Barker, Abigail R; McBride, Timothy D; Kemper, Leah M; Mueller, Keith

2014-05-01

Key Findings. (1) State-level decisions in implementing the Patient Protection and Affordable Care Act of 2010 (ACA) have led to significant state variation in the design of Health Insurance Marketplace (HIM) rating areas. In some designs, rural counties are grouped together, while in others, rural and urban counties have been deliberately mixed. (2) Urban counties have, on average, approximately one more firm participating in the marketplaces, representing about 11 more plan offerings, than rural counties have. (3) The highest-valued "platinum" plan types are less likely to be available in rural areas. Thus, the overall mix of plan types should be factored into the reporting of average premiums. (4) Levels of competition are likely to have a greater impact on the decisions of firms considering whether to operate in higher-cost areas or not, as those firms must determine how they can pass such costs on to consumers, conditional on the market share they are likely to control.

Research Methods in Environmental Studies: A County Planning Application in Colorado.

ERIC Educational Resources Information Center

Gruntfest, Eve C.

To obtain practical experience, a research methods class at the University of Colorado (Colorado Springs) undertook a special project to help a nearby county (Park County), assess its planning needs. The county was chosen for its characteristics as a rapidly growing rural area faced with the problems created by mounting population pressure on…

Rural Responses to H1N1: A Flexible Model for Community Collaboration

ERIC Educational Resources Information Center

O'Farrell, Denise; Aubrey, Debra Larsen

2010-01-01

This paper examines a regional 2009 H1N1 rural response model, which utilises community partnerships with local government, county emergency management, public health, private healthcare, Medical Reserve Corps volunteers, and other organisations in rural Southeast Idaho. Unique aspects of the collaborative use of federal, state, county, and…

Funding for Local Government and Schools in Rural Oklahoma. ERS Staff Report.

ERIC Educational Resources Information Center

Sloggett, Gordon; Doeksen, Gerald

Oil, gas, and agriculture are the bases of rural Oklahoma's economy, and income from these sectors varied widely during the 1980s. This study investigated revenue sources and the effects of changing revenues for county and town governments and school systems in 36 rural Oklahoma counties. Major sources of local revenue were sales taxes, property…

Incorporating Geographic Information Systems (GIS) into program evaluation: lessons from a rural medicine initiative.

PubMed

Booza, Jason C; Bridge, Patrick D; Neale, Anne Victoria; Schenk, Maryjean

2010-01-01

To address the shortage of physicians practicing in rural areas of Michigan, the Wayne State University School of Medicine developed an integrated rural core curriculum to interest students in rural practice careers. Here we focus on the evaluation strategy used to determine the extent to which students in the new rural medicine interest group who self-identified as selecting a rural clerkship or externship did secure a clinical training experience in a rural setting. Three measures of rurality were compared to determine whether students were placed in rural training settings: (1) the percentage of the county living in rural areas; (2) a county-level dichotomous measure of rural/nonrural; and (3) a dichotomous measure based on urban area boundaries within the county. Practice address and geographic data were integrated into geographic information systems software, which we used to map out rural characteristics of Michigan counties through a process called thematic mapping; this shows characteristic variation by color-shading geographic features. In addition, reference maps were created showing the boundaries of urban areas and metropolitan/micropolitan areas. Once these processes were completed, we overlaid the practice location on the contextual-level geographic features to produce a visual representation of the relationship between student placement and rural areas throughout the state. The outcome of student placement in rural practices varied by the definition of rural. We concluded that, although students were not placed in the most rural areas of Michigan, they received clerkship or externship training near rural areas or in semirural areas. This process evaluation had a direct impact on program management by highlighting gaps in preceptor recruitment. A greater effort is being made to recruit physicians for more rural areas of the state rather than urban and semirural areas. Geographic information systems mapping also defined levels of ruralism for students

Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.

PubMed

McGrail, Matthew R; Wingrove, Peter M; Petterson, Stephen M; Humphreys, John S; Russell, Deborah J; Bazemore, Andrew W

2017-01-01

Many rural communities continue to experience an undersupply of primary care doctor services. While key professional factors relating to difficulties of recruitment and retention of rural primary care doctors are widely identified, less attention has been given to the role of community and place aspects on supply. Place-related attributes contribute to a community's overall amenity or attractiveness, which arguably influence both rural recruitment and retention relocation decisions of doctors. This bi-national study of Australia and the USA, two developed nations with similar geographic and rural access profiles, investigates the extent to which variations in community amenity indicators are associated with spatial variations in the supply of rural primary care doctors. Measures from two dimensions of community amenity: geographic location, specifically isolation/proximity; and economics and sociodemographics were included in this study, along with a proxy measure (jurisdiction) of a third dimension, environmental amenity. Data were chiefly collated from the American Community Survey and the Australian Census of Population and Housing, with additional calculated proximity measures. Rural primary care supply was measured using provider-to-population ratios in 1949 US rural counties and in 370 Australian rural local government areas. Additionally, the more sophisticated two-step floating catchment area method was used to measure Australian rural primary care supply in 1116 rural towns, with population sizes ranging from 500 to 50 000. Associations between supply and community amenity indicators were examined using Pearson's correlation coefficients and ordinary least squares multiple linear regression models. It was found that increased population size, having a hospital in the county, increased house prices and affluence, and a more educated and older population were all significantly associated with increased workforce supply across rural areas of both countries

Accounting for vulnerable populations in rural hazard mitigation plans: results of a survey of emergency managers.

PubMed

Horney, Jennifer A; Nguyen, Mai; Cooper, John; Simon, Matthew; Ricchetti-Masterson, Kristen; Grabich, Shannon; Salvesen, David; Berke, Philip

2013-01-01

Rural areas of the United States are uniquely vulnerable to the impacts of natural disasters. One possible way to mitigate vulnerability to disasters in rural communities is to have a high-quality hazard mitigation plan in place. To understand the resources available for hazard mitigation planning and determine how well hazard mitigation plans in rural counties meet the needs of vulnerable populations, we surveyed the lead planning or emergency management official responsible for hazard mitigation plans in 96 rural counties in eight states in the Southeastern United States. In most counties, emergency management was responsible for implementing the county's hazard mitigation plan and the majority of counties had experienced a presidentially declared disaster in the last 5 years. Our research findings demonstrated that there were differences in subjective measures of vulnerability (as reported by survey respondents) and objective measures of vulnerability (as determined by US Census data). In addition, although few counties surveyed included outreach to vulnerable groups as a part of their hazard mitigation planning process, a majority felt that their hazard mitigation plan addressed the needs of vulnerable populations "well" or "very well." These differences could result in increased vulnerabilities in rural areas, particularly for certain vulnerable groups.

Rural Nebraskans' Perceptions of Tax Restructuring and Local Schools. 1998 Nebraska Rural Poll Results. A Working Paper.

ERIC Educational Resources Information Center

Allen, John C.; Filkins, Rebecca; Cordes, Sam; Jarecki, Eric J.

This report details results of the 1998 Nebraska Rural Poll, which asked rural Nebraskans their opinions on taxes, school finance, and school consolidation. Survey responses were received from 4,196 residents of Nebraska's 87 non-metropolitan counties. When asked about the tax structure, most respondents favored changing the current distribution…

Some Enlightenments of "Beautiful Rural Construction" on Rural Energy Policy in Beijing—Applying Informatization Means

NASA Astrophysics Data System (ADS)

Zhi, Wang; Kongan, Wu

2018-06-01

"Beautiful rural construction" is a systematic project, rural energy is one of the important contents of its construction. In accordance with the concept of eco-friendly construction, Beijing carried out a thorough "structural adjustment of rural energy optimization," "Earthquake energy-saving projects of rural housing" and other measures. By conventional heating technology research in Beijing 13 counties and 142 villages, we predict the future of rural energy will further the implementation of solar heating, electric heating and other new green energy technologies. It is suggested to establish the "Beijing Rural Information Service Platform" and "Beautiful Rural Information Resource Bank" through the means of informatization, which will greatly strengthen the regulation and control of rural people-land relationship and realize the systematic optimization, making the cities and villages have. Space for human survival and sustainable development.

Development and testing of a rural credit supervision system at the level of counties and rural properties utilizing remote sensing techniqes

NASA Technical Reports Server (NTRS)

Batista, G. T. (Principal Investigator); Delima, A. M.; Tardin, A. T.; Rudorff, B. F. T.; Mendonca, F. J.; Dosanjosferreirapinto, S.; Chen, S. C.; Duarte, V.

1984-01-01

Remote sensing techniques for supporting the rural credit supervision system were developed and tested. The test area comprised the counties of Aracatuba and Guararapes, located in the State of Sao Paulo. Aerial photography, LANDSAT images and topographic charts were used. Aerial photographs were extremely useful for the out lining of properties boundaries with financing of sugarcane plantations by the Banco do Brasil S.A.. The percentage of correctly interpreted sugarcane on LANDSAT images, considering the 85 analyzed properties, was of 63.12%. The occurrence of atypical conditions such as excessive raining, sugarcane in bloom, and wind damaged sugarcane and sugarcane not harvested due to planning failures verified during the period the images were obtained, were some of the contributing factors associated with a low interpretation performance. An alternative approach was developed using several LANDSAT overpasses and auxiliary field data, which resulted in 91.77 percent correct.

Food cost disparities in rural communities.

PubMed

Hardin-Fanning, Frances; Rayens, Mary Kay

2015-05-01

Promotion of healthy eating is an effective public health strategy to prevent chronic disease incidence and progression. However, food prices can impede healthy eating, especially in rural communities. The purpose of this study was to determine whether food costs are associated with nutritional quality, geographic location, and month of year. The Overall Nutritional Quality Index and cost of 92 foods were assessed four times over a 10-month period in the primary grocery stores in four Kentucky counties, two rural and two urban. Repeated measures analysis of variance was used to assess differences in food costs by nutritional quality, county, and month. Among more nutritious food items, costs were lower in urban areas. This was particularly true among foods in the highest quartile of nutritional quality. Across all counties, there was a pattern of highest per-serving costs in the second quartile of nutritional quality, whereas more nutritious foods were less expensive. Strategies that help individuals improve the ability to identify and prepare less costly foods with high nutritional value may be effective in improving dietary habits, particularly in rural, impoverished food deserts. © 2014 Society for Public Health Education.

Food Cost Disparities in Rural Communities

PubMed Central

Hardin-Fanning, Frances; Rayens, Mary Kay

2015-01-01

Promotion of healthy eating is an effective public health strategy to prevent chronic disease incidence and progression. However, food prices can impede healthy eating, especially in rural communities. The purpose of this study was to determine whether food costs are associated with nutritional quality, geographic location, and month of year. The Overall Nutritional Quality Index and cost of 92 foods were assessed four times over a 10-month period in the primary grocery stores in four Kentucky counties, two rural and two urban. Repeated measures analysis of variance was used to assess differences in food costs by nutritional quality, county, and month. Among more nutritious food items, costs were lower in urban areas. This was particularly true among foods in the highest quartile of nutritional quality. Across all counties, there was a pattern of highest per-serving costs in the second quartile of nutritional quality, whereas more nutritious foods were less expensive. Strategies that help individuals improve the ability to identify and prepare less costly foods with high nutritional value may be effective in improving dietary habits, particularly in rural, impoverished food deserts. PMID:25305093

A Brighter Future for Rural America? Strategies for Communities and States.

ERIC Educational Resources Information Center

John, DeWitt; And Others

This book outlines the competitive challenge facing rural America and discusses signs of hope for the rural economy. It reports some "secrets of success" in 16 rural farm belt counties that have gained employment while most rural areas are losing jobs. It also describes new state initiatives to help rural communities and lists operating…

Home Care Services and the Rural Elderly.

ERIC Educational Resources Information Center

Hayslip, Bert, Jr.; And Others

1980-01-01

Independent studies examined a needs v an agency perspective on home health care service needs within a rural county. Interviews with 299 elderly, aged 60-93, revealed there were substantial needs for home health care services and the desire for services varied with residence within the county. (Author)

Investigation of the impacts of rural development on Iowa's secondary road systems.

DOT National Transportation Integrated Search

2010-09-01

"Today, many of Iowas counties are experiencing an increase in rural development. Two specific types of development were focused on : for this research: rural residential subdivisions and livestock production operations. Rural residential developm...

Investigation of the impacts of rural development on Iowa's secondary road systems.

DOT National Transportation Integrated Search

2010-09-01

Today, many of Iowas counties are experiencing an increase in rural development. Two specific types of development were focused on : for this research: rural residential subdivisions and livestock production operations. Rural residential developme...

Farmers of Jin county want fewer children.

PubMed

Xiao, M

1986-04-01

The economic reform practiced in the vast rural areas in China gives a great impetus to the vigorous development of rural economy and the the rapid improvement of living standard. Meanwhile, reform pounds at the traditional childbearing ideas. The striking change in the childbearing attitudes of the farmers of the Jin County is a good example. As the farmers of the country are getting well-off when the commodity economy develops rapidly with the rural economic reforms, their childbearing attitudes change. Profound changes have taken place in their mode of production and their life style. The young couples of the county begin to seek small families instead of traditional big ones. They are convinced that under the new situation of reforms, the farmers of an old generation are in no way competent as the head of the family to guide production and therefore want to build their own small families by freeing themselves from the binds of the traditional patriarchal system. The increase in the cost of bringing up children and the economic loss resulting from the absence from work for looking after children constitute another reason to prefer a small family. The son is no more the only economic guarantee for the aged. As a result of the rapid development of the rural economy, a retirement system has been established among the farmers of the Jin county. "It is unreliable to expect that the son will support his aged parents. Now it is better to earn more money and the collective can be depended upon by the aged."

Rural Communities Learn to Help Themselves.

ERIC Educational Resources Information Center

Kelley, Verne R.; And Others

In an effort to prove that mental health services can be lay administered, a training program was implemented in the rural areas of Cedar County (October 1972-April 1973) and Iowa County, Iowa (October 1973-May 1974). Recruited via personal or telephone contact, 20 trainees were selected who demonstrated they: were good listeners; did not impose…

Timing and Impact of Hearing Healthcare in Adult Cochlear Implant Recipients: A Rural-Urban Comparison

PubMed Central

Hixon, Brian; Chan, Stephen; Adkins, Margaret; Shinn, Jennifer B.; Bush, Matthew L.

2016-01-01

Objective The purpose of this study is to compare the timing and impact of hearing healthcare of rural and urban adults with severe hearing loss who use cochlear implants (CI). Study Design Cross-sectional questionnaire study Setting Tertiary referral center Patients Adult cochlear implant recipients. Main Outcome Measures Data collected included county of residence, socioeconomic information, impact of hearing loss on education/employment, and timing of hearing loss treatment. The benefits obtained from cochlear implantation were also evaluated. Results There were 91 participants (32 from urban counties, 26 from moderately rural counties, and 33 for extremely rural counties). Rural participants have a longer commute time to the CI center (p<0.001), lower income (p<0.001) and higher percentage of Medicaid coverage (p=0.004). Compared with urban-metro participants, rural participants with gradually progressive hearing loss had a greater time interval from the onset of hearing loss to obtaining hearing aid amplification (10 years versus 5 years, p=0.04). There was also a greater time interval from onset of hearing loss to the time of cochlear implantation in rural participants (p=0.04). Reported job loss was higher in rural participants than in urban participants (p=0.05). Both groups reported comparable benefit from cochlear implantation. Conclusions Rural CI recipients differ from urban residents in socioeconomic characteristics and may be delayed in timely treatment of hearing loss. Further efforts to expand access to hearing healthcare services may benefit rural adult patients. PMID:27636389

Timing and Impact of Hearing Healthcare in Adult Cochlear Implant Recipients: A Rural-Urban Comparison.

PubMed

Hixon, Brian; Chan, Stephen; Adkins, Margaret; Shinn, Jennifer B; Bush, Matthew L

2016-10-01

The purpose of this study is to compare the timing and impact of hearing healthcare of rural and urban adults with severe hearing loss who use cochlear implants (CI). Cross-sectional questionnaire study. Tertiary referral center. Adult cochlear implant recipients. Data collected included county of residence, socioeconomic information, impact of hearing loss on education/employment, and timing of hearing loss treatment. The benefits obtained from cochlear implantation were also evaluated. There were 91 participants (32 from urban counties, 26 from moderately rural counties, and 33 for extremely rural counties). Rural participants have a longer commute time to the CI center (p < 0.001), lower income (p < 0.001), and higher percentage of Medicaid coverage (p = 0.004). Compared with urban-metro participants, rural participants with gradually progressive hearing loss had a greater time interval from the onset of hearing loss to obtaining hearing aid amplification (10 yr versus 5 yr, p = 0.04). There was also a greater time interval from onset of hearing loss to the time of cochlear implantation in rural participants (p = 0.04). Reported job loss was higher in rural participants than in urban participants (p = 0.05). Both groups reported comparable benefit from cochlear implantation. Rural CI recipients differ from urban residents in socioeconomic characteristics and may be delayed in timely treatment of hearing loss. Further efforts to expand access to hearing healthcare services may benefit rural adult patients.

[Impact of rural land market on farm household's behavior of soil & water conservation and its regional difference: A case study of Xingguo, Shangrao, and Yujiang County in Jiangxi province ecologically vulnerable districts].

PubMed

Zhong, Tai-Yang; Huang, Xian-jin

2006-02-01

The paper analyzed the farm households' decision-making progress of soil & water conservation and its two-stage conceptual model. It also discussed the impacts of rural land market on the farm households' behavior of soil & water conservation. Given that, the article established models for the relations between the land market and soil & water conservation, and the models' parameters were estimated with Heckman's two-stage approach by using the farm household questionnaires in Xingguo, Shangrao and Yujiang counties of Jiangxi province. The paper analyzed the impact o f rural land market on farm household's behavior of soil & water conservation and its regional difference with the result of model estimation. The results show that the perception of soil & water loss and the tax & fee on the farm land have significant influence upon the soil and water conservation from the view of the population; however, because of different social and economic condition, and soil & water loss, there are differences of the influence among the three sample counties. These differences go as follows in detail: In Xingguo County, the rent-in land area and its cost have remarkable effect on the farm households' soil & water conservation behavior; In Yujiang County, the rent-in land area, rent-in cost and rent-out land area remarkably influence the farm households' behavior of soil and water conservation, with the influence of the rent-in land area being greater than Xingguo County; In Shangrao County, only rent-out land area has significant influence on the behaviors of soil & water conservation; In all samples, Xingguo County and Yujiang County samples, the rent-out income has no significant influence on the farm household's decision-making behavior soil and water conservation. Finally, the paper put forward some suggestions on how to bring the soil & water loss under control and use land resource in sustainable ways.

Rural-Urban Differences in Preventable Hospitalizations Among Community-Dwelling Veterans with Dementia

PubMed Central

Thorpe, Joshua M.; Van Houtven, Courtney H.; Sleath, Betsy L.; Thorpe, Carolyn T.

2013-01-01

Context Alzheimer’s patients living in rural communities may face significant barriers to effective outpatient medical care. Purpose We sought to examine rural-urban differences in risk for ambulatory care sensitive hospitalizations (ACSH), an indicator of access to outpatient care, in community-dwelling veterans with dementia. Methods Medicare and VA inpatient claims for 1,186 United States veterans with dementia were linked to survey data from the 1998 National Longitudinal Caregiver Survey. ACSH were identified in inpatient claims over a one-year period following collection of independent variables. Urban Influence Codes were used to classify care-recipients into four categories of increasing county-level rurality: large metropolitan; small metropolitan; micropolitan; and non-core rural counties. We used the Andersen Behavioral Model of Health Services Use to identify veteran, caregiver, and community factors that may explain urban-rural differences in ACSH. Findings Thirteen percent of care-recipients had at least one ACSH. Likelihood of ACSH was greater for patients in non-core rural counties versus large metropolitan areas (22.6% versus 12.8%, unadjusted odds ratio [OR] = 1.99; p < .05). The addition of other Andersen behavioral model variables did not eliminate the disparity (adjusted OR = 1.97; p < .05). Conclusions We found that dementia patients living in the most rural counties were more likely to have an ACSH; this disparity was not explained by differences in caregiver, care-recipient, or community factors. Furthermore, the annual rate of ACSH was higher in community-dwelling dementia patients compared to previous reports on the general older adult population. Dementia patients in rural areas may face particular challenges in receiving timely, effective ambulatory care. PMID:20447001

Effect of medicare payment on rural health care systems.

PubMed

McBride, Timothy D; Mueller, Keith J

2002-01-01

Medicare payments constitute a significant share of patient-generated revenues for rural providers, more so than for urban providers. Therefore, Medicare payment policies influence the behavior of rural providers and determine their financial viability. Health services researchers need to contribute to the understanding of the implications of changes in fee-for-service payment policy, prospects for change because of the payment to Medicare+Choice risk plans, and implications for rural providers inherent in any restructuring of the Medicare program. This article outlines the basic policy choices, implications for rural providers and Medicare beneficiaries, impacts of existing research, and suggestions for further research. Topics for further research include implications of the Critical Access Hospital program, understanding how changes in payment to rural hospitals affect patient care, developing improved formulas for paying rural hospitals, determining the payment-to-cost ratio for physicians, measuring the impact of changes in the payment methodology used to pay for services delivered by rural health clinics and federally qualified health centers, accounting for the reasons for differences in historical Medicare expenditures across rural counties and between rural and urban counties, explicating all reasons for Medicare+Choice plans withdrawing from some rural areas and entering others, measuring the rural impact of proposals to add a prescription drug benefit to the Medicare program, and measuring the impact of Medicare payment policies on rural economies.

Marketing Strategies to Encourage Rural Residents of High-Obesity Counties to Buy Fruits and Vegetables in Grocery Stores

PubMed Central

Liu, Emily; Stephenson, Tammy; Houlihan, Jessica

2017-01-01

Introduction Obesity rates in Appalachia are among the highest in the United States, and knowledge of upstream approaches to decrease prevalence among this vulnerable population is limited. The primary aim of this study was to examine the association between healthy, diet-based, social marketing interventions in grocery stores and frequency of fruit and vegetable intake. Methods A social marketing campaign was conducted among 17 grocery stores (N = 240 participant surveys) over 4 months in 5 rural Kentucky counties. Interventions included providing food samples, recipe cards, and promotional discounts on fruits and vegetables and moving high-calorie foods to side aisles. Results Most survey participants reported that recipe cards influenced their desire to purchase ingredients as well as fruits and vegetables in general. Results indicated a significant association between the influence of recipe cards and frequency of fruit and vegetable consumption. Conclusion Small-scale interventions in grocery stores influenced purchasing choices among Appalachian residents. Working with various store managers and food venues in rural high-obesity communities is a promising way to encourage purchasing of fruits and vegetables. PMID:29023231

Marketing Strategies to Encourage Rural Residents of High-Obesity Counties to Buy Fruits and Vegetables in Grocery Stores.

PubMed

Liu, Emily; Stephenson, Tammy; Houlihan, Jessica; Gustafson, Alison

2017-10-12

Obesity rates in Appalachia are among the highest in the United States, and knowledge of upstream approaches to decrease prevalence among this vulnerable population is limited. The primary aim of this study was to examine the association between healthy, diet-based, social marketing interventions in grocery stores and frequency of fruit and vegetable intake. A social marketing campaign was conducted among 17 grocery stores (N = 240 participant surveys) over 4 months in 5 rural Kentucky counties. Interventions included providing food samples, recipe cards, and promotional discounts on fruits and vegetables and moving high-calorie foods to side aisles. Most survey participants reported that recipe cards influenced their desire to purchase ingredients as well as fruits and vegetables in general. Results indicated a significant association between the influence of recipe cards and frequency of fruit and vegetable consumption. Small-scale interventions in grocery stores influenced purchasing choices among Appalachian residents. Working with various store managers and food venues in rural high-obesity communities is a promising way to encourage purchasing of fruits and vegetables.

Autocheck: Addressing the Problem of Rural Transportation.

ERIC Educational Resources Information Center

Payne, Guy A.

This paper describes a project implemented by a social worker from the Glynn County School District in rural Georgia to address transportation problems experienced by students and their families. The project aims to assist families who are unable to keep appointments or attend other important events due to unreliable transportation. A county needs…

Rural Suicide Rates and Availability of Health Care Providers

ERIC Educational Resources Information Center

Fiske, Amy; Gatz, Margaret; Hannell, Eric

2005-01-01

Suicide rates are higher in rural than in urban areas in the United States. One explanation that is frequently offered is scarcity of health and mental health treatment providers in rural areas. The current study tested whether number of providers per capita would explain differences in urban and rural suicide rates within the counties of…

An Attitudinal Survey of Pennsylvania's Rural Residents.

ERIC Educational Resources Information Center

Center for Rural Pennsylvania, Harrisburg.

Telephone surveys of 844 residents in 42 rural Pennsylvania counties established baseline data on rural opinions about 14 public policy issues. Concerning government spending, respondents felt that too little was spent on job creation, aging issues, child care, education, health services, and farming and agriculture; funding was about right for…

Rural Health Occupations Model Project. Project Report.

ERIC Educational Resources Information Center

Lee Coll., Baytown, TX.

The Lee College (Baytown, Texas) Rural Health Occupations Model Project was designed to provide health occupations education tailored to disadvantaged, disabled, and/or limited-English-proficient high school students and adults and thereby alleviate the shortage of nurses and health care technicians in two rural Texas counties. A tech prep program…

Rural migration in Nevada: Lincoln County. Phase 1, 1992--1993

DOE Office of Scientific and Technical Information (OSTI.GOV)

Soden, D.L.; Carns, D.E.; Mosser, D.

1993-12-31

The principal objective of this project was to develop insight into the scope of migration of working age Nevadans out of their county of birth; including the collection of data on their skill levels, desire to out or in-migrate, interactions between families of migratory persons, and the impact that the proposed high-level nuclear waste repository at Yucca mountain might have on their individual, and collective, decisions to migrate and return. The initial phase of this project reported here was conducted in 1992 and 1993 in Lincoln County, Nevada, one of the counties designated as ``affected`` by the proposed repository program.more » The findings suggest that a serious out-migration problem exists in Lincoln County, and that the Yucca mountain project will likely affect decisions relating to migration patterns in the future.« less

Life Satisfaction among Older Persons: Rural-Urban and Racial Comparisons.

ERIC Educational Resources Information Center

Donnenwerth, Gregory V.; And Others

1978-01-01

Investigates the effect of residence and race on life satisfaction among older persons living in rural and urban counties in the mid-South. Finds satisfaction highest among rural Blacks followed by urban Whites, rural Whites, and urban Blacks. Examines income and social contact as correlates of life satisfaction. (Author/KC)

Factors in the management of feeding in nursery school children as perceived by their mothers in rural Bondo County, Kenya.

PubMed

Were, Allan R; Kioli, Felix N; Onkware, Kennedy; Onyango, Elizabeth O; Gumo, Sussy; Ouma, Collins

2013-11-15

The effects of malnutrition on health status and survival of children has been the subject of extensive research for several decades. Malnutrition affects physical growth, cognitive development of children, morbidity and mortality. The current study was an exploratory survey that focused on factors affecting feeding of nursery school children as perceived by their mothers in a rural setting in Usigu Division of Bondo County, Kenya. The sampling frame was mothers whose children were in Kanyibok, Sanda and Usenge nursery schools. Purposive sampling methods were used to draw a total of 108 respondents. In a logistic regression model, bad management of feeding was the dependent variable while factors perceived to affect management of feeding were the independent variables. Married mothers were more likely to manage good feeding practices (OR, 0.34, 95% CI, 0.21-0.76; P = 0.022) relative to those who were single or widowed. Additional analyses showed that low education levels (OR, 7.33, 95% CI, 3.37-12.91; P = 0.023), younger mothers (OR, 6.04, 95% CI, 3.22-9.68; P = 0.029) and mothers engaged in business (OR, 4.02, 95% CI, 2.11-7.85; P = 0.027) increased their likelihood of not feeding the pre-school children. Majority of the children who ate the main meals in other houses belonged to young mothers in the age category of 15-29 years. Further analyses demonstrated that if the order of serving food was to the children first, then they had high likelihood of having good feeding relative to when the father was served first (OR, 0.22, 95% CI, 0.14-0.61; P = 0.011). Based on these findings, there is an urgent need for sensitization of the mothers on the management of feeding of these pre-school children in Bondo County. It is hoped that relevant interventions would then be designed with the view of managing children feeding in such rural settings as in Bondo County in Kenya.

2008 rural national transit database

DOT National Transportation Integrated Search

2008-01-01

This spreadsheet includes the following data from the 2008 Rural National Transit Database: : > Sub-Recipient Information : > Service Data : > Revenue Vehicle Inventory : > Counties Served : Each one of the categories above are in worksheets within t...

Rural and urban breastfeeding initiation trends in low-income women in North Carolina from 2003 to 2007.

PubMed

Lynch, Suzanne; Bethel, Jeffrey; Chowdhury, Najmul; Moore, Justin B

2012-05-01

Breastfeeding has extensive health benefits for both infants and mothers. Despite these benefits, a significant number of women, disproportionately low-income women, do not initiate breastfeeding. Previous research has also demonstrated that breastfeeding prevalence varies by urbanicity level. The objective was to examine race/ethnicity and urbanicity trends in breastfeeding initiation among low-income women in North Carolina from 2003 to 2007. Breastfeeding initiation data from the North Carolina Pregnancy Nutrition Surveillance System were utilized, with responses from 240,054 women over the 5-year period. Overall, 65.4% of women in mixed-urban counties and 62.1% of women in urban counties initiated breastfeeding compared to only 49.8% of women in rural counties. The disparity between rural and urban counties widened over time, with urban and mixed-urban counties making significantly greater gains in breastfeeding initiation than rural counties. Hispanic and non-Hispanic white women had 6.17 (95% confidence interval [CI], 5.99-6.36) and 1.4 (95% CI, 1.46-1.53) times the odds of initiating breastfeeding as non-Hispanic blacks, respectively. Finally, stratified multivariate regression models identified that the association between race/ethnicity and breastfeeding varied by urbanicity level. The current study provides a clearer picture of rural and urban breastfeeding trends within North Carolina and has implications for states with similar racial/ethnic and urbanicity levels. The research determined that women in rural areas, particularly non-Hispanic blacks, are less likely to initiate breastfeeding. Increased emphasis should be placed on developing breastfeeding interventions for rural communities, particularly targeting the non-Hispanic black population.

77 FR 59166 - South Mississippi Electric Cooperative: Plant Ratcliffe, Kemper County Integrated Gasification...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

... Ratcliffe, Kemper County Integrated Gasification Combined-Cycle (IGCC) Project AGENCY: Rural Utilities... Plant Ratcliffe, an Integrated Gasification Combined-Cycle Facility located in Kemper County... Company (MPCo), and will demonstrate the feasibility of the Integrated Gasification Combined-Cycle (IGCC...

Ground-water resources of Cumberland County, New Jersey

USGS Publications Warehouse

Rooney, James G.

1971-01-01

Water use in Cumberland County varies and is highly seasonal, mainly because of increasing requirements for irrigation and the food processing industries in the county. In 1964 seasonal use ranged from 27 mgd in March to 145 mgd in August. This is much higher than withdrawals in neighboring Salem and Cape May Counties. In 1964 withdrawals in Cumberland County averaged about 51 mgd; almost all of this, 49.4 mgd, was from ground-water supplies. The total annual water use in 1964 according to type of use was: for public supply, 10.6 mgd; for industrial uses, 19.0 mgd; irrigation, 15.4 mgd; suburban, rural, residential, institutional, farm, and commercial, 5.9 mgd. 

Divide County High School Receives National Recognition.

ERIC Educational Resources Information Center

Stammen, Ronald

1985-01-01

Describes highlights of educational programs at Divide County High School (Crosby, North Dakota), which was one of the few rural schools cited by President Reagan in 1984 for excellence in education under the Secondary School Recognition Program. (BRR)

Selected Health Practices Among Ohio's Rural Residents.

ERIC Educational Resources Information Center

Phillips, G. Howard; Pugh, Albert

Using a stratified random sample of 12 of Ohio's 88 counties, this 1967 study had as its objectives (1) to measure the level of participation in selected health practices by Ohio's rural residents, (2) to compare the level of participation in selected health practices of farm and rural nonfarm residents, and (3) to examine levels of participation…

Impact of a rural domestic violence prevention campaign.

PubMed

Gadomski, A M; Tripp, M; Wolff, D A; Lewis, C; Jenkins, P

2001-01-01

Domestic violence is a prevalent health problem that in rural areas is further complicated by limited services, social isolation and the lack of privacy. Little is known about the impact of public health education on awareness, attitudes and behavior of the general public regarding domestic violence. This study sought to measure change in societal attitudes and behavioral intention in response to a seven-month public health education campaign targeting domestic violence in a rural county. From October 1998 to April 1999, the campaign used radio advertisements, posters, mailings to libraries and clergy, printed media articles, printed advertisements and health facility modifications. A random-digit-dialing telephone survey was used to evaluate attitudinal and behavioral changes in the intervention and comparison counties before and after the campaign. The response rates for the pre- (n =378) and postcampaign (n=633) surveys were 73 percent and 65 percent, respectively. Statistically significant increases in slogan and advertising recognition occurred in the intervention county (P=0.03), particularly among men recalling the campaign slogan (P=0.006). In a vignette regarding actions to be taken if the neighbor next door was abusing a partner, significant increases occurred in the intervention county in the percentage of respondents who thought that most people would talk to the victim (P=0.04), consult with friends (P=0.002) or talk to a doctor (P=0.004). Domestic violence agency hotline calls in the intervention county doubled following the campaign. Local public health education campaigns in a rural setting may be a valuable adjunct to national efforts, especially in reaching men.

Migration, Residential Mobility, and Poverty in Rural Pennsylvania.

ERIC Educational Resources Information Center

Schachter, Jason P.; Jensen, Leif; Cornwell, Gretchen T.

1998-01-01

In Pennsylvania, high-poverty nonmetro counties are attracting additional poor immigrants, especially the least educated, at the same time that college graduates are showing a net outmigration from rural areas. This pattern increases the strain on rural educational and social services. Survey results suggest that the poor move primarily for…

Influence of urbanization level and gross domestic product of counties in Croatia on access to health care.

PubMed

Bagat, Mario; Drakulić, Velibor; Sekelj Kauzlarić, Katarina; Vlahusić, Andro; Bilić, Ivica; Matanić, Dubravka

2008-06-01

To examine the association of counties' urbanization level and gross domestic product (GDP) per capita on the access to health care. Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100,000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians' workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties and between richer and poorer counties. Our study included only GP teams and outpatient clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician's data. There was no significant difference in the total number of physicians per 100,000 inhabitants between predominantly urban and predominantly rural counties (206.9+/-41.0 vs 175.4+/-30.3; P=0.067, t test) nor between richer and poorer counties (194.5+/-49.8 vs 187.7+/-25.3; P=0.703, t test). However, there were significantly fewer GPs per 100,000 inhabitants in rural than urban counties (49.0+/-5.5 vs 56.7+/-4.6; P=0.003, t test). GPs in rural counties had more insurants than those working in urban counties (1.749.8+/-172.8 vs 1.540.7+/-106.3; P=0.004, t test). The

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... businesses. 1852.219-74 Section 1852.219-74 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2012 CFR

2012-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2011 CFR

2011-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

Rural hospital wages

PubMed Central

Hendricks, Ann M.

1989-01-01

Average fiscal year 1982 wages from 2,302 rural American hospitals were used to test for a gradient descending from hospitals in counties adjacent to metropolitan areas to those not adjacent. Considerable variation in the ratios of adjacent to nonadjacent averages existed. No statistically significant difference was found, however. Of greater importance in explaining relative wages within States were occupational mix, mix of part-time and full-time workers, case mix, presence of medical residencies, and location in a high-rent county within the State. Medicare already adjusts payments for only two of these variables. PMID:10313454

The convergence of Chinese county government health expenditures: capitation and contribution.

PubMed

Zhang, Guoying; Zhang, Luwen; Wu, Shaolong; Xia, Xiaoqiong; Lu, Liming

2016-08-19

The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest developing country. The convergence method of neoclassical economics was adopted to test the convergence of China's regional government health expenditure. Data were obtained from Provinces, Prefectures and Counties Fiscal Statistical Yearbook (2003-2007) edited by the Chinese Ministry of Finance, and published by the Chinese Finance & Economics Publishing House. The existence of σ-convergence and long-term and short-term β-convergence indicated the effectiveness of the capitation subsidy method in the New Rural Cooperative Medical Scheme on narrowing county government health expenditure disparities. The supply-side variables contributed the most to the county government health expenditure convergence, and factors contributing to convergence of county government health expenditures per capita were different in three regions. The narrowing disparity between county government health expenditures across regions supports the effectiveness of the capitation subsidy method adopted by China's New Rural Cooperative Scheme. However, subsidy policy still requires further improvement.

Rural roads and bridges : condition and financing of local bridges

DOT National Transportation Integrated Search

1996-09-01

This report examines the condition of rural county and town bridges across the United States, with comparisons based on two data sets. The first is the results of surveys mailed to highway administrators in 2321 counties and 9064 towns in Fall 1994 a...

Preschool Guidelines: Rural Model (Trimble Local School District).

ERIC Educational Resources Information Center

Ohio State Dept. of Education, Columbus. Div. of Educational Services.

The purpose of this handbook is to guide rural school districts intending to establish a preschool program. The program described was established in the Trimble Local School District in the rural Appalachian area of northern Athens County, the third poorest district in Ohio. Contents concern: (1) the district's beliefs about children; (2)…

Urban-rural differences in a population-based breast cancer screening program in Croatia

PubMed Central

Stamenić, Valerija; Strnad, Marija

2011-01-01

Aim To investigate urban-rural differences in the distribution of risk factors for breast cancer. Methods We analyzed the data from the first round of the “Mamma” population based-screening program conducted in Croatia between 2007 and 2009 and self-reported questionnaire results for 924 patients with histologically verified breast cancer. Reproductive and anthropometric characteristics, family history of breast cancer, history of breast disease, and prior breast screening history were compared between participants from the city of Zagreb (n = 270) and participants from 13 counties with more than 50% of rural inhabitants (n = 654). Results The screen-detected breast cancer rate was 4.5 per 1000 mammographies in rural counties and 4.6 in the city of Zagreb, while the participation rate was 61% in rural counties and 59% in Zagreb. Women from Zagreb had significantly more characteristics associated with an increased risk of breast cancer (P < 0.001 in all cases): no pregnancies (15% vs 7%), late age of first pregnancy (≥30 years) (10% vs 4%), and the most recent mammogram conducted 2-3 years ago (32% vs 14%). Women from rural counties were more often obese (41% vs 28%) and had early age of first live birth (<20 years) (20% vs 7%, P < 0.001 for both). Conclusion Identification of rural-urban differences in mammography use and their causes at the population level can be useful in designing and implementing interventions targeted at the reduction of inequalities and modifiable risk factors. PMID:21328724

Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications.

PubMed

Kemper, Leah; Barker, Abigail R; Wilber, Lyndsey; McBride, Timothy D; Mueller, Keith

2016-07-01

Purpose. In this policy brief, we assess variation in Medicare’s star quality ratings of Medicare Advantage (MA) plans that are available to rural beneficiaries. Evidence from the recent Centers for Medicare & Medicaid Services (CMS) quality demonstration suggests that market dynamics, i.e., firms entering and exiting the MA marketplace, play a role in quality improvement. Therefore, we also discuss how market dynamics may impact the smaller and less wealthy populations that are characteristic of rural places. Key Data Findings. (1) Highly rated MA plans serving rural Medicare beneficiaries are more likely to be health maintenance organizations (HMOs) and local preferred provider organizations (PPOs), as opposed to regional PPOs. HMOs and local PPOs may be better able to improve their quality scores strategically in response to the bonus payment incentive due to existing internal monitoring mechanisms. (2) On average, the rural enrollment rate is lower in plans with higher quality scores (59 percent) than the corresponding urban rate (71 percent). This differential is likely due, in part, to lack of availability of highly rated plans in rural areas: 17.8 percent of rural counties lacked access to a plan with four or more (out of five) stars, while just 3.7 percent of urban counties lacked such access. (3) MA plans with high quality scores have been operating longer, on average, and have a lower percentage of rural counties within their contract service areas than plans with lower quality scores.

Rural Development. Federal Programs that Focus on Rural America and Its Economic Development. Briefing Report to the Ranking Minority Member, Subcommittee on Conservation, Credit, and Rural Development, Committee on Agriculture, House of Representatives.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Resources, Community, and Economic Development Div.

This report identifies those federal programs that are essentially rural and pursue economic development purposes. Using the 10 Beale population codes, 2,097 of the 3,096 U.S. counties, containing 16% of the U.S. population, were defined as rural (had urban populations of less than 20,000). The approximately 800 federal domestic assistance…

Inventory of Well Yields in Avery and Watauga Counties, North Carolina

USGS Publications Warehouse

Huffman, Brad A.; Chapman, Melinda J.; Tighe, Kirsten C.; Terziotti, Silvia

2008-01-01

More than 1,500 well records were compiled for Avery and Watauga Counties, North Carolina, as part of a study of ground-water resources. Wells in this area of the Blue Ridge Physiographic Province produce water from the fractured-bedrock aquifer. Prior to this study, only about 132 wells were included in the U.S. Geological Survey's National Water Information System, as a result of a study conducted during the late 1960s. The large number of additional well records provide a better data set to evaluate the ground-water resources. From the more recent well inventory conducted in 2007, the range of well yields in these two counties is from 0 to 400 gallons per minute. Total depth of the wells ranged from 20 to 1,204 feet below land surface, and depth to primary fracture zones ranged from 25 to 1,000 feet below land surface. In many rural areas of North Carolina (NC), ground water is the sole resource for drinking water. With increasing population, many more wells are being drilled, and information on this important resource needs to be updated. In February 2007, the U.S. Geological Survey (USGS) initiated a study in cooperation with the High Country Council of Governments, through a grant received by the North Carolina Rural Economic Development Center, to better quantify available ground-water resources in two rural counties (Avery and Watauga) in the northern North Carolina mountains. Many small towns in Avery and Watauga counties are dependent on wells from local fractured-bedrock aquifers, and local officials are concerned about the sustainability of the resource for support of economic development and population growth. In 2005, all residents in Avery County were served by ground-water resources, while 37 percent of the population in Watauga County was served by ground water (D.G. Smith, U.S. Geological Survey, written commun., 2007).

Some Early and Current Studies of Rural Churches.

ERIC Educational Resources Information Center

Dreier, William H.

The paper reviews about 25 major studies printed since 1920, and in turn, these refer to some 75 other studies about rural churches, their location, numbers, ministers, denominational arrangements, and supporting population per church on a county level. On the role of rural social science in Theological education, one study reports that the pastor…

75 FR 17896 - Sierra County, CA, Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-08

... issues relating to implementing the Secure Rural Schools and Community Self-Determination Act of 2000... National Forest System lands on the Humboldt- Toiyabe, Plumas and Tahoe National Forests in Sierra County...

75 FR 22100 - Sierra County, CA, Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-27

... issues relating to implementing the Secure Rural Schools and Community Self Determination Act of 2000... National Forest System lands on the Humboldt-Toiyabe, Plumas and Tahoe National Forests in Sierra County...

Rurality and birth outcomes: findings from southern appalachia and the potential role of pregnancy smoking.

PubMed

Bailey, Beth A; Cole, Laura K Jones

2009-01-01

Rates of preterm birth (PTB) and low birth weight (LBW) vary by region, with disparities particularly evident in the Appalachian region of the South. Community conditions related to rurality likely contribute to adverse birth outcomes in this region. This study examined associations between rurality and related community conditions, and newborn outcomes in southern Appalachia, and explored whether pregnancy smoking explained such associations. Data for all births in a southern Appalachian county over a 2-year period were extracted from hospital records. Data were available for 4,144 births, with 45 different counties of residence. Babies born to women from completely rural counties, on average, weighed 700 g less, were 1.5 inches shorter, and were born over 3 weeks earlier than less rural infants. In addition, these babies were 4.5 times more likely to be LBW, 4 times more likely to be PTB, and 5 times more likely to be admitted to the neonatal intensive care unit (NICU). Effects were also found for per capita income, poverty rate, and unemployment rate, all of which were associated with rurality. Some, but not all of the association was explained by elevated rates of pregnancy smoking. Babies born to women residing in rural and economically depressed counties in southern Appalachia are at substantially increased risk for poor birth outcomes. Improving these outcomes in the rural South will likely require addressing access to health services and information, health care provider retention, transportation services, employment opportunities, and availability of public health services including smoking cessation assistance.

Exploring the association of urban or rural county status and environmental, nutrition- and lifestyle-related resources with the efficacy of SNAP-Ed (Supplemental Nutrition Assistance Program-Education) to improve food security.

PubMed

Rivera, Rebecca L; Dunne, Jennifer; Maulding, Melissa K; Wang, Qi; Savaiano, Dennis A; Nickols-Richardson, Sharon M; Eicher-Miller, Heather A

2018-04-01

To investigate the association of policy, systems and environmental factors with improvement in household food security among low-income Indiana households with children after a Supplemental Nutrition Assistance Program-Education (SNAP-Ed) direct nutrition education intervention. Household food security scores measured by the eighteen-item US Household Food Security Survey Module in a longitudinal randomized and controlled SNAP-Ed intervention study conducted from August 2013 to April 2015 were the response variable. Metrics to quantify environmental factors including classification of urban or rural county status; the number of SNAP-authorized stores, food pantries and recreational facilities; average fair market housing rental price; and natural amenity rank were collected from government websites and data sets covering the years 2012-2016 and used as covariates in mixed multiple linear regression modelling. Thirty-seven Indiana counties, USA, 2012-2016. SNAP-Ed eligible adults from households with children (n 328). None of the environmental factors investigated were significantly associated with changes in household food security in this exploratory study. SNAP-Ed improves food security regardless of urban or rural location or the environmental factors investigated. Expansion of SNAP-Ed in rural areas may support food access among the low-income population and reduce the prevalence of food insecurity in rural compared with urban areas. Further investigation into policy, systems and environmental factors of the Social Ecological Model are warranted to better understand their relationship with direct SNAP-Ed and their impact on diet-related behaviours and food security.

Future Extreme Event Vulnerability in the Rural Northeastern United States

NASA Astrophysics Data System (ADS)

Winter, J.; Bowen, F. L.; Partridge, T.; Chipman, J. W.

2017-12-01

Future climate change impacts on humans will be determined by the convergence of evolving physical climate and socioeconomic systems. Of particular concern is the intersection of extreme events and vulnerable populations. Rural areas of the Northeastern United States have experienced increased temperature and precipitation extremes, especially over the past three decades, and face unique challenges due to their physical isolation, natural resources dependent economies, and high poverty rates. To explore the impacts of future extreme events on vulnerable, rural populations in the Northeast, we project extreme events and vulnerability indicators to identify where changes in extreme events and vulnerable populations coincide. Specifically, we analyze future (2046-2075) maximum annual daily temperature, minimum annual daily temperature, maximum annual daily precipitation, and maximum consecutive dry day length for Representative Concentration Pathways (RCP) 4.5 and 8.5 using four global climate models (GCM) and a gridded observational dataset. We then overlay those projections with estimates of county-level population and relative income for 2060 to calculate changes in person-events from historical (1976-2005), with a focus on Northeast counties that have less than 250,000 people and are in the bottom income quartile. We find that across the rural Northeast for RCP4.5, heat person-events per year increase tenfold, far exceeding decreases in cold person-events and relatively small changes in precipitation and drought person-events. Counties in the bottom income quartile have historically (1976-2005) experienced a disproportionate number of heat events, and counties in the bottom two income quartiles are projected to experience a greater heat event increase by 2046-2075 than counties in the top two income quartiles. We further explore the relative contributions of event frequency, population, and income changes to the total and geographic distribution of climate change

Advocacy for the Abused Rural Child

ERIC Educational Resources Information Center

Leistyna, Joseph A.

1978-01-01

Briefly discusses the establishment of a community-based child protection team for working with abused and neglected rural children in a county of 18,000 people. Lists five resources for advocacy groups to contact. (BR)

Violence in Rural, Suburban, and Urban Schools in Pennsylvania.

PubMed

Flynn, Kalen; McDonald, Catherine C; D'Alonzo, Bernadette A; Tam, Vicky; Wiebe, Douglas J

2018-01-01

School violence is a public health issue with direct and collateral consequences that has academic and social impacts for youth. School violence is often considered a uniquely urban problem, yet more research is needed to understand how violence in rural and suburban schools may be similar or different from urban counterparts. Using school violence data from a state with urban, suburban, and rural counties, we explored the landscape of school violence in Pennsylvania (PA) through mapping, descriptive statistics, and factor analysis. Results show school violence is not solely an urban problem. Schools in all county types and across grade levels deal with violence to varying degrees, and the majority of schools across county types experience low levels of violence. Types of violence experienced by PA schools loaded onto three factors, suggesting that targeted interventions may be better suited to addressing school violence.

Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states.

PubMed

Probst, Janice C; Laditka, James N; Laditka, Sarah B

2009-07-31

Federally qualified community health centers (CHCs) and rural health clinics (RHCs) are intended to provide access to care for vulnerable populations. While some research has explored the effects of CHCs on population health, little information exists regarding RHC effects. We sought to clarify the contribution that CHCs and RHCs may make to the accessibility of primary health care, as measured by county-level rates of hospitalization for ambulatory care sensitive (ACS) conditions. We conducted an ecologic analysis of the relationship between facility presence and county-level hospitalization rates, using 2002 discharge data from eight states within the US (579 counties). Counties were categorized by facility availability: CHC(s) only, RHC(s) only, both (CHC and RHC), and neither. US Agency for Healthcare Research and Quality definitions were used to identify ACS diagnoses. Discharge rates were based on the individual's county of residence and were obtained by dividing ACS hospitalizations by the relevant county population. We calculated ACS rates separately for children, working age adults, and older individuals, and for uninsured children and working age adults. To ensure stable rates, we excluded counties having fewer than 1,000 residents in the child or working age adult categories, or 500 residents among those 65 and older. Multivariate Poisson analysis was used to calculate adjusted rate ratios. Among working age adults, rate ratio (RR) comparing ACS hospitalization rates for CHC-only counties to those of counties with neither facility was 0.86 (95% Confidence Interval, CI, 0.78-0.95). Among older adults, the rate ratio for CHC-only counties compared to counties with neither facility was 0.84 (CI 0.81-0.87); for counties with both CHC and RHC present, the RR was 0.88 (CI 0.84-0.92). No CHC/RHC effects were found for children. No effects were found on estimated hospitalization rates among uninsured populations. Our results suggest that CHCs and RHCs may play a

Influence of natural amenities on residential property values in a rural setting.

Treesearch

E.M. White; L.A. Leefers

2007-01-01

Most hedonic pricing studies have been completed in suburban and urban communities rather than rural areas. The hedonic pricing study presented here includes developed residential parcel transactions occurring in a rural county in Michigan. We develop two hedonic pricing models using transactions data for two rural residential parcel types: developed parcels located in...

Policy Analysis for Rural Development and Growth Management in Colorado.

ERIC Educational Resources Information Center

Gilmore, John S.; Duff, Mary K.

Providing a broad analysis of Colorado's rural problems, the body of this report enumerates rural development and growth management problems; describes remedies worth study; and suggests a policy making system. The Appendix presents supporting material, including comparative socioeconomic data on each Colorado county. Opportunities and threats…

Rural-Urban Differences in Medicare Quality Outcomes and the Impact of Risk Adjustment.

PubMed

Henning-Smith, Carrie; Kozhimannil, Katy; Casey, Michelle; Prasad, Shailendra; Moscovice, Ira

2017-09-01

There has been considerable debate in recent years about whether, and how, to risk-adjust quality measures for sociodemographic characteristics. However, geographic location, especially rurality, has been largely absent from the discussion. To examine differences by rurality in quality outcomes, and the impact of adjustment for individual and community-level sociodemographic characteristics on quality outcomes. The 2012 Medicare Current Beneficiary Survey, Access to Care module, combined with the 2012 County Health Rankings. All data used were publicly available, secondary data. We merged the 2012 Medicare Current Beneficiary Survey data with the 2012 County Health Rankings data using county of residence. We compared 6 unadjusted quality of care measures for Medicare beneficiaries (satisfaction with care, blood pressure checked, cholesterol checked, flu shot receipt, change in health status, and all-cause annual readmission) by rurality (rural noncore, micropolitan, and metropolitan). We then ran nested multivariable logistic regression models to assess the impact of adjusting for community and individual-level sociodemographic characteristics to determine whether these mediate the rurality difference in quality of care. The relationship between rurality and change in health status was mediated by the inclusion of community-level characteristics; however, adjusting for community and individual-level characteristics caused differences by rurality to emerge in 2 of the measures: blood pressure checked and cholesterol checked. For all quality scores, model fit improved after adding community and individual characteristics. Quality is multifaceted and is impacted by individual and community-level socio-demographic characteristics, as well as by geographic location. Current debates about risk-adjustment procedures should take rurality into account.

A BETTER LIFE FOR FARM FAMILIES, NATIONAL SHARECROPPERS FOUNDATION, SOUTHERN RURAL CONFERENCE, BRICKS, NOVEMBER 14-16, 1962.

ERIC Educational Resources Information Center

GRAHAM, FRANK P.; AND OTHERS

RURAL POVERTY WAS DEEPENED RATHER THAN AMELIORATED BY A REVOLUTION IN SOUTHERN AGRICULTURE. THERE WERE 3.4 MILLION SOUTHERN FARMERS IN 1935, THIS NUMBER DECREASED TO LESS THAN 1.6 MILLION IN 1962. AVERAGE YEARLY EARNINGS WERE LESS THAN $2,500. THE RURAL AREAS DEVELOPMENT PROGRAM HAS TRIED TO ATTRACT INDUSTRY TO COUNTY OR MULTI-COUNTY AREAS IN…

County-Level Population Economic Status and Medicare Imaging Resource Consumption.

PubMed

Rosenkrantz, Andrew B; Hughes, Danny R; Prabhakar, Anand M; Duszak, Richard

2017-06-01

The aim of this study was to assess relationships between county-level variation in Medicare beneficiary imaging resource consumption and measures of population economic status. The 2013 CMS Geographic Variation Public Use File was used to identify county-level per capita Medicare fee-for-service imaging utilization and nationally standardized costs to the Medicare program. The County Health Rankings public data set was used to identify county-level measures of population economic status. Regional variation was assessed, and multivariate regressions were performed. Imaging events per 1,000 Medicare beneficiaries varied 1.8-fold (range, 2,723-4,843) at the state level and 5.3-fold (range, 1,228-6,455) at the county level. Per capita nationally standardized imaging costs to Medicare varied 4.2-fold (range, $84-$353) at the state level and 14.1-fold (range, $33-$471) at the county level. Within individual states, county-level utilization varied on average 2.0-fold (range, 1.1- to 3.1-fold), and costs varied 2.8-fold (range, 1.1- to 6.4-fold). For both large urban populations and small rural states, Medicare imaging resource consumption was heterogeneously variable at the county level. Adjusting for county-level gender, ethnicity, rural status, and population density, countywide unemployment rates showed strong independent positive associations with Medicare imaging events (β = 26.96) and costs (β = 4.37), whereas uninsured rates showed strong independent positive associations with Medicare imaging costs (β = 2.68). Medicare imaging utilization and costs both vary far more at the county than at the state level. Unfavorable measures of county-level population economic status in the non-Medicare population are independently associated with greater Medicare imaging resource consumption. Future efforts to optimize Medicare imaging use should consider the influence of local indigenous socioeconomic factors outside the scope of traditional beneficiary-focused policy

PROJECT MANPOWER--THE MACOMB COUNTY FARM LABOR PROJECT. SPECIAL PAPER NO. 3.

ERIC Educational Resources Information Center

CAIN, JOHN N.

THE END OF THE IMPORTATION OF FOREIGN LABOR IN 1964 AND SEVERAL UNSUCCESSFUL EFFORTS TO DEVELOP A DOMESTIC LABOR SUPPLY IN MICHIGAN PROMPTED A PILOT PROJECT IN 1966, SPONSORED BY THE RURAL MANPOWER CENTER, THE COUNTY COOPERATIVE EXTENSION SERVICE, AND THE COUNTY LABOR COUNCIL, IN WHICH SUBURBAN YOUTH WERE RECRUITED FOR SEASONAL FARM LABOR. SCHOOLS…

Remote Rural Students' Perceptions of Their Collegiate Transition Experience

ERIC Educational Resources Information Center

Rains, Linda Marie Peterson

2009-01-01

This research project focused on the perceptions of students from remote rural communities as they told of their transition experiences to a mid-size, research-intensive university. During the spring of 2008, thirteen students from North Dakota remote rural counties agreed to be interviewed for this study. Ten females and three males from seven…

77 FR 56608 - Opportunity for Designation in the Champaign-Danville, IL; Emmett, MI; Davenport, IA; Enid, OK...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-13

.... (Eastern Iowa); Enid Grain Inspection Company, Inc. (Enid); Keokuk Grain Inspection Service (Keokuk....gov . SUPPLEMENTARY INFORMATION: Section 79(f) of the United States Grain Standards Act (USGSA... to Section 79(f)(2) of the United States Grain Standards Act, the following geographic area, in the...

Prevalence of HIV, syphilis, and HCV infection and associated risk factors among male clients of low-paying female sex workers in a rural county of Guangxi, China: a cross-sectional study.

PubMed

Zhang, Chen; Li, Xiaoming; Su, Shaobing; Zhang, Liying; Zhou, Yuejiao; Shen, Zhiyong; Tang, Zhenzhu

2014-05-01

The purpose of this study was to examine prevalence of HIV, syphilis and hepatitis C virus (HCV) infection as well as related risk factors among a group of male clients of low-paying female sex workers (FSW) (eg, women who usually encounter their clients on the street or small establishments in rural or less developed areas, or who charge low fees for each sexual service) in a rural county of China. Cross-sectional study conducted in 2011 in a rural county of Guangxi in China. A total of 102 clients who reported information on demographics and HIV risks (eg, inconsistent condom use) and provided blood sample to test for HIV, HCV and syphilis were included in the data analysis. Both bivariate and multivariate analyses were employed to explore risk factors of HIV, HCV and syphilis infection. Most of participants were of Han ethnicity with a mean age of 61.8 years. The majority of them lived in rural areas and worked as farmers with limited disposable cash incomes. The sample reported a high rate of unprotected sex with FSW in the last sex episode (83.7%) and inconsistent condom use in the last 6 months (95.9%). The overall prevalence of HIV, HCV and syphilis was 1.9%, 1.0% and 18.4%, respectively. Findings suggest that male clients, especially the elderly ones, are at a high risk of HIV infection given prevalent unprotected sex and high prevalence of syphilis. Culturally-appropriate, age-specific interventions are urgently needed to curb the HIV/sexually transmitted infection epidemic among this at-risk population in China.

Acknowledging trade-offs and understanding complexity: exurbanization issues in Macon County, North Carolina

Treesearch

Richard A. Vercoe; M. Welch-Devine; Dean Hardy; J.A. Demoss; S.N. Bonney; K. Allen; Peter Brosius; D. Charles; B. Crawford; S. Heisel; Nik Heynen; R.G. de Jesus-Crespo; N. Nibbelink; L. Parker; Cathy Pringle; A. Shaw; L. Van Sant

2014-01-01

We applied an integrative framework to illuminate and discuss the complexities of exurbanization in Macon County, North Carolina. The case of Macon County, North Carolina, highlights the complexity involved in addressing issues of exurbanization in the Southern Appalachian region. Exurbanization, the process by which urban residents move into rural areas in search of...

My Future, My Family, My Freedom: Meanings of Schooling for Poor, Rural Chinese Youth

ERIC Educational Resources Information Center

Xiang, Xin

2018-01-01

In this article, Xin Xiang investigates what dushu, or "schooling," means for rural senior secondary school students in a high-poverty county in southwestern China. With the persistence of China's rural-urban education inequality and alarming reports about secondary school dropout rates, rural students' and their families' attitudes…

Rural influentials' perceptions of tourism and its potential for economic development: a qualitative study

Treesearch

Steven W. Burr

1995-01-01

Rural residents' perceptions of tourism and its associated impacts are likely to be important in planning, development, marketing, and operation of existing and future tourism projects. This study examines rural influentials' perceptions of tourism as a tool for economic revitalization in Pennsylvania's rural counties, its present impact, and its...

Experiences in Rural Mental Health. VIII: Programming and Administrative Problems.

ERIC Educational Resources Information Center

Hollister, William G.; And Others

Based on a North Carolina Feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with programming and administrative problems in Vance and Franklin counties. Describing those problems believed to be most likely to occur in rural areas, this booklet…

The Retention of Hispanic/Latino Teachers in Southeastern Rural Elementary Schools

ERIC Educational Resources Information Center

Rodriguez, Oscar

2017-01-01

This qualitative study reviewed reasons so few Hispanic/Latino teachers remain employed with rural county public elementary schools. The study evaluated issues that present high retention and attrition concerns for Hispanic/Latino teachers in rural schools. In addition, the dissertation offered suggestions on ways to increase the representation of…

County-level cumulative environmental quality associated with cancer incidence.

PubMed

Jagai, Jyotsna S; Messer, Lynne C; Rappazzo, Kristen M; Gray, Christine L; Grabich, Shannon C; Lobdell, Danelle T

2017-08-01

Individual environmental exposures are associated with cancer development; however, environmental exposures occur simultaneously. The Environmental Quality Index (EQI) is a county-level measure of cumulative environmental exposures that occur in 5 domains. The EQI was linked to county-level annual age-adjusted cancer incidence rates from the Surveillance, Epidemiology, and End Results (SEER) Program state cancer profiles. All-site cancer and the top 3 site-specific cancers for male and female subjects were considered. Incident rate differences (IRDs; annual rate difference per 100,000 persons) and 95% confidence intervals (CIs) were estimated using fixed-slope, random intercept multilevel linear regression models. Associations were assessed with domain-specific indices and analyses were stratified by rural/urban status. Comparing the highest quintile/poorest environmental quality with the lowest quintile/best environmental quality for overall EQI, all-site county-level cancer incidence rate was positively associated with poor environmental quality overall (IRD, 38.55; 95% CI, 29.57-47.53) and for male (IRD, 32.60; 95% CI, 16.28-48.91) and female (IRD, 30.34; 95% CI, 20.47-40.21) subjects, indicating a potential increase in cancer incidence with decreasing environmental quality. Rural/urban stratified models demonstrated positive associations comparing the highest with the lowest quintiles for all strata, except the thinly populated/rural stratum and in the metropolitan/urbanized stratum. Prostate and breast cancer demonstrated the strongest positive associations with poor environmental quality. We observed strong positive associations between the EQI and all-site cancer incidence rates, and associations differed by rural/urban status and environmental domain. Research focusing on single environmental exposures in cancer development may not address the broader environmental context in which cancers develop, and future research should address cumulative environmental

Measuring rural homeowners' willingness to pay for land conservation easements

Treesearch

Seong-Hoon Cho; David H. Newman; J. Michael Bowker

2005-01-01

Rapid growth of rural communities in the Blue Ridge Mountains of Macon County, North Carolina has been giving rise to concerns over declining environmental quality and increasing need for land-use policy. This paper examines willingness to pay (WTP) for hypothetical conservation easements as an alternative land-use policy for the county. Despite the fact that Macon...

Persistent Low-Income Counties in Nonmetro America. Rural Development Research Report No. 12.

ERIC Educational Resources Information Center

Davis, Thomas F.

In the period from 1950 to 1970, there were 298 persistent low-income (PLI) counties in the United States, but between 1970 and 1975, 43 counties left the persistent low-income status (LPLI) due to private sector influence and earnings from mining and agriculture. LPLI counties were largely located in Georgia, Arkansas, and Kentucky. Most PLI…

Rural-metropolitan disparities in ovarian cancer survival: a statewide population-based study.

PubMed

Park, Jihye; Blackburn, Brenna E; Rowe, Kerry; Snyder, John; Wan, Yuan; Deshmukh, Vikrant; Newman, Michael; Fraser, Alison; Smith, Ken; Herget, Kim; Burt, Lindsay; Werner, Theresa; Gaffney, David K; Lopez, Ana Maria; Mooney, Kathi; Hashibe, Mia

2018-06-01

To investigate rural-metropolitan disparities in ovarian cancer survival, we assessed ovarian cancer mortality and differences in prognostic factors by rural-metropolitan residence. The Utah Population Database was used to identify ovarian cancer cases diagnosed between 1997 and 2012. Residential location information at the time of cancer diagnosis was used to stratify rural-metropolitan residence. All-cause death and ovarian cancer death risks were estimated using Cox proportional hazard regression models. Among 1661 patients diagnosed with ovarian cancer, 11.8% were living in rural counties of Utah. Although ovarian cancer patients residing in rural counties had different characteristics compared with metropolitan residents, we did not observe an association between rural residence and risk of all-cause nor ovarian cancer-specific death after adjusting for confounders. However, among rural residents, ovarian cancer mortality risk was very high in older age at diagnosis and for mucinous carcinoma, and low in overweight at baseline. Rural residence was not significantly associated with the risk of ovarian cancer death. Nevertheless, patients residing in rural-metropolitan areas had different factors affecting the risk of all-cause mortality and cancer-specific death. Further research is needed to quantify how mortality risk can differ by residential location accounting for degree of health care access and lifestyle-related factors. Copyright © 2018 Elsevier Inc. All rights reserved.

Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics.

PubMed

Gruca, Thomas S; Pyo, Tae-Hyung; Nelson, Gregory C

2016-06-30

Workforce experts predict a future shortage of cardiologists that is expected to impact rural areas more severely than urban areas. However, there is little research on how rural patients are currently served through clinical outreach. This study examines the impact of cardiology outreach in Iowa, a state with a large rural population, on participating cardiologists and on patient access. Outreach clinics are tracked annually in the Office of Statewide Clinical Education Programs Visiting Medical Consultant Database (University of Iowa Carver College of Medicine). Data from 2014 were analyzed. In 2014, an estimated 5460 visiting consultant clinic days were provided in 96 predominantly rural cities by 167 cardiologists from Iowa and adjoining states. Forty-five percent of Iowa cardiologists participated in rural outreach. Visiting cardiologists from Iowa and adjoining states drive an estimated 45 000 miles per month. Because of monthly outreach clinics, the average driving time to the nearest cardiologist falls from 42.2±20.0 to 14.7±11.0 minutes for rural Iowans. Cardiology outreach improves geographic access to office-based cardiology care for more than 1 million Iowans out of a total population of 3 million. Direct travel costs and opportunity costs associated with physician travel are estimated to be more than $2.1 million per year. Cardiologists in Iowa and adjoining states have expanded access to office-based cardiology care from 18 to 89 of the 99 counties in Iowa. In these 71 counties without a full-time cardiologist, visiting consultant clinics can accommodate more than 50% of office visits in the patients' home county. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Water resources of Manatee County, Florida. Water-resources investigations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brown, D.P.

1983-03-01

Rapid development of Manatee County in southwest Florida is creating water-resource problems. The report presents an evaluation of the water resources and potential effects of water-resource developments. Most streams in the county have small drainage basins and low yields. The principal aquifers are the surficial, minor artesian, and the Floridan. The Floridan aquifer is the major source of irrigation water in the county. The minor artesian aquifer is a highly developed source of water for small rural supplies. Withdrawals of 20 to 50 million gallons per day from the Floridan aquifer since the 1950's have caused declines in the potentiometricmore » surface of about 20 to 50 feet. The quality of ground water is good except in the coastal and southern parts of the county.« less

Effects of the 1924 Agricultural Recession on Rural Missouri Hebdomadals.

ERIC Educational Resources Information Center

Koski, Steven D.; Kahan, Robert S.

A study was conducted to determine whether a relationship existed between the agricultural slump of 1924 and the economic vitality of rural weekly newspapers in Missouri. "Rural weekly newspaper" was defined as any weekly newspaper in a predominantly agrarian locale with a city population of fewer than 5,000 and a county population of…

Research on the Teaching Quality of Compulsory Education in China's West Rural Schools

ERIC Educational Resources Information Center

Wang, Jiayi; Li, Ying

2009-01-01

The paper has compared the quality of compulsory education of rural schools in West China with the counties, cities, and provincial capitals, and find out that there is a big gap between the quality of West rural and urban compulsory education, the quality of some grades of the rural primary schools has not achieved the basic requirement of the…

Psychometric Testing of the FACES III with Rural Adolescents

ERIC Educational Resources Information Center

Ide, Bette; Dingmann, Colleen; Cuevas, Elizabeth; Meehan, Maurita

2010-01-01

This study tests the validity and reliability of the Family Adaptability and Cohesion Scale III (FACES III) in two samples of rural adolescents. The underlying theory is the linear 3-D circumplex model. The FACES III was administered to 1,632 adolescents in Grades 7 through 12 in two counties in a rural western state. The FACES III Scale and the…

Influence of Urbanization Level and Gross Domestic Product of Counties in Croatia on Access to Health Care

PubMed Central

Bagat, Mario; Drakulić, Velibor; Sekelj Kauzlarić, Katarina; Vlahušić, Andro; Bilić, Ivica; Matanić, Dubravka

2008-01-01

Aim To examine the association of counties’ urbanization level and gross domestic product (GDP) per capita on the access to health care. Methods Counties were divided in two groups according to the urbanization level and GDP per capita in purchasing power standards. The number of physicians per 100 000 inhabitants, the number of physicians in hospitals in four basic specialties, physicians’ workload, average duration of working week, the average number of insurants per general practice (GP) team, and the number of inhabitants covered by one internal medicine outpatient clinic were compared between predominantly urban and predominantly rural counties, and between richer and poorer counties. Our study included only GP teams and outpatients’ clinics under the contract with the Croatian Institute for Health Insurance. Data on physicians were collected from the Ministry of Health and Social Welfare, the Croatian Institute for Health Insurance, the Croatian Institute for Public Health, and the Croatian Medical Chamber. Data on the contracts with the Croatian Institute for Health Insurance and health care services provided under these contracts were obtained from the database of the Institute, while population and gross domestic product data were obtained from the Database of the Croatian Institute for Statistics. World Health Organization Health for All Database was used for the international comparison of physician’s data. Results There was no significant difference in the total number of physicians per 100 000 inhabitants between predominantly urban and predominantly rural counties (206.9 ± 41.0 vs 175.4 ± 30.3; P = 0.067, t test) nor between richer and poorer counties (194.5 ± 49.8 vs 187.7 ± 25.3; P = 0.703, t test). However, there were significantly fewer GPs per 100 000 inhabitants in rural than urban counties (49.0 ± 5.5 vs 56.7 ± 4.6; P = 0.003, t test). GPs in rural counties had more insurants than those

Realities of Rural School Reform.

ERIC Educational Resources Information Center

Seal, Kenna R.; Harmon, Hobart L.

1995-01-01

Schools in isolated rural areas like Braxton County, West Virginia, can emerge as learning communities and telecommuting villages. Future school mergers will be less common than consolidation of programs and services to improve access for students, their families, and the community. Technology will link schools with a global information network.…

Roadway design standards for rural and suburban subdivisions.

DOT National Transportation Integrated Search

2007-06-01

In Iowa, there are currently no uniform design standards for rural and suburban subdivision development roadways. Without uniform : design standards, many counties are unable to provide adequate guidance for public facilities, particularly roadways, ...

Anaemia among Students of Rural China's Elementary Schools: Prevalence and Correlates in Ningxia and Qinghai's Poor Counties

PubMed Central

Luo, Renfu; Liu, Chengfang; Zhao, Qiran; Shi, Yaojiang; Miller, Grant; Yu, Elaine; Sharbono, Brian; Medina, Alexis; Rozelle, Scott; Martorell, Reynaldo

2011-01-01

Although the past few decades have seen rising incomes and increased government attention to rural development, many children in rural China still lack regular access to micronutrient-rich diets. Insufficient diets and poor knowledge of nutrition among the poor result in nutritional problems, including iron-deficiency anaemia, which adversely affect attention and learning of students in school. Little research has been conducted in China documenting the prevalence of nutritional problems among vulnerable populations, such as school-age children, in rural areas. The absence of programmes to combat anaemia among students might be interpreted as a sign that the Government does not recognize its severity. The goals of this paper were to measure the prevalence of anaemia among school-age children in poor regions of Qinghai and Ningxia, to identify individual-, householdand school-based factors that correlate with anaemia in this region, and to report on the correlation between the anaemic status and the physical, psychological and cognitive outcomes. The results of a cross-sectional survey are reported here. The survey involved over 4,000 fourth and fifth grade students from 76 randomly-selected elementary schools in 10 poor counties in rural Qinghai province and Ningxia Hui Autonomous Region, located in the northwest region of China. Data were collected using a structured questionnaire and standardized tests. Trained professional nurses administered haemoglobin (Hb) tests (using Hemocue finger prick kits) and measured heights and weights of children. The baseline data showed that the overall anaemia rate was 24.9%, using the World Health Organization's blood Hb cut-offs of 120 g/L for children aged 12 years and older and 115 g/L for children aged 11 years and under. Children who lived and ate at school had higher rates of anaemia, as did children whose parents worked in farms or were away from home. Children with parents who had lower levels of education were more

Do US metropolitan core counties have lower scope 1 and 2 CO2 emissions than less urbanized counties?

NASA Astrophysics Data System (ADS)

Tamayao, M. M.; Blackhurst, M. F.; Matthews, H. S.

2014-10-01

Recent sustainability research has focused on urban systems given their high share of environmental impacts and potential for centralized impact mitigation. Recent research emphasizes descriptive statistics from place-based case studies to argue for policy action. This limits the potential for general insights and decision support. Here, we implement generalized linear and multiple linear regression analyses to obtain more robust insights on the relationship between urbanization and greenhouse gas (GHG) emissions in the US We used consistently derived county-level scope 1 and scope 2 GHG inventories for our response variable while predictor variables included dummy-coded variables for county geographic type (central, outlying, and nonmetropolitan), median household income, population density, and climate indices (heating degree days (HDD) and cooling degree days (CDD)). We find that there is not enough statistical evidence indicating per capita scope 1 and 2 emissions differ by geographic type, ceteris paribus. These results are robust for different assumed electricity emissions factors. We do find statistically significant differences in per capita emissions by sector for different county types, with transportation and residential emissions highest in nonmetropolitan (rural) counties, transportation emissions lowest in central counties, and commercial sector emissions highest in central counties. These results indicate the importance of regional land use and transportation dynamics when planning local emissions mitigation measures.

Accessing the Food Systems in Urban and Rural Minnesotan Communities

ERIC Educational Resources Information Center

Smith, Chery; Miller, Hannah

2011-01-01

Objective: Explore how urban and rural Minnesotans access the food system and to investigate whether community infrastructure supports a healthful food system. Design: Eight (4 urban and 4 rural) focus groups were conducted. Setting and Participants: Eight counties with urban influence codes of 1, 2, 4, 5, 8, and 10. Fifty-nine (urban, n = 27;…

Rural Homelessness in Northwest Ohio: Reasons, Patterns, Statistics, and Trends.

ERIC Educational Resources Information Center

Podlin, Georgette A.

Rural homelessness in America is difficult to define, to count, and to see. This article reports the findings of a 1993 county-wide study of rural homelessness. During a one year survey, 118 homeless households were interviewed. Of those surveyed, 25.8 percent were male adults, 30.9 percent were female adults, and 43.2 percent were children.…

Satisfaction with Rural Services: The Policy Preferences of Leaders and Community Residents.

ERIC Educational Resources Information Center

Molnar, Joseph J.; Smith, John P.

To examine ratings of satisfaction with selected community services in relation to spending preferences and to ascertain policy-relevant implications of citizen evaluations in planning and delivering rural services), a study focused on perceptions of community leaders and household respondents in eight rural Alabama counties. Research literature…

Recruitment of Itinerant Teachers of the Deaf and Hard of Hearing in Rural Arizona

ERIC Educational Resources Information Center

Thomas, Della W.

2010-01-01

Legislative mandate and judicial precedence of the guarantee of a free and appropriate public education for students with disabilities can be challenging to uphold in rural areas. 13 out of 15 counties in Arizona are in rural areas according to the US Department of Agriculture Rural-Urban continuum code, 2003, making the challenge of filling…

Disparity in Breast Cancer Late Stage at Diagnosis in Missouri: Does Rural Versus Urban Residence Matter?

PubMed

Williams, Faustine; Thompson, Emmanuel

2016-06-01

Despite the fact that black women have a lower incidence of breast cancer compared to white women, black women experience higher death rates than any other group. We examined the stage of breast cancer presentation by race and geographic region using population-based breast cancer incidence in all 115 counties in the state of Missouri. We used 2003-2008 breast cancer incidence data from Missouri Cancer Registry and Research Center. County of residence was categorized as urban or rural using the rural-urban continuum code. We computed the conditional proportion of stage at diagnosis by race and metropolitan status and also used Pearson's chi-squared test with Yates' continuity correction to determine statistical significance of association. Results of the study indicate that a greater proportion of black women (38.8 %) compared to white women (30.2 %) were diagnosed with more advanced breast metastasis. Our results further suggest that stage at diagnosis depended on county of residence or metropolitan status (p = .04). Women living in non-metropolitan counties were slightly more likely to have late-stage breast cancer than their metropolitan counterparts (32.0 vs 30.7 %). Overall, black women had 1.5-fold increased odds of late-stage breast cancer diagnosis compared to their white counterparts (OR = 1.50; 95 % CI, 1.39, 1.63; p < 0.0001). While the odds of late diagnosis among women living in non-metropolitan or rural counties was over 11 % higher compared with their metropolitan or urban counterpart. The current study corroborates previous findings that the risk of late-stage breast cancer diagnosis was higher among women residing in non-metropolitan rural counties.

77 FR 47813 - Notice of Sanders County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... the Federal Advisory Committee Act (Pub. L. 92-463) and under the Secure Rural Schools and Community... will be posted in the local newspapers, including the Clark Fork Valley Press, and Sanders County...

Sustaining Engagement and Rural Scholarship

ERIC Educational Resources Information Center

Longenecker, Randall

2003-01-01

The Ohio State University Medical Center, a large urban academic medical center, and Mary Rutan Hospital, a rural community hospital in Logan County, Ohio, have been linked through a series of scholarly engagements spanning more than thirty years. What emerges from a qualitative study of key informants with personal knowledge of this interaction…

Progress in reducing premature deaths in Wisconsin counties, 2000-2010.

PubMed

Nonnweiler, Thomas; Pollock, Elizabeth A; Rudolph, Barbara; Remington, Patrick L

2013-10-01

Measuring trends in a county's premature death rate is a straightforward method that can be used to assess a county's progress in improving the health of the population. Age-adjusted premature death rate data from Wisconsin Interactive Statistics on Health for persons less than 75 years of age were collected for the years 2000-2010. Overall 10-year percent change was calculated, compared, and ranked for all Wisconsin counties during this time period. Progress was assessed as excellent (25.0% or greater decline), very good (20.0%-24.9% decline), good (10.0%-19.9% decline), fair (0.0%-9.9% decline), or poor (any increase). Overall, premature death rates in counties declined by 16.8% over the 10-year period 2000-2010 in Wisconsin. Trends varied by county, with 8, 15, 37, 9, and 3 counties having excellent, very good, good, fair, and poor progress, respectively. The most improvement was seen in Kewaunee County (decreasing 38.3%) and the least progress in Lafayette County (increasing 4.8%). Trends in premature death rates were not related to the county's initial death rate, population, rurality, or income. Although premature death rates declined overall in Wisconsin during the 2000s, this progress varied across counties and was not related to baseline mortality rates or other county characteristics.

Rural Residents in the Ozarks: A Comparison of Migrants and Nonmigrants.

ERIC Educational Resources Information Center

Nolan, Michael F.; And Others

To compare various socio-demographic indicators and attitudes on community issues of recent urban to rural migrants with those of native residents, personal interviews were conducted with an adult in 3391 households in the 5 county Meramec Area of Missouri during the fall of 1977. Of the respondents, 24% had lived in the county 7 years or less,…

[A Profile of Union County, South Carolina].

ERIC Educational Resources Information Center

Lilley, Stephen C.; McLean, Edward L.

Now almost totally dependent on textile production, heavily forested Union County, South Carolina, was primarily agricultural until the 20th century. By 1970, 65% of the population depended on manufacturing and only 4% of the workers on farming. From 1920 to 1970 the population was characterized by a rural-to-urban shift and by outmigration,…

Intentional injuries in young Ohio children: is there urban/rural variation?

PubMed

Anderson, Brit L; Pomerantz, Wendy J; Gittelman, Michael A

2014-09-01

Intentional injuries are the third leading cause of death in children 1 year to 4 years of age. The epidemiology of these injuries based on urban/rural geography and economic variables has not been clearly established. The study purposes are (1) to determine the rate of severe intentional injuries in children younger than 5 years in urban versus rural Ohio counties and (2) to determine if poverty within counties is associated with intentional injury rate. Demographic and injury data on children younger than 5 years who experienced intentional injuries, from January 1, 2003, to December 31, 2011, were extracted retrospectively from the Ohio Trauma Acute Care Registry. We calculated injury rates using the county of residence and US census data. We assigned each county to an urbanization level based on population density (A, most urban; D, most rural). Mean income and percentage of families with children younger than 5 years living below poverty in Ohio counties were obtained from the US census. Rates are per 100,000 children younger than 5 years per year. A total of 984 patients were included; the overall injury rate was 15.9. The mean age was 0.66 years (SD, 1.02 years); 583 (59.2%) were male and 655 (66.6%) were white. One hundred twenty-nine (13.1%) died. Injury rates by urbanization level were as follows: A, 16.5; B, 10.7; C, 18.7; and D, 15.2 (p = 0.285). There were significant associations between county injury rate and mean income (p = 0.05) and percentage of families with children younger than 5 years living below poverty (p = 0.04). We found no association between intentional injury rate and urbanization level in young Ohio children. However, we did find an association between county mean income and percentage of families living below poverty, with intentional injury rate suggesting that financial hardship may be an important risk factor of these injuries.

Working with Rural Employers: An Interagency Partnership.

ERIC Educational Resources Information Center

Bowman, Sally R.; Manoogian, Margaret; Driscoll, Debra Minar

2002-01-01

Oregon State University Extension and county partners, organized an employer development program in a rural community. Focus groups and evaluations identified hiring and retention challenges and outlined needed support and services. Employer training workshops and recruitment and orientation services were provided. (SK)

Population aging and migrant workers: bottlenecks in tuberculosis control in rural China.

PubMed

Bele, Sumedh; Jiang, Wei; Lu, Hui; You, Hua; Fan, Hong; Huang, Lifang; Wang, Qungang; Shen, Hongbing; Wang, Jianming

2014-01-01

Tuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China. A qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG) of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software. Health providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients. The results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level.

Rural Economic Development Consequences of the Population Turnaround in Northern Lower Michigan.

ERIC Educational Resources Information Center

West, Patrick C.; And Others

Consequences of population turnaround for rural economic development are examined in a 9-county region of Northern Lower Michigan. Data from census reports and 374 usable responses to a questionnaire mailed to a random sample of property owners drawn from 1982 county tax assessment rolls were used to test competing hypotheses about rural…

Interstate Highway Interchanges Reshape Rural Communities.

ERIC Educational Resources Information Center

Moon, Henry E., Jr.

1987-01-01

Highway interchanges offer rural counties practically ready-made sites for development, but some interchanges offer better development opportunities than others. A study of a Kentucky interchange identified seven factors that make a difference in development, including traffic volume, distance to an urban area, ruggedness of terrain, and sale of…

The Condition of Rural Education in West Virginia: A Profile.

ERIC Educational Resources Information Center

Coe, Pam; Howley, Craig B.

According to the definition that a rural school district is one in which 75% or more of the population lives outside Standard Metropolitan Areas or in which student density is equal to or less than 10 pupils per square miles, 36 or 65% of West Virginia's 55 counties are classified as rural. State school policies do not specifically recognize the…

Association of short-term exposure to ground-level ozone and respiratory outpatient clinic visits in a rural location – Sublette County, Wyoming, 2008–2011

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pride, Kerry R., E-mail: hgp3@cdc.gov; Wyoming Department of Health, 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002; Peel, Jennifer L.

Objective: Short-term exposure to ground-level ozone has been linked to adverse respiratory and other health effects; previous studies typically have focused on summer ground-level ozone in urban areas. During 2008–2011, Sublette County, Wyoming (population: ~10,000 persons), experienced periods of elevated ground-level ozone concentrations during the winter. This study sought to evaluate the association of daily ground-level ozone concentrations and health clinic visits for respiratory disease in this rural county. Methods: Clinic visits for respiratory disease were ascertained from electronic billing records of the two clinics in Sublette County for January 1, 2008–December 31, 2011. A time-stratified case-crossover design, adjusted formore » temperature and humidity, was used to investigate associations between ground-level ozone concentrations measured at one station and clinic visits for a respiratory health concern by using an unconstrained distributed lag of 0–3 days and single-day lags of 0 day, 1 day, 2 days, and 3 days. Results: The data set included 12,742 case-days and 43,285 selected control-days. The mean ground-level ozone observed was 47±8 ppb. The unconstrained distributed lag of 0–3 days was consistent with a null association (adjusted odds ratio [aOR]: 1.001; 95% confidence interval [CI]: 0.990–1.012); results for lags 0, 2, and 3 days were consistent with the null. However, the results for lag 1 were indicative of a positive association; for every 10-ppb increase in the 8-h maximum average ground-level ozone, a 3.0% increase in respiratory clinic visits the following day was observed (aOR: 1.031; 95% CI: 0.994–1.069). Season modified the adverse respiratory effects: ground-level ozone was significantly associated with respiratory clinic visits during the winter months. The patterns of results from all sensitivity analyzes were consistent with the a priori model. Conclusions: The results demonstrate an association of increasing

Strengthening rural Latinos' civic engagement for health: The Voceros de Salud project.

PubMed

López-Cevallos, Daniel; Dierwechter, Tatiana; Volkmann, Kelly; Patton-López, Megan

2013-11-01

This article describes the Latino Health Ambassadors Network (Voceros de Salud ) project created to support and mobilize Latino community leaders to address health inequalities in a rural Oregon county. Voceros de Salud is discussed as a model that other rural communities may implement towards strengthening Latino civic engagement for health.

Wellness Works: A Collaborative Program for Youth and Adults in Rural Utah

ERIC Educational Resources Information Center

Shirley, Lindsey; Roark, Mark F.; Lewis, Lisa

2012-01-01

Utah State University Cooperative Extension programming, provided through the historic land-grant system, is one method used to meet the needs of residents located in rural communities. Residents in a Central Utah county need Cooperative Extension programs to address the health and wellness of their rural community. According to the Utah…

Assets, Challenges, and the Potential of Technology for Nutrition Education in Rural Communities

ERIC Educational Resources Information Center

Atkinson, Nancy L.; Desmond, Sharon M.; Saperstein, Sandra L.; Billing, Amy S.; Gold, Robert S.; Tournas-Hardt, Amy

2010-01-01

Objective: To examine assets of and challenges to getting adequate nutrition and physical activity among low-income rural residents, and the potential for technology to provide health education. Methods: Environmental scans and community stakeholder interviews were conducted in 5 rural counties in Maryland. During environmental scans, stakeholders…

Childhood obesity prevention in rural settings: background, rationale, and study design of '4-Health,' a parent-only intervention.

PubMed

Lynch, Wesley C; Martz, Jill; Eldridge, Galen; Bailey, Sandra J; Benke, Carrie; Paul, Lynn

2012-04-02

Childhood obesity in rural communities is a serious but understudied problem. The current experiment aims to assess a wide range of obesity risk factors among rural youth and to offer an 8-month intervention program for parents to reduce obesity risk in their preteen child. A two-group, repeated measures design is used to assess the effectiveness of the 4-Health intervention program. Assessments include anthropometric measures, child self-evaluations, parent self-evaluations, and parent evaluations of child. County Extension agents from 21 rural Montana counties recruit approximately 150 parent-child dyads and counties are semi-randomly assigned to the active intervention group (4-Health Educational Program) or a "best-practices" (Healthy Living Information) control group. This study will shed light on the effectiveness of this parent-only intervention strategy in reducing obesity risk factors among rural preteens. The 4-Health program is designed to provide information and skills development for busy rural parents that will increase healthy lifestyles of their preteen children and improve the parents' ability to intervene effectively in the lives of their families during this critical developmental period. ClinicalTrials.gov ID: NCT01510587.

Implementation of the Wyoming rural road safety program.

DOT National Transportation Integrated Search

2011-11-01

SAFETEA-LU contains language indicating that State Department of Transportation (DOTs) will be required to address safety on local and rural roads. It is important for state, county, and city officials to cooperate in producing a comprehensive safety...

Influence of Urbanicity and County Characteristics on the Association between Ozone and Asthma Emergency Department Visits in North Carolina

PubMed Central

Rappold, Ana G.; Davis, J. Allen; Richardson, David B.; Waller, Anna E.; Luben, Thomas J.

2014-01-01

Background: Air pollution epidemiologic studies, often conducted in large metropolitan areas because of proximity to regulatory monitors, are limited in their ability to examine potential associations between air pollution exposures and health effects in rural locations. Methods: Using a time-stratified case-crossover framework, we examined associations between asthma emergency department (ED) visits in North Carolina (2006–2008), collected by a surveillance system, and short-term ozone (O3) exposures using predicted concentrations from the Community Multiscale Air Quality (CMAQ) model. We estimated associations by county groupings based on four urbanicity classifications (representative of county size and urban proximity) and county health. Results: O3 was associated with asthma ED visits in all-year and warm season (April–October) analyses [odds ratio (OR) = 1.019; 95% CI: 0.998, 1.040; OR = 1.020; 95% CI: 0.997, 1.044, respectively, for a 20-ppb increase in lag 0–2 days O3]. The association was strongest in Less Urbanized counties, with no evidence of a positive association in Rural counties. Associations were similar when adjusted for fine particulate matter in copollutant models. Associations were stronger for children (5–17 years of age) compared with other age groups, and for individuals living in counties identified with poorer health status compared with counties that had the highest health rankings, although estimated associations for these subgroups had larger uncertainty. Conclusions: Associations between short-term O3 exposures and asthma ED visits differed by overall county health and urbanicity, with stronger associations in Less Urbanized counties, and no positive association in Rural counties. Results also suggest that children are at increased risk of O3-related respiratory effects. Citation: Sacks JD, Rappold AG, Davis JA Jr, Richardson DB, Waller AE, Luben TJ. 2014. Influence of urbanicity and county characteristics on the association

Home health care agency staffing patterns before and after the Balanced Budget Act of 1997, by rural and urban location.

PubMed

McAuley, William J; Spector, William; Van Nostrand, Joan

2008-01-01

The Balanced Budget Act (BBA) of 1997 and other recent policies have led to reduced Medicare funding for home health agencies (HHAs) and visits per beneficiary. We examine the staffing characteristics of stable Medicare-certified HHAs across rural and urban counties from 1996 to 2002, a period encompassing the changes associated with the BBA and related policies. Data were drawn from Medicare Provider of Service files and the Area Resource File. The unit of analysis was the 3,126 counties in the United States, grouped into 5 categories: metropolitan, nonmetropolitan adjacent, and 3 nonmetropolitan nonadjacent groups identified by largest town size. Only relatively stable HHAs were included. We generated summary HHA staff statistics for each county group and year. All staff categories, other than therapists, declined from 1997 to 2002 across the metropolitan and nonmetropolitan county groupings. There were substantial population-adjusted decreases in stable HHA-based home health aides in all counties, including remote counties. The limited presence of stable HHA staff in certain nonmetropolitan county types has been exacerbated since implementation of the BBA, especially in the most rural counties. The loss of aides in more rural counties may limit the availability of home-based long-term care in these locations, where the need for long-term care is considerable. Future research should examine the degree to which the presence of HHA staff influences actual access and whether other paid and unpaid sources of care substitute for Medicare home health care in counties with limited supplies of HHA staff.

Rural Areas Perceive Policy Tilt

ERIC Educational Resources Information Center

McNeil, Michele

2009-01-01

When U.S. Secretary of Education Arne Duncan talks about using merit pay to attract the best teachers to the classroom, he probably doesn't have in mind a place like Richmond County, North Carolina. In this rural community where the unemployment rate is nearly 14 percent and there's no movie theater for miles around, school administrators say…

Bringing Dance to Rural Students.

ERIC Educational Resources Information Center

Binder, Jude

This paper describes the work of a teacher at the Heartwood Dance Center, a school of dance and related arts in rural Calhoun County, West Virginia. The teacher also conducts freelance workshops in local schools of the region, where people are isolated and incomes are generally low. The extent to which children are talented is partially dependent…

77 FR 45330 - Fresno County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

... of the August 15 and 29 meetings will be to review new project proposals. The purpose of the meeting on September 12 will be to vote and approve projects to be funded under the Secure Rural Schools and... Service, USDA. ACTION: Notice of meeting. SUMMARY: The Fresno County Resource Advisory Committee will be...

Increasing access to care for Brazos Valley, Texas: a rural community of solution.

PubMed

Garney, Whitney R; Drake, Kelly; Wendel, Monica L; McLeroy, Kenneth; Clark, Heather R; Ryder, Byron

2013-01-01

Compared with their urban counterparts, rural populations face substantial disparities in terms of health care and health outcomes, particularly with regard to access to health services. To address ongoing inequities, community perspectives are increasingly important in identifying health issues and developing local solutions that are effective and sustainable. This article has been developed by both academic and community representatives and presents a brief case study of the evolution of a regional community of solution (COS) servicing a 7-county region called the Brazos Valley, Texas. The regional COS gave rise to multiple, more localized COSs that implemented similar strategies designed to address access to care within rural communities. The regional COS, known as the Brazos Valley Health Partnership, was a result of a 2002 health status assessment that revealed that rural residents face poorer access to health services and their care is often fragmented. Their localized strategy, called a health resource center, was created as a "one-stop shop" where multiple health and social service providers could be housed to deliver services to rural residents. Initially piloted in Madison County, the resource center model was expanded into Burleson, Grimes, and Leon Counties because of community buy-in at each of these sites. The resource center concept allowed service providers, who previously were able to offer services only in more populous areas, to expand into the rural communities because of reduced overhead costs. The services provided at the health resource centers include transportation, information and referral, and case management along with others, depending on the location. To ensure successful ongoing operations and future planning of the resource centers, local oversight bodies known as health resource commissions were organized within each of the rural communities to represent local COSs. Through collaboration with local entities, these partnerships have

Solving the "Rural School Problem": New State Aid, Standards, and Supervision of Local Schools, 1900-1933

ERIC Educational Resources Information Center

Steffes, Tracy L.

2008-01-01

In 1918, Minnesota county superintendent Julius Arp argued that the greatest educational problem facing the American people was the Rural School Problem, saying: "There is no defect more glaring today than the inequality that exists between the educational facilities of the urban and rural communities. Rural education in the United States has…

Rural and Urban Differences in Air Quality, 2008-2012, and Community Drinking Water Quality, 2010-2015 - United States.

PubMed

Strosnider, Heather; Kennedy, Caitlin; Monti, Michele; Yip, Fuyuen

2017-06-23

The places in which persons live, work, and play can contribute to the development of adverse health outcomes. Understanding the differences in risk factors in various environments can help to explain differences in the occurrence of these outcomes and can be used to develop public health programs, interventions, and policies. Efforts to characterize urban and rural differences have largely focused on social and demographic characteristics. A paucity of national standardized environmental data has hindered efforts to characterize differences in the physical aspects of urban and rural areas, such as air and water quality. 2008-2012 for air quality and 2010-2015 for water quality. Since 2002, CDC's National Environmental Public Health Tracking Program has collaborated with federal, state, and local partners to gather standardized environmental data by creating national data standards, collecting available data, and disseminating data to be used in developing public health actions. The National Environmental Public Health Tracking Network (i.e., the tracking network) collects data provided by national, state, and local partners and includes 21 health outcomes, exposures, and environmental hazards. To assess environmental factors that affect health, CDC analyzed three air-quality measures from the tracking network for all counties in the contiguous United States during 2008-2012 and one water-quality measure for 26 states during 2010-2015. The three air-quality measures include 1) total number of days with fine particulate matter (PM 2.5 ) levels greater than the U.S. Environmental Protection Agency's (EPA's) National Ambient Air Quality Standards (NAAQS) for 24-hour average PM 2.5 (PM 2.5 days); 2) mean annual average ambient concentrations of PM 2.5 in micrograms per cubic meter (mean PM 2.5 ); and 3) total number of days with maximum 8-hour average ozone concentrations greater than the NAAQS (ozone days). The water-quality measure compared the annual mean

Culture of a Contemporary Rural Community: El Cerrito, New Mexico. Rural Life Studies: 1, November 1941.

ERIC Educational Resources Information Center

Leonard, Olen; Loomis, C. P.

Located on the Pecos River in San Miguel County, El Cerrito (New Mexico) was a culturally stable rural community. Almost a cultural island, its inhabitants were of native or Spanish American stock, descendants of conquistadores who mixed their blood with that of the indigenous population. Religion and the Catholic church had a profound influence…

Struggles for Educational Equity in Prince Edward County, VA: Resistance, Southern Manifesto Ideologies, and School Choice

ERIC Educational Resources Information Center

Tillerson-Brown, Amy

2016-01-01

In light of contemporary school choice proposals and the 60th anniversary of the Southern Manifesto, the Prince Edward County, Virginia public schools crisis provides interesting historical discussion. Prince Edward County (PEC), a rural community in central Virginia, was one of five school districts represented in the 1954 "Brown v. Board of…

Teacher Morale in Rural Northeast Tennessee

ERIC Educational Resources Information Center

Eggers, Brenda Dishman

2012-01-01

The purpose of this quantitative study was to investigate the factors that influence the morale levels of teachers in the public school systems of 3 contiguous counties in rural northeast Tennessee. The level of teacher morale was measured using the Purdue Teacher Opinionaire. Data associated with the Tennessee Value-Added Assessment System…

Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China

PubMed Central

Lu, Hui; You, Hua; Fan, Hong; Huang, Lifang; Wang, Qungang; Shen, Hongbing; Wang, Jianming

2014-01-01

Background Tuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China. Methods A qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG) of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software. Results Health providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients. Conclusion The results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level. PMID:24498440

Hospitalizations for heat-stress illness varies between rural and urban areas: an analysis of Illinois data, 1987-2014.

PubMed

Jagai, Jyotsna S; Grossman, Elena; Navon, Livia; Sambanis, Apostolis; Dorevitch, Samuel

2017-04-07

The disease burden due to heat-stress illness (HSI), which can result in significant morbidity and mortality, is expected to increase as the climate continues to warm. In the United States (U.S.) much of what is known about HSI epidemiology is from analyses of urban heat waves. There is limited research addressing whether HSI hospitalization risk varies between urban and rural areas, nor is much known about additional diagnoses of patients hospitalized for HSI. Hospitalizations in Illinois for HSI (ICD-9-CM codes 992.x or E900) in the months of May through September from 1987 to 2014 (n = 8667) were examined. Age-adjusted mean monthly hospitalization rates were calculated for each county using U.S. Census population data. Counties were categorized into five urban-rural strata using Rural Urban Continuum Codes (RUCC) (RUCC1, most urbanized to RUCC5, thinly populated). Average maximum monthly temperature (°C) was calculated for each county using daily data. Multi-level linear regression models were used, with county as the fixed effect and temperature as random effect, to model monthly hospitalization rates, adjusting for the percent of county population below the poverty line, percent of population that is Non-Hispanic Black, and percent of the population that is Hispanic. All analyses were stratified by county RUCC. Additional diagnoses of patients hospitalized for HSI and charges for hospitalization were summarized. Highest rates of HSI hospitalizations were seen in the most rural, thinly populated stratum (mean annual summer hospitalization rate of 1.16 hospitalizations per 100,000 population in the thinly populated strata vs. 0.45 per 100,000 in the metropolitan urban strata). A one-degree Celsius increase in maximum monthly average temperature was associated with a 0.34 increase in HSI hospitalization rate per 100,000 population in the thinly populated counties compared with 0.02 per 100,000 in highly urbanized counties. The most common additional

78 FR 30268 - Del Norte County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-22

... Schools and Community Self-Determination Act (Pub. L. 112-141) (the Act) and operates in compliance with... to review prior year project's progress. Should the Secure Rural Schools Act be reauthorized, the.... ADDRESSES: The meetings will be held at the Del Norte County Unified School District, Redwood Room, 301 West...

Comal County, Texas: Preparing for Life after High School

ERIC Educational Resources Information Center

Walter, Frank

2018-01-01

Comal County, Texas, may be rural but its students face many of the same challenges as students in urban districts. Communities In Schools of South Central Texas works with the local school district to identify student needs and provide critical supports to help young people prepare for life after high school.

Pierce County High School: Excellence Is the Standard

ERIC Educational Resources Information Center

Principal Leadership, 2012

2012-01-01

This article features Pierce County High School in rural southeast Georgia whose 965 students, almost half of whom are from economically disadvantaged families, have demonstrated what a focus on student learning can accomplish. In 2004, the school ranked at the bottom of the state in students passing the high school graduation tests, and only 55%…

Community health education improves child health care in Rural Western China.

PubMed

Liang, Weifeng; Xing, Yuan; Pang, Miaomiao; Wang, Duolao; Yan, Hong

2018-04-10

Rural infant growth failure has been highlighted as a priority for action in China's national nutrition and child development policies. The aim of this paper was to evaluate the effect of community-based intervention project on child feeding, child health care and child growth. From 2001 to 2005, UNICEF and China's Ministry of Health worked together to develop holistic strategies for child health care. All the interventions were implemented through the three-tier (county-township-village) rural health care network.In this study, 34 counties were included in both surveys in 2001 and 2005. Among these 34 counties, nine were subjected to the intervention and 25 counties were used as controls. In nine intervention counties, leaflets containing information of supplemental feeding of infants and young children were printed and distributed to women during hospital delivery or visit to newborn by village doctors. Two cross-sectional surveys were both conducted from July to early September in 2001 and 2005. We calculated Z-scores of height-for-age (HAZ), weight-for-age (WAZ) and weight-for-height (WHZ), with the new WHO growth standard. HAZ < - 2 was defined as stunting, WAZ < - 2 was defined as underweight, and WHZ < - 2 was defined as wasting. Following the four-year study period, the parents in the intervention group showed significantly better infant and young child feeding practices and behaviors of child care than did their control group counterparts. In addition, all three anthropometric indicators in 2005 in the intervention group were better than in the control, with stunting 4.9% lower (p < 0.001), underweight 2.2% lower (p < 0.001), and wasting 1.0% lower (p < 0.05). We concluded that the health care education intervention embed in government had the potential to be successfully promoted in rural western China.

Assessing Mental Health Needs of Rural Schools in South Texas: Counselors' Perspectives

ERIC Educational Resources Information Center

Bain, Steve F.; Rueda, Breeze; Mata-Villarreal, Jennifer; Mundy, Marie-Anne

2011-01-01

Texas continues to fall short of the necessary mental health resources for those communities and populations in rural counties. The purpose of this article was to review the mental health resource needs of rural schools in South Texas. The study focused primarily on the perspectives of the school counselors in the identified districts. Funded by a…

Perceptions of Global Warming Among the Poorest Counties in the Southeastern United States.

PubMed

Kearney, Gregory D; Bell, Ronny A

2018-03-07

The geographic position and high level of poverty in the southeastern United States are significant risk factors that contribute to the region's high vulnerability to climate change. The goal of this study was to evaluate beliefs and perceptions of global warming among those living in poverty in the poorest counties in the southeastern United States. Results from this project may be used to support public health efforts to increase climate-related messaging to vulnerable and underserved communities. This was an ecological study that analyzed public opinion poll estimates from previously gathered national level survey data (2016). Responses to 5 questions related to beliefs, attitudes, and perceptions of global warming were evaluated. Counties below the national average poverty level (13.5%) were identified among 11 southeastern US states (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Michigan, North Carolina, South Carolina, Tennessee, Virginia). Student t tests were used to compare public perceptions of global warming among the poorest urban and rural counties with national-level public opinion estimates. Overall, counties below the national poverty level in the southeastern US were significantly less likely to believe that global warming was happening compared with national-level estimates. The poorest rural counties were less likely to believe that global warming was happening than the poorest urban counties. Health care providers and public health leaders at regional and local levels are in ideal positions to raise awareness and advocate the health implications of climate change to decision makers for the benefit of helping underserved communities mitigate and adequately adapt to climate-related threats.

The financial impact of the 'zero-markup policy for essential drugs' on patients in county hospitals in western rural China.

PubMed

Zhou, Zhongliang; Su, Yanfang; Campbell, Benjamin; Zhou, Zhiying; Gao, Jianmin; Yu, Qiang; Chen, Jiuhao; Pan, Yishan

2015-01-01

With a quasi-experimental design, this study aims to assess whether the Zero-markup Policy for Essential Drugs (ZPED) reduces the medical expense for patients at county hospitals, the major healthcare provider in rural China. Data from Ningshan county hospital and Zhenping county hospital, China, include 2014 outpatient records and 9239 inpatient records. Quantitative methods are employed to evaluate ZPED. Both hospital-data difference-in-differences and individual-data regressions are applied to analyze the data from inpatient and outpatient departments. In absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD) for outpatient services and 399.6 CNY (65.60 USD) for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. Due to the reduction of inpatient expense, the estimated reduction of outpatient visits is 2% among the general population and 3.39% among users of outpatient services. The drug expense per visit dropped by 27.20 CNY (4.47 USD) for outpatient services and 278.7 CNY (45.75 USD) for inpatient services. The proportion of drug expense out of total expense per visit dropped by 11.73 percentage points in outpatient visits and by 3.92 percentage points in inpatient visits. Implementation of ZPED is a benefit for patients in both absolute and relative terms. The absolute monetary reduction of the per-visit inpatient expense is 20 times of that in outpatient care. According to cross-price elasticity, the substitution between inpatient and outpatient due to the change in inpatient price is small. Furthermore, given that the relative reductions are the same for outpatient and inpatient visits, according to relative thinking theory, the incentive to utilize outpatient or inpatient care attributed to ZPED is equivalent, regardless of the 20-times price difference in absolute terms.

Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

PubMed Central

2012-01-01

Background Childhood obesity in rural communities is a serious but understudied problem. The current experiment aims to assess a wide range of obesity risk factors among rural youth and to offer an 8-month intervention program for parents to reduce obesity risk in their preteen child. Methods/Design A two-group, repeated measures design is used to assess the effectiveness of the 4-Health intervention program. Assessments include anthropometric measures, child self-evaluations, parent self-evaluations, and parent evaluations of child. County Extension agents from 21 rural Montana counties recruit approximately 150 parent–child dyads and counties are semi-randomly assigned to the active intervention group (4-Health Educational Program) or a “best-practices” (Healthy Living Information) control group. Discussion This study will shed light on the effectiveness of this parent-only intervention strategy in reducing obesity risk factors among rural preteens. The 4-Health program is designed to provide information and skills development for busy rural parents that will increase healthy lifestyles of their preteen children and improve the parents’ ability to intervene effectively in the lives of their families during this critical developmental period. Trial registration ClinicalTrials.gov ID: NCT01510587 PMID:22471650

Development of a countywide recycling program for Polk County, Wisconsin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

Designing a recycling program for a rural county presents many more challenges in terms of transportation of materials and funding sources. Rural counties and communities typically have much smaller budgets and resources to draw from. In order to create a program that could realistically be implemented and also have widespread support, it was decided to allow ample time for public involvement in the design process. A multi-faceted approach was adopted to facilitate participation by individuals involved in solid waste handling and the general public. The approach included the use of surveys, formation of an advisory committee, public meetings, presentations tomore » civic groups, personal contacts, news releases, and a logo contest. The public involvement turned out to be invaluable. Throughout the year, many concepts and ideas were presented for feedback. Consequently, some aspects of the program were modified, some were scrapped altogether, and a few new ideas were added. Undoubtedly, the process of refinement will continue as the program moves into the implementation phase. The extensive public involvement has resulted in strong support for the countywide program from many sectors, including private haulers and recycling businesses, local officials and county board supervisors, civic groups, environmental groups, and the general public.« less

Leaders' Perspectives on Rural Tourism: Case Studies in Pennsylvania.

ERIC Educational Resources Information Center

Bourke, Lisa; Luloff, A. E.

1995-01-01

Data from nearly 50 community leaders in 4 nonmetropolitan Pennsylvania counties show that both positive and negative impacts from tourism development were expected; local support was essential. Some feared that tourism was a threat to the rural atmosphere. (SK)

Rural-Urban Differences in Late-Stage Breast Cancer: Do Associations Differ by Rural-Urban Classification System?

PubMed Central

Pruitt, Sandi L; Eberth, Jan M; Morris, E Scott; Grinsfelder, David B; Cuate, Erica L

2016-01-01

Introduction Rural residence is associated with later stage of breast cancer diagnosis in some but not all prior studies. The lack of a standardized definition of rural residence may contribute to these mixed findings. We characterize and compare multiple definitions of rural vs. non-rural residence to provide guidance regarding choice of measures and to further elucidate rural disparities in breast cancer stage at diagnosis. Methods We used Texas Cancer Registry data of 120,738 female breast cancer patients ≥50 years old diagnosed between 1995–2009. We defined rural vs. non-rural residence using 7 different measures and examined their agreement using Kappa statistics. Measures were defined at various geographic levels: county, ZIP code, census tract, and census block group. Late-stage was defined as regional or distant disease. For each measure, we tested the association of rural residence and late-stage cancer with unadjusted and adjusted logistic regression. Covariates included: age; patient race/ethnicity; diagnosis year; census block group-level mammography capacity; and census tract-level percent poverty, percent Hispanic, and percent Black. Results We found moderate to high levels of agreement between measures of rural vs. non-rural residence. For 72.9% of all patients, all 7 definitions agreed as to rural vs. non-rural residence. Overall, 6 of 7 definitions demonstrated an adverse association between rural residence and late-stage disease in unadjusted and adjusted models (Adjusted OR Range = 1.09–1.14). Discussion Our results document a clear rural disadvantage in late-stage breast cancer. We contribute to the heterogeneous literature by comparing varied measures of rural residence. We recommend use of the census tract-level Rural Urban Commuting Area Codes in future cancer outcomes research where small area data are available. PMID:27158685

The Landslide Passage of a Seven Million Dollar School Bond Referendum in Rural Virginia.

ERIC Educational Resources Information Center

Greig, Richard D.

This article describes a campaign for the passage of a 1989 bond referendum for the construction of two elementary schools in rural Lunenburg County, Virginia. The article, written from the perspective of a neophyte school superintendent, offers a demographic description of the county, describes various voter groups, and provides a chronology of…

Rural Land Use in the Monongahela River Basin. [Agricultural Experiment Station] Bulletin 641.

ERIC Educational Resources Information Center

Akintola, Jacob; And Others

In order to determine rural land use in the Monongahela River Basin, 11,528 landowners, controlling 40 percent of 10 contiguous counties in north-central West Virginia and constituting 19 percent of the rural population, were surveyed. Data derived from 892 questionnaire responses were analyzed in terms of past, present, and future land use; land…

Rural and Urban Differences in Vocational Rehabilitation Case Mix, Delivery Practices, and Employment Outcomes

ERIC Educational Resources Information Center

Ipsen, Catherine; Swicegood, Grant

2015-01-01

Purpose: To examine rural and urban differences in Vocational Rehabilitation (VR) case mix, delivery practices, and employment outcomes. Methods: Rehabilitation Services Administration 911 (RSA-911) case data do not include location indicators that allow for rural analyses. We compiled RSA-911 data with county and ZIP code information from 47 VR…

Selected Health Practices Among Ohio's Rural Residents: A Decade of Findings. Research Bulletin 1077.

ERIC Educational Resources Information Center

Phillips, G. Howard; And Others

Seven preventive health measures were studied for purposes of determining Ohio rural residents' level of participation; change in participation between 1962 and 1972; participation by farm and rural nonfarm categories; and level of participation by age, sex, educational attainment, and family size. Randomly selected from 10 of Ohio's 88 counties,…

The Continuing Incidence of Natural Decrease in American Counties

ERIC Educational Resources Information Center

Johnson, Kenneth M.

2011-01-01

In 2002, more American counties (985) experienced natural decrease than at any time in the nation's history. The incidence of natural decrease has diminished since then, but remains near record levels. It is most common in rural areas remote from metropolitan centers. Spatial concentrations exist in the Great Plains, Corn Belt, and East Texas,…

Rural and Urban Differences in Passenger-Vehicle-Occupant Deaths and Seat Belt Use Among Adults - United States, 2014.

PubMed

Beck, Laurie F; Downs, Jonathan; Stevens, Mark R; Sauber-Schatz, Erin K

2017-09-22

Motor-vehicle crashes are a leading cause of death in the United States. Compared with urban residents, rural residents are at an increased risk for death from crashes and are less likely to wear seat belts. These differences have not been well described by levels of rurality. 2014. Data from the Fatality Analysis Reporting System (FARS) and the Behavioral Risk Factor Surveillance System (BRFSS) were used to identify passenger-vehicle-occupant deaths from motor-vehicle crashes and estimate the prevalence of seat belt use. FARS, a census of U.S. motor-vehicle crashes involving one or more deaths, was used to identify passenger-vehicle-occupant deaths among adults aged ≥18 years. Passenger-vehicle occupants were defined as persons driving or riding in passenger cars, light trucks, vans, or sport utility vehicles. Death rates per 100,000 population, age-adjusted to the 2000 U.S. standard population and the proportion of occupants who were unrestrained at the time of the fatal crash, were calculated. BRFSS, an annual, state-based, random-digit-dialed telephone survey of the noninstitutionalized U.S. civilian population aged ≥18 years, was used to estimate prevalence of seat belt use. FARS and BRFSS data were analyzed by a six-level rural-urban designation, based on the U.S. Department of Agriculture 2013 rural-urban continuum codes, and stratified by census region and type of state seat belt enforcement law (primary or secondary). Within each census region, age-adjusted passenger-vehicle-occupant death rates per 100,000 population increased with increasing rurality, from the most urban to the most rural counties: South, 6.8 to 29.2; Midwest, 5.3 to 25.8; West, 3.9 to 40.0; and Northeast, 3.5 to 10.8. (For the Northeast, data for the most rural counties were not reported because of suppression criteria; comparison is for the most urban to the second-most rural counties.) Similarly, the proportion of occupants who were unrestrained at the time of the fatal crash

Long-Term Care in Small Rural Hospitals.

ERIC Educational Resources Information Center

Bowlyow, Joyce E.

1989-01-01

Compared small rural hospitals with long-term care units to those without units. Found both hospital and community differences. Hospitals with such units were smaller and differed in length of stay, personnel, and expenses. Their counties were smaller in population and less urban, but did not have proportionally more elderly or different…

Experiences in Rural Mental Health. I: Surveys.

ERIC Educational Resources Information Center

Bentz, Willard K.; And Others

Based on a North Carolina feasibility study (1967-73 in Vance and Franklin Counties) which focused on development of a pattern for providing comprehensive mental health services to rural people, this booklet is the first in a series of nine and deals with methods of gathering preliminary information. Basically, this booklet presents information…

75 FR 53371 - Environmental Impact Statement; Santa Rosa County, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-31

... be prepared for a proposed highway project in Santa Rosa County, Florida. FOR FURTHER INFORMATION... would provide for a four-lane rural highway with plans to build two-lanes initially to be widened to a... soliciting comments will be sent to appropriate Federal, State, and local agencies, and to private...

Eight Americas: investigating mortality disparities across races, counties, and race-counties in the United States.

PubMed

Murray, Christopher J L; Kulkarni, Sandeep C; Michaud, Catherine; Tomijima, Niels; Bulzacchelli, Maria T; Iandiorio, Terrell J; Ezzati, Majid

2006-09-01

The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the "eight Americas," to explore the causes of the disparities that can inform specific public health intervention policies and programs. The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks) and 12.8 y for females (Asians versus low-income southern rural blacks). Mortality disparities among the eight Americas were largest for young (15-44 y) and middle-aged (45-59 y) adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of Americans, are enormous by all international standards. The

Patterns of gun deaths across US counties 1999-2013.

PubMed

Kalesan, Bindu; Galea, Sandro

2017-05-01

We examined the socio-demographic distribution of gun deaths across 3143 counties in 50 United States' states to understand the spatial patterns and correlates of high and low gun deaths. We used aggregate counts of gun deaths and population in all counties from 1999 to 2013 from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (WONDER). We characterized four levels of gun violence, as distinct levels of gun death rates of relatively safe, unsafe, violent, and extremely violent counties, based on quartiles of 15-year county-specific gun death rates per 100,000 and used negative binomial regression models allowing clustering by state to calculate incidence rate ratios and 95% confidence intervals (95% CIs). Most states had at least one violent or extremely violent county. Extremely violent gun counties were mostly rural, poor, predominantly minority, had high unemployment rate and homicide rate. Overall, homicide rate was significantly associated with gun deaths (incidence rate ratios = 1.08, 95% CI = 1.06-1.09). In relatively safe counties, this risk was 1.09 (95% CI = 1.05-1.13) and in extremely violent gun counties was 1.03 (95% CI = 1.03-1.04). There are broad differences in gun death rates across the United States representing different levels of gun death rates in each state with distinct socio-demographic profiles. Copyright © 2017 Elsevier Inc. All rights reserved.

Rural and Urban Differences in Air Quality, 2008–2012, and Community Drinking Water Quality, 2010–2015 — United States

PubMed Central

Kennedy, Caitlin; Monti, Michele; Yip, Fuyuen

2017-01-01

Problem/Condition The places in which persons live, work, and play can contribute to the development of adverse health outcomes. Understanding the differences in risk factors in various environments can help to explain differences in the occurrence of these outcomes and can be used to develop public health programs, interventions, and policies. Efforts to characterize urban and rural differences have largely focused on social and demographic characteristics. A paucity of national standardized environmental data has hindered efforts to characterize differences in the physical aspects of urban and rural areas, such as air and water quality. Reporting Period 2008–2012 for air quality and 2010–2015 for water quality. Description of System Since 2002, CDC’s National Environmental Public Health Tracking Program has collaborated with federal, state, and local partners to gather standardized environmental data by creating national data standards, collecting available data, and disseminating data to be used in developing public health actions. The National Environmental Public Health Tracking Network (i.e., the tracking network) collects data provided by national, state, and local partners and includes 21 health outcomes, exposures, and environmental hazards. To assess environmental factors that affect health, CDC analyzed three air-quality measures from the tracking network for all counties in the contiguous United States during 2008–2012 and one water-quality measure for 26 states during 2010–2015. The three air-quality measures include 1) total number of days with fine particulate matter (PM2.5) levels greater than the U.S. Environmental Protection Agency’s (EPA’s) National Ambient Air Quality Standards (NAAQS) for 24-hour average PM2.5 (PM2.5 days); 2) mean annual average ambient concentrations of PM2.5 in micrograms per cubic meter (mean PM2.5); and 3) total number of days with maximum 8-hour average ozone concentrations greater than the NAAQS (ozone days

AN INVESTIGATION OF VISION PROBLEMS AND THE VISION CARE SYSTEM IN RURAL CHINA.

PubMed

Bai, Yunli; Yi, Hongmei; Zhang, Linxiu; Shi, Yaojiang; Ma, Xiaochen; Congdon, Nathan; Zhou, Zhongqiang; Boswell, Matthew; Rozelle, Scott

2014-11-01

This paper examines the prevalence of vision problems and the accessibility to and quality of vision care in rural China. We obtained data from 4 sources: 1) the National Rural Vision Care Survey; 2) the Private Optometrists Survey; 3) the County Hospital Eye Care Survey; and 4) the Rural School Vision Care Survey. The data from each of the surveys were collected by the authors during 2012. Thirty-three percent of the rural population surveyed self-reported vision problems. Twenty-two percent of subjects surveyed had ever had a vision exam. Among those who self-reported having vision problems, 34% did not wear eyeglasses. Fifty-four percent of those with vision problems who had eyeglasses did not have a vision exam prior to receiving glasses. However, having a vision exam did not always guarantee access to quality vision care. Four channels of vision care service were assessed. The school vision examination program did not increase the usage rate of eyeglasses. Each county-hospital was staffed with three eye-doctors having one year of education beyond high school, serving more than 400,000 residents. Private optometrists often had low levels of education and professional certification. In conclusion, our findings shows that the vision care system in rural China is inadequate and ineffective in meeting the needs of the rural population sampled.

Homeless Families in Rural and Non-Urban Communities.

ERIC Educational Resources Information Center

Rife, John C.; And Others

1992-01-01

Interviews with 247 homeless families (including 480 children) in 21 rural Ohio counties found that over two-thirds were headed by young single females. The most frequently cited reasons for homelessness were family conflict or dissolution and economic factors. Implications for service provision and policy development are discussed. (LP)

Impact of a Rural Domestic Violence Prevention Campaign.

ERIC Educational Resources Information Center

Gadomski, Anne M.; Tripp, Maria; Wolff, Debra A.; Lewis, Carol; Jenkins, Paul

2001-01-01

A 7-month public health information campaign used radio advertising, mass media articles, mailings, and posters to address attitudes and behavioral intentions toward domestic violence in a rural county. The campaign raised public awareness, particularly among men; increased stated intentions to intervene in a neighbor's domestic violence; and…

Rural Nebraska Elementary School Educators Teach Nutrition Concepts.

ERIC Educational Resources Information Center

Pohlman, H. Darlene; Driskell, Judy A.

2002-01-01

A survey completed by 464 Nebraska elementary teachers found that 68 percent thought the teaching of nutrition had high priority in the elementary curriculum. Teachers in rural, mid-sized, and urban counties did not differ in attitudes toward nutrition instruction, most instructional practices, their own nutritional training, or available…

The Financial Impact of the ‘Zero-Markup Policy for Essential Drugs’ on Patients in County Hospitals in Western Rural China

PubMed Central

Zhou, Zhongliang; Su, Yanfang; Campbell, Benjamin; Zhou, Zhiying; Gao, Jianmin; Yu, Qiang; Chen, Jiuhao; Pan, Yishan

2015-01-01

Objective With a quasi-experimental design, this study aims to assess whether the Zero-markup Policy for Essential Drugs (ZPED) reduces the medical expense for patients at county hospitals, the major healthcare provider in rural China. Methods Data from Ningshan county hospital and Zhenping county hospital, China, include 2014 outpatient records and 9239 inpatient records. Quantitative methods are employed to evaluate ZPED. Both hospital-data difference-in-differences and individual-data regressions are applied to analyze the data from inpatient and outpatient departments. Results In absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD) for outpatient services and 399.6 CNY (65.60 USD) for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. Due to the reduction of inpatient expense, the estimated reduction of outpatient visits is 2% among the general population and 3.39% among users of outpatient services. The drug expense per visit dropped by 27.20 CNY (4.47 USD) for outpatient services and 278.7 CNY (45.75 USD) for inpatient services. The proportion of drug expense out of total expense per visit dropped by 11.73 percentage points in outpatient visits and by 3.92 percentage points in inpatient visits. Conclusion Implementation of ZPED is a benefit for patients in both absolute and relative terms. The absolute monetary reduction of the per-visit inpatient expense is 20 times of that in outpatient care. According to cross-price elasticity, the substitution between inpatient and outpatient due to the change in inpatient price is small. Furthermore, given that the relative reductions are the same for outpatient and inpatient visits, according to relative thinking theory, the incentive to utilize outpatient or inpatient care attributed to ZPED is equivalent, regardless of the 20-times price difference in absolute terms. PMID:25790443

Consideration of driver home county prohibition and alcohol-related vehicle crashes.

PubMed

Schulte Gary, Sarah Lynn; Aultman-Hall, Lisa; McCourt, Matt; Stamatiadis, Nick

2003-09-01

This study examines the characteristics of alcohol-related crashes in wet versus dry counties in the state of Kentucky, USA and incorporates the location of driver residences through use of geographic information system (GIS) analysis. Between 1991 and 1997, 39344 alcohol-related crashes by Kentucky residents on Kentucky State roads were reported. The location of the crash and the home ZIP code from the driver's address were used to consider distance from home in the GIS. Analysis of the crash data revealed that a similar proportion of crashes in wet and dry counties are alcohol-related but that a higher proportion of dry counties residents are involved in an alcohol-related crash. However, when the distance from home variable is considered, several results suggest that dry county residents may be driving further when consuming alcohol. In part due to the rural nature of dry counties, drivers from dry counties have both alcohol-related and non-alcohol related crashes farther from their homes than residents from wet counties. Alcohol-related crashes by dry county residents in wet counties are the greatest average distance from home while crashes by wet county residents in wet counties are the smallest average distance. Drivers from dry counties over 21 years of age have alcohol-related crashes significantly farther from home than those under 21 who would not legally be admitted to drinking establishments in the wet counties. Furthermore, residents from dry counties that do not border wet counties have alcohol-related crashes on average farther from home than the border county residents. These last three results provide circumstantial evidence that some dry county drivers may be driving to wet counties to consume alcohol thus increasing impaired driving exposure. In conclusion, by considering crash location and driver residence, these findings indicate that county-level prohibition is not necessarily effective in improving highway safety.

Enhanced curriculum intervention did not result in increased postnatal physical activity in rural, Southern, primarily African American women

USDA-ARS?s Scientific Manuscript database

Purpose. To test the impact of two home visiting curricula on postnatal physical activity in rural, Southern, African American mothers. Design. Randomized controlled trial. Setting. Three rural counties in Mississippi. Subjects. Between September 2013 and May 2016, 54 postpartum women randomized...

Labor Markets in the Rural South: A Study Based on Four Rural Southern Counties.

ERIC Educational Resources Information Center

Adams, John F.; And Others

Focusing on the factors inhibiting the labor market's adjustment to economic change, the study examined the economic and social problems facing southern rural areas and populations, including Chicanos and migrants. Factors were in the areas of the labor market behavior, income and earnings, poverty, welfare system and welfare reform, manpower…

How agricultural multiple ecosystem services respond to socioeconomic factors in Mengyin County, China.

PubMed

Chen, Yajuan; Yu, Zhenrong; Li, Xuedong; Li, Pengyao

2018-07-15

Provisioning services have always been the main focus of agriculture, and which have led to a decline in biodiversity and have damaged a number of other services. Agriculture should contribute to current and future food security while producing multiple ecosystem services (ES). Restoration outcomes of multiple ES were affected by different socioeconomic drivers, thus a better understanding of how multiple ES respond to socioeconomic drivers can help to restore multiple ES. This paper used rural people's perceptions of ES to quantify and map ecosystem service obtainment and demand in the Mengyin County, China. An integrative index of multiple ecosystem services (IMES) was used to effectively aggregate the values of multiple ES. The threat categorization framework is designed to communicate the degree to which the adequate and sustainable provision of multiple ES is threatened, in order to prioritize conservation actions. The results revealed that 6 townships in the Mengyin County exhibited an excessive obtainment situation (demand is less than obtainment) of multiple ES; an insufficient obtainment situation (demand is greater than obtainment) of multiple ES was mainly situated in the northern part of Mengyin County. Overall, the current state of multiple ES across Mengyin County is classified as "Endangered" classification according to application of threat categorization framework. It is necessary to restructure and manage socioeconomic factors for multiple ES. At national level, the macro decision-making (controlling population density) and the mechanisms (attracting high-quality human resources into the rural) will play an important role in promoting multiple ES management, and it is necessary to provide 3 or more years of tailored educational resources for rural residents to advance multiple ES in agricultural landscape. Development of agricultural PES programs in China that enable farmers to profit from production ES is a sustainable strategy for increasing

Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014

PubMed Central

Downs, Jonathan; Stevens, Mark R.; Sauber-Schatz, Erin K.

2017-01-01

Problem/Condition Motor-vehicle crashes are a leading cause of death in the United States. Compared with urban residents, rural residents are at an increased risk for death from crashes and are less likely to wear seat belts. These differences have not been well described by levels of rurality. Reporting Period 2014. Description of Systems Data from the Fatality Analysis Reporting System (FARS) and the Behavioral Risk Factor Surveillance System (BRFSS) were used to identify passenger-vehicle–occupant deaths from motor-vehicle crashes and estimate the prevalence of seat belt use. FARS, a census of U.S. motor-vehicle crashes involving one or more deaths, was used to identify passenger-vehicle–occupant deaths among adults aged ≥18 years. Passenger-vehicle occupants were defined as persons driving or riding in passenger cars, light trucks, vans, or sport utility vehicles. Death rates per 100,000 population, age-adjusted to the 2000 U.S. standard population and the proportion of occupants who were unrestrained at the time of the fatal crash, were calculated. BRFSS, an annual, state-based, random-digit–dialed telephone survey of the noninstitutionalized U.S. civilian population aged ≥18 years, was used to estimate prevalence of seat belt use. FARS and BRFSS data were analyzed by a six-level rural-urban designation, based on the U.S. Department of Agriculture 2013 rural-urban continuum codes, and stratified by census region and type of state seat belt enforcement law (primary or secondary). Results Within each census region, age-adjusted passenger-vehicle–occupant death rates per 100,000 population increased with increasing rurality, from the most urban to the most rural counties: South, 6.8 to 29.2; Midwest, 5.3 to 25.8; West, 3.9 to 40.0; and Northeast, 3.5 to 10.8. (For the Northeast, data for the most rural counties were not reported because of suppression criteria; comparison is for the most urban to the second-most rural counties.) Similarly, the

Exploring the Attractiveness of a Norwegian Rural Higher Education Institution Using Importance-Performance Analysis

ERIC Educational Resources Information Center

Hanssen, Thor-Erik Sandberg; Mathisen, Terje Andreas

2018-01-01

High school graduates in rural counties often move to urban areas to study at higher education institutions (HEIs). Because graduates from HEIs often settle in regions in which they graduate, the result is a permanent out-migration of young talent from rural areas. This study adds to the body of literature on student choice by addressing measures…

An Examination of the Receptivity of Mexican-American and Anglo Rural Disadvantaged to Educational Programs.

ERIC Educational Resources Information Center

Tindall, Lloyd W.; And Others

In order to determine the willingness of rural disadvantaged to participate in educational programs, 125 rural male Anglo and Mexican American household heads, both on and off welfare, were interviewed. The stratified sample was drawn from 4 Michigan counties. Based on findings from the 81 questions, these conclusions were made: Mexican Americans…

Issues and Needs in Rural Early Childhood Special Education Services in Florida: A Delphi Study.

ERIC Educational Resources Information Center

Weiss, Keith E.; Correa, Vivian I.

A Delphi Technique was used to examine the problems of early childhood special education programs in rural Florida. Two rounds of questionnaires were completed by a panel of early childhood special education administrators and teachers from 14 of Florida's 27 rural counties. In response to the questionnaires, the panel developed 51 problem-related…

Inequity of Human Services: The Rural Tennessee Dilemma.

ERIC Educational Resources Information Center

Tennessee State Univ., Nashville.

Davidson, Williamson, Rutherford, and Cheatham counties of Tennessee were the setting for a study that sought to determine the types of health and social services provided to residents of rural areas and to assess the present status of the service delivery system. Interviews with both agency representatives and randomly selected household…

Cornerstones: Building Rural America through Service Learning.

ERIC Educational Resources Information Center

Pace, Jerry

Students in a poor, rural county in South Carolina worked with their community to build a new volunteer fire station, enabling many residents to get fire insurance. The project enabled students to see the relevance of education and to be seen as solutions to problems rather than as problems, generated enthusiasm among students toward the community…

Evaluating a De-Centralized Regional Delivery System for Breast Cancer Screening and Patient Navigation for the Rural Underserved

PubMed Central

Inrig, Stephen J.; Tiro, Jasmin A.; Melhado, Trisha V.; Argenbright, Keith E.; Craddock Lee, Simon J.

2017-01-01

Providing breast cancer screening services in rural areas is challenging due to the fractured nature of healthcare delivery systems and complex reimbursement mechanisms that create barriers to access for the under- and uninsured. Interventions that reduce structural barriers to mammography, like patient navigation programs, are effective and recommended, especially for minority and underserved women. Although the literature on rural healthcare is significant, the field lacks studies of adaptive service delivery models and rigorous evaluation of evidence-based programs that facilitate routine screening and appropriate follow-up across large geographic areas. Objectives To better understand how to implement a decentralized regional delivery “hub & spoke” model for rural breast cancer screening and patient navigation, we have designed a rigorous, structured, multi-level and mixed-methods evaluation based on Glasgow’s RE-AIM model (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Methods and Design The program is comprised of three core components: 1) Outreach to underserved women by partnering with county organizations; 2) Navigation to guide patients through screening and appropriate follow-up; and 3) Centralized Reimbursement to coordinate funding for screening services through a central contract with Medicaid Breast and Cervical Cancer Services (BCCS). Using Glasgow’s RE-AIM model, we will: 1) assess which counties have the resources and capacity to implement outreach and/or navigation components, 2) train partners in each county on how to implement components, and 3) monitor process and outcome measures in each county at regular intervals, providing booster training when needed. Discussion This evaluation strategy will elucidate how the heterogeneity of rural county infrastructure impacts decentralized service delivery as a navigation program expands. In addition to increasing breast cancer screening access, our model improves and

Evaluating a De-Centralized Regional Delivery System for Breast Cancer Screening and Patient Navigation for the Rural Underserved.

PubMed

Inrig, Stephen J; Tiro, Jasmin A; Melhado, Trisha V; Argenbright, Keith E; Craddock Lee, Simon J

2014-01-01

Providing breast cancer screening services in rural areas is challenging due to the fractured nature of healthcare delivery systems and complex reimbursement mechanisms that create barriers to access for the under- and uninsured. Interventions that reduce structural barriers to mammography, like patient navigation programs, are effective and recommended, especially for minority and underserved women. Although the literature on rural healthcare is significant, the field lacks studies of adaptive service delivery models and rigorous evaluation of evidence-based programs that facilitate routine screening and appropriate follow-up across large geographic areas. To better understand how to implement a decentralized regional delivery "hub & spoke" model for rural breast cancer screening and patient navigation, we have designed a rigorous, structured, multi-level and mixed-methods evaluation based on Glasgow's RE-AIM model (Reach, Effectiveness, Adoption, Implementation, and Maintenance). The program is comprised of three core components: 1) Outreach to underserved women by partnering with county organizations; 2) Navigation to guide patients through screening and appropriate follow-up; and 3) Centralized Reimbursement to coordinate funding for screening services through a central contract with Medicaid Breast and Cervical Cancer Services (BCCS). Using Glasgow's RE-AIM model, we will: 1) assess which counties have the resources and capacity to implement outreach and/or navigation components, 2) train partners in each county on how to implement components, and 3) monitor process and outcome measures in each county at regular intervals, providing booster training when needed. This evaluation strategy will elucidate how the heterogeneity of rural county infrastructure impacts decentralized service delivery as a navigation program expands. In addition to increasing breast cancer screening access, our model improves and maintains time to diagnostic resolution and facilitates

77 FR 46022 - Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-02

...The Lincoln County Resource Advisory Committee will meet in Libby, MT. The committee is authorized under the Secure Rural Schools and Community Self-Determination Act (Pub. L. 110-343) (the Act) and operates in compliance with the Federal Advisory Committee Act. The purpose of the committee is to improve collaborative relationships and to provide advice and recommendations to the Forest Service concerning projects and funding consistent with the title II of the Act. The meeting is open to the public. The purpose of the meeting is to review status of project implementation and review of status of funds for 2008-2011 Secure Rural Schools and Community Self-Determination Act.

77 FR 56607 - Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-13

...The Lincoln County Resource Advisory Committee will meet in Libby, MT. The committee is authorized under the Secure Rural Schools and Community Self-Determination Act (Pub. L 110-343) (the Act) and operates in compliance with the Federal Advisory Committee Act. The purpose of the committee is to improve collaborative relationships and to provide advice and recommendations to the Forest Service concerning projects and funding consistent with the title II of the Act. The meeting is open to the public. The purpose of the meeting is to review and recommend project proposals for implementation for Secure Rural Schools and Community Self-Determination Act 2012.

Basic Education and Social Development in China's Rural Areas.

ERIC Educational Resources Information Center

Xu, Shunsong

This case study examines the interaction between basic education (primary education, adult literacy, and nonformal adult education) and economic development needs in rural Zhuji County, Zhejiang Province, located in southeast China. In Zhuji, parents traditionally have endured hardships to send their children to school and otherwise encouraged…

Rural primary care practices and meaningful use of electronic health records: the role of Regional Extension Centers.

PubMed

Casey, Michelle M; Moscovice, Ira; McCullough, Jeffrey

2014-01-01

To examine the role of Regional Extension Centers (RECs) in helping rural physician practices adopt electronic health records (EHRs) and achieve meaningful use. Using data from the Office of the National Coordinator for Health Information Technology, we conducted a county-level regression analysis using ordinary least squares to better understand rural-urban differences in REC participation, EHR implementation, and meaningful use, controlling for counties' economic conditions. We prepared case studies of 2 RECs that are serving a large number of rural practices, based on interviews with key individuals at the RECs, their partner organizations, and rural primary care practices that received assistance from the RECs. RECs are largely achieving their objective of targeting providers in communities that face barriers to EHRs. REC participants are disproportionately rural and more likely to come from high poverty and low employment communities. The case study RECs had long-standing relationships with rural providers, as well as extensive staff expertise in quality improvement and EHR implementation, and employed a variety of strategies to successfully assist rural providers. Rural providers report that REC assistance was invaluable in helping them implement EHRs and achieve meaningful use status. Modifying the criteria for Medicare and Medicaid EHR incentives could help additional rural providers pay for EHRs. REC federal funding is scheduled to end in 2014, but practices that have not yet adopted EHRs may need significant, ongoing assistance to receive meaningful use. © 2013 National Rural Health Association.

Estimating the impact of cannabis production on rural land prices in Humboldt County, CA

Treesearch

Benjamin Schwab; Van Butsic

2017-01-01

Amenity values, development potential, commodity prices and productive capacity largely determine rural land prices. For rural lands used in timber and agricultural production, capacity and expected future commodity prices play primary roles. For rural lands that are used as second homes or recreational properties, amenities— such as being near lakes or having scenic...

Treatment of early-stage prostate cancer among rural and urban patients.

PubMed

Baldwin, Laura-Mae; Andrilla, C Holly A; Porter, Michael P; Rosenblatt, Roger A; Patel, Shilpen; Doescher, Mark P

2013-08-15

Geographic barriers and limited availability of cancer specialists may influence early prostate cancer treatment options for rural men. This study compares receipt of different early prostate cancer treatments between rural and urban patients. Using 2004-2006 SEER Limited-Use Data, 51,982 early prostate cancer patients were identified (T1c, T2a, T2b, T2c, T2NOS; no metastases) who were most likely to benefit from definitive treatment (< 75 years old, Gleason score < 8, PSA ≤ 20). Definitive treatment included radical prostatectomy, daily external beam radiation for 5 to 8 weeks, brachytherapy, or combination external beam radiation/brachytherapy. Adjusted definitive treatment rates were calculated by rural-urban residence overall, and for different sociodemographic and cancer characteristics, and different states based on logistic regression analyses, using general estimating equation methods to account for clustering by county. Adjusted definitive treatment rates were lower for rural (83.7%) than urban (87.1%) patients with early-stage prostate cancer (P ≤ .01). Rural men were more likely than urban men to receive non-definitive surgical treatment and no initial treatment. The lowest definitive treatment rates were among rural subgroups: 70 to 74 years (73.9%), African Americans (75.6%), American Indians/Alaska Natives (77.8%), single/separated/divorced (76.8%), living in New Mexico (69.3%), and living in counties with persistent poverty (79.6%). Between 2004 and 2006, this adjusted analysis found that men who were living in rural areas were less likely to receive definitive treatment for their early-stage prostate cancer than those living in urban areas. Certain rural patient groups with prostate cancer need particular attention to ensure their access to appropriate treatment. Rural providers, rural health care systems, and cancer advocacy and support organizations should ensure resources are in place so that the most vulnerable rural groups (men

Population growth, economic security, and cultural change in wilderness counties

Treesearch

Paul A. Lorah

2000-01-01

A familiar version of the “jobs versus the environment” argument asserts that wilderness areas limit economic growth by locking up potentially productive natural resources. Analysis of the development paths of rural Western counties shows that this is unlikely: the presence of Wilderness is correlated with income, employment and population growth. Similarly, Wilderness...

Is online pediatric continuing education effective in a rural state?

PubMed

Warren, Linda; Sapien, Robert; Fullerton-Gleason, Lynne

2008-01-01

This prospective study was designed to evaluate the effectiveness of online pediatric education for prehospital emergency medical technicians (EMTs). Online emergency medical services (EMS) continuing education modules, on various pediatric emergency topics, were developed for dissemination statewide. Pre- and posttest scores were compared by EMT level of training, rural versus urban location, and individual module performance. A total of 539 participants completed both the pre- and posttests. Of these, more than one-third (38.0%) reported Bernalillo County, the only urban county in the state, as the county in which they worked. Pretest scores ranged from 0 to 15 (mean = 8.5; 95% confidence interval [CI] = 8.2, 8.7), with a median of 8.0 and a mode of 8.0. Posttest scores were higher, ranging from 4 to 15 (mean = 11.6; 95% CI = 11.4, 11.7). For the posttest, the median score was 12.0 and the mode was 13.0. Urban and rural EMTs improved in posttests comparably. EMT-Basic participants' scores improved (mean change in score = 3.4, 95% CI = 3.1, 3.7) more than those of EMT-Intermediates (mean = 2.9, 95% CI = 2.5, 3.2) or EMT-Paramedics (mean = 2.7, 95% CI = 2.2, 3.3). 1) The New Mexico EMS for Children (EMSC) online pediatric continuing education program increased EMTs' cognitive knowledge; 2) rural EMTs accessed the training more than urban EMTs; and 3) although pre- and posttest results varied by EMT licensure level, improvements in scores also varied such that posttest scores were more similar than pretest scores.

Resilience in rural left-behind middle school students in Yunyang county of the Three Gorges area in China: a prospective cohort study.

PubMed

Luo, Yan; Wang, Hong; Lei, Xun; Guo, Xue; Huang, Ke; Liu, Qin

2016-03-23

The number of left-behind children in China is gradually increasing. This study aimed to understand the mental health status and changes in resilience of rural, left-behind middle school students in Yunyang County of the Three Gorges area in China. A prospective cohort study, including two follow-up surveys, with a frequency of once every 6 months was conducted among middle school students in Yunyang County. A self-designed questionnaire was used to obtain socio-demographic factors of participants, the Mental Health Test (MHT) scale was used to assess their mental health statuses, and resilience levels were collected using Resilience Youth Development Module (RYDM) scale at baseline and at the first and second follow-up investigations. Of the 1401 students who completed the baseline survey, 1322 students were eligible for the cohort study, of whom 1160 were investigated in the first follow-up survey. Ultimately, 1101 students completed the 1-year cohort. The detection rate of mental health problems for middle school students in the rural Three Gorges area was 5.64 %, and there was no significant difference between left-behind students (LBS) and non-left-behind students (NLBS) (χ (2) = 1.056, P = 0.304). The detection rates of medium resilience rose gradually (Z = 4.185, P = 0.000), while that of high resilience declined gradually (Z = 4.192, P = 0.000) in the baseline, first and second follow-up investigations. There was no significant difference between LBS and NLBS in resilience level (P > 0.05). The average RYDM scores were 2.990, 2.926, 2.904 among LBS in the baseline, first and second follow-up investigation, respectively, and the effect of time on the average RYDM scores was significant (F = 14.873, P = 0.000). The average MHT scores in LBS were 41.54, 39.79, 38.84 in the baseline, first and second follow-up investigations, respectively, and the detection rates of students who had psychological problems increased gradually (Z = 4.651, P = 0.000). The simple

Rural school-based telehealth: how to make it happen.

PubMed

Burke, Bryan; Bynum, Ann; Hall-Barrow, Julie; Ott, Rachel; Albright, Margaret

2008-11-01

When organizing new health care interventions among a rural population, a careful planning process respecting community-specific considerations should be used. The project objective centered on the successful implementation of a school-based telehealth clinic serving a rural, health-disparate population. Using an American Academy of Pediatrics Community Access to Child Health planning grant, a needs assessment of the Delta community was conducted. In synthesizing the results of this planning project, consensually addressed issues led to establishing a pilot school-based telehealth clinic within the rural county schools. Seven essential steps emerged as a set of guidelines that entities might consider in introducing a telemedicine school-based service in a rural community. The steps included assessing local and regional needs, securing community support and establishing goals, evaluating resources, configuring logistics, training staff, informing parents, and launching the clinic. Proper planning is crucial to the establishment of a rural school-based telehealth clinic.

Impact of preventive responses to epidemics in rural regions.

PubMed

Schumm, Phillip; Schumm, Walter; Scoglio, Caterina

2013-01-01

Various epidemics have arisen in rural locations through human-animal interaction, such as the H1N1 outbreak of 2009. Through collaboration with local government officials, we have surveyed a rural county and its communities and collected a dataset characterizing the rural population. From the respondents' answers, we build a social (face-to-face) contact network. With this network, we explore the potential spread of epidemics through a Susceptible-Latent-Infected-Recovered (SLIR) disease model. We simulate an exact model of a stochastic SLIR Poisson process with disease parameters representing a typical influenza-like illness. We test vaccine distribution strategies under limited resources. We examine global and location-based distribution strategies, as a way to reach critical individuals in the rural setting. We demonstrate that locations can be identified through contact metrics for use in vaccination strategies to control contagious diseases.

Effects of China's New Rural Cooperative Medical Scheme on reducing medical impoverishment in rural Yanbian: An alternative approach.

PubMed

Sun, Mei; Shen, Jay J; Li, Chengyue; Cochran, Christopher; Wang, Ying; Chen, Fei; Li, Pingping; Lu, Jun; Chang, Fengshui; Li, Xiaohong; Hao, Mo

2016-08-22

This study aimed to measure the poverty head count ratio and poverty gap of rural Yanbian in order to examine whether China's New Rural Cooperative Medical Scheme has alleviated its medical impoverishment and to compare the results of this alternative approach with those of a World Bank approach. This cross-sectional study was based on a stratified random sample survey of 1,987 households and 6,135 individuals conducted in 2008 across eight counties in Yanbian Korean Autonomous Prefecture, Jilin province, China. A new approach was developed to define and identify medical impoverishment. The poverty head count ratio, relative poverty gap, and average poverty gap were used to measure medical impoverishment. Changes in medical impoverishment after the reimbursement under the New Rural Cooperative Medical Scheme were also examined. The government-run New Rural Cooperative Medical Scheme reduced the number of medically impoverished households by 24.6 %, as well as the relative and average gaps by 37.3 % and 38.9 %, respectively. China's New Rural Cooperative Medical Scheme has certain positive but limited effects on alleviating medical impoverishment in rural Yanbian regardless of how medical impoverishment is defined and measured. More governmental and private-sector efforts should therefore be encouraged to further improve the system in terms of financing, operation, and reimbursement policy.

Development of Human Resources through a Vocationally Oriented Education Program for Disadvantaged Families in Depressed Rural Areas. Interim Report No. 2.

ERIC Educational Resources Information Center

Fuller, Gerald R.; Phipps, Lloyd J.

One aspect of Project REDY (Rural Education-Disadvantaged Youth) was to explore the degree of upward social and occupational mobility which society might realiztically expect from residents of a rural economically depressed area. Social class structure was identified as a related factor and examined in a rural, Southern Illinois county. It was…

The Boundaries around Schools and the Living Radius and Mobility of the Schools' Constituents: The Case of a Rural School

ERIC Educational Resources Information Center

Xizhen, Zhuang

2007-01-01

This article presents a preliminary analysis of a rural junior high school. This school is situated in S town, J county, Shandong province, and, in keeping with the procedure followed for naming the majority of schools in China by location of school + type of school, this school is called S Junior High. J county is one of Shandong's poor counties,…

Tourism Dependence in Rural America: Estimates and Effects

Treesearch

Donald B.K. English; David W. Marcouiller; H. Ken Cordell

2000-01-01

Recreation and tourism development coninue to play an impotnat role in reshaping rural America. Efforts to evaluate the effects of such development are complicated because residents and nonrecreation visitors also use the businesses that are affected by recreation and tourism visitors. We present a method for estimating in nonmetropolitan counties jobs and income that...

Supervision of Rural Schools. Bulletin, 1922, No. 10

ERIC Educational Resources Information Center

Cook, Katherine M.

1922-01-01

Supervision as understood in well-organized city systems has little resemblance to the annual visitation of schools as practiced by many county or other rural superintendents. The majority of these officers are fully conscious of the limitations imposed upon them by the conditions under which they work and they are active in their efforts to…

Study on Plan of Rural Waterfront Greenway in Beijing Based On Valley Economy

NASA Astrophysics Data System (ADS)

Feng, Li; Ma, Xiaoyan

2018-01-01

Valley economy is a major strategy for the development of Beijing mountainous area. This paper tried to apply the theory of rural waterfront greenway in valley, propose the grade system of rural greenway, which has important meaning to the refining of ecological network, the integration of tourism resources, and the promotion of agricultural industry in rural area. By way of illustration, according to the detailed analysis of the hydrology, altitude, slope, aspect, soil and vegetation conditions by GIS, the waterfront greenway, named ‘four seasons flowers’, in Yanqing county area was planned, so as to provide scientific guidance for the rural waterfront greenway construction.

Rural Districts Bolster Choices with Online Learning

ERIC Educational Resources Information Center

Brown, Don

2012-01-01

All schools can benefit from giving students the option of online learning, but for many rural schools, online learning is a lifeline. In the past two years, Lane Education Service District in Oregon, USA, has developed online resources for 14 Lane County school districts, which vary in size from 170 students to as many as 17,000. Many of the…

Chemical Characterization of Coarse Particulate Matter in the Desert Southwest - Pinal County Arizona, USA

EPA Science Inventory

The Desert Southwest Coarse Particulate Matter Study was undertaken of ambient concentrations and the composition of fine and coarse particles in rural, arid environments. Sampling was conducted in Pinal County, Arizona between February 2009 and February 2010. The goals of this ...

NPDES Permit for Crow Municipal Rural & Industrial Pilot Water Treatment Plant in Montana

EPA Pesticide Factsheets

Under NPDES permit MT-0031827, the Crow Indian Tribe is authorized to discharge from the Crow Municipal Rural & Industrial (MR&I) Pilot Water Treatment Plant in Bighorn County, Montana to the Bighorn River.

Ethnicity, Socioeconomic Status, and Health Disparities in a Mixed Rural-Urban US Community-Olmsted County, Minnesota.

PubMed

Wi, Chung-Il; St Sauver, Jennifer L; Jacobson, Debra J; Pendegraft, Richard S; Lahr, Brian D; Ryu, Euijung; Beebe, Timothy J; Sloan, Jeff A; Rand-Weaver, Jennifer L; Krusemark, Elizabeth A; Choi, YuBin; Juhn, Young J

2016-05-01

To characterize health disparities in common chronic diseases among adults by socioeconomic status (SES) and ethnicity in a mixed rural-urban community of the United States. We conducted a cross-sectional study to assess the association of the prevalence of the 5 most burdensome chronic diseases in adults with SES and ethnicity and their interaction. The Rochester Epidemiology Project medical records linkage system was used to identify the prevalence of coronary heart disease, asthma, diabetes, hypertension, and mood disorder using International Classification of Diseases, Ninth Revision codes recorded from January 1, 2005, through December 31, 2009, among all adult residents of Olmsted County, Minnesota, on April 1, 2009. For SES measurements, an individual HOUsing-based index of SocioEconomic Status (HOUSES) derived from real property data was used. Logistic regression models were used to examine the association of the prevalence of chronic diseases with ethnicity and HOUSES score and their interaction. We identified 88,010 eligible adults with HOUSES scores available, of whom 48,086 (54.6%) were female and 80,699 (91.7%) were non-Hispanic white; the median (interquartile range) age was 45 years (30-58 years). Overall and in the subgroup of non-Hispanic whites, SES measured by HOUSES was inversely associated with the prevalence of all 5 chronic diseases independent of age, sex, and ethnicity (P<.001). While an association of ethnicity with disease prevalence was observed for all the chronic diseases, SES modified the effect of ethnicity for clinically less overt conditions (interaction P<.05 for each condition [diabetes, hypertension, and mood disorder]) but not for coronary heart disease, a clinically more overt condition. In a mixed rural-urban setting with a predominantly non-Hispanic white population, health disparities in chronic diseases still exist across SES. The extent to which SES modifies the effect of ethnicity on the risk of chronic diseases may

U.S. 61 from the Muscatine County line to two miles south of Grandview Louisa County, Iowa NHS-61-3(48)--19-58 : environmental assessment and section 4(f) de minimis impact finding.

DOT National Transportation Integrated Search

2011-10-19

The Iowa Department of Transportation (Iowa DOT) is proposing to construct improvements to an approximately 6-mile segment of U.S. 61 in Louisa County, Iowa. The proposed improvements consist of a four-lane rural section with controlled accesses and ...

NPDES Draft Permit for Standing Rock Rural Water System in South Dakota

EPA Pesticide Factsheets

Under NPDES draft permit SD-0030996, the Standing Rock Rural Water System is authorized to discharge from its wastewater treatment facility in Corson County, South Dakota, to an unnamed tributary to Oahe Reservoir on the Missouri River.

One state's response to the malpractice insurance crisis: North Carolina's Rural Obstetrical Care Incentive Program.

PubMed Central

Taylor, D H; Ricketts, T C; Berman, J L; Kolimaga, J T

1992-01-01

In the period 1985-89, there was a severe drop in obstetrical services in rural areas of North Carolina, partly because of rising malpractice insurance rates. The State government responded with the Rural Obstetrical Care Incentive (ROCI) Program that provides a malpractice insurance subsidy of up to $6,500 per participating physician per year. Enacted into law in 1988, the ROCI Program was expanded in 1991, making certified nurse midwives eligible to receive subsidies of up to $3,000 per year. To participate, practitioners must provide obstetrical care to all women, regardless of their ability to pay for services. Total funding for the program has increased from $240,000 to $840,000, in spite of extreme budgetary constraints faced by the State. The program and how its implementation has maintained or increased access to obstetrical care in participating counties are described on the basis of site visits to local health departments in participating counties and data from the North Carolina Division of Maternal and Child Health. The program is of significance to policy makers nationwide as both a response to rising malpractice insurance rates and reduced access to obstetrical care in rural areas, and as an innovative, nontraditional State program in which the locus of decision making is at the county level. PMID:1410232

Eight Americas: Investigating Mortality Disparities across Races, Counties, and Race-Counties in the United States

PubMed Central

Murray, Christopher J. L; Kulkarni, Sandeep C; Michaud, Catherine; Tomijima, Niels; Bulzacchelli, Maria T; Iandiorio, Terrell J; Ezzati, Majid

2006-01-01

Background The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the “eight Americas,” to explore the causes of the disparities that can inform specific public health intervention policies and programs. Methods and Findings The eight Americas were defined based on race, location of the county of residence, population density, race-specific county-level per capita income, and cumulative homicide rate. Data sources for population and mortality figures were the Bureau of the Census and the National Center for Health Statistics. We estimated life expectancy, the risk of mortality from specific diseases, health insurance, and health-care utilization for the eight Americas. The life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was 20.7 y in 2001. Within the sexes, the life expectancy gap between the best-off and the worst-off groups was 15.4 y for males (Asians versus high-risk urban blacks) and 12.8 y for females (Asians versus low-income southern rural blacks). Mortality disparities among the eight Americas were largest for young (15–44 y) and middle-aged (45–59 y) adults, especially for men. The disparities were caused primarily by a number of chronic diseases and injuries with well-established risk factors. Between 1982 and 2001, the ordering of life expectancy among the eight Americas and the absolute difference between the advantaged and disadvantaged groups remained largely unchanged. Self-reported health plan coverage was lowest for western Native Americans and low-income southern rural blacks. Crude self-reported health-care utilization, however, was slightly higher for the more disadvantaged populations. Conclusions Disparities in mortality across the eight Americas, each consisting of millions or tens of millions of Americans

Political Awareness of Sixth Graders in a Rural Kentucky County.

ERIC Educational Resources Information Center

Singleton, J. Allen; Conner, Mary Lou

1981-01-01

Presents charts depicting responses of rural sixth grade students to factual and opinion questions about political awareness. Concludes that students have limited knowledge and awareness of the various levels of government and of matters related to government. (Author/KC)

Some Reasons Why Rural Workers Do Not Find Work in Tight Labor Markets: Results from Focus Groups Meetings in Rural Michigan. Staff Paper.

ERIC Educational Resources Information Center

Moser, Colletta H.; Begashaw, Getachew W.

A study examined barriers to employment for rural Michigan residents, especially during an economic boom. Four focus groups conducted in four nonmetropolitan growth counties in Michigan indicated that educated, skilled workers were seeking to enter the labor force or to work more hours, even though community leaders, newspapers, and job developers…

Country Schoolwomen: Teaching in Rural California, 1850-1950.

ERIC Educational Resources Information Center

Weiler, Kathleen

This book focuses on the lives and work of women teachers in two rural California counties between 1850 and 1950. It explores the social context of teaching and what teaching meant and provided to women teachers. Chapter 1 explores the shifts between 1840 and 1930 in representations of the woman teacher in the United States. Chapter 2 discusses…

A Poor Harvest: North Carolina's Rural Schools. A Reprint of Articles Published in The Raleigh News and Observer, March 26-28, 1989.

ERIC Educational Resources Information Center

Graves, Bill; Bolch, Judy

This series of newspaper articles evaluates North Carolina's schools and establishes a relationship between the state's rural poverty and low student achievement levels. Test scores in 1988 are consistently low in all but four of the poorest rural counties. Small schools are disappearing from rural areas. Large schools can offer students more…

Developing a Satellite Educational Program for Deaf and Hard of Hearing Students Residing in a Rural Setting.

ERIC Educational Resources Information Center

Witt, Sheree; Howell, Ruth

The Allegany County School System and the Maryland School for the Deaf (MSD) have collaborated to develop a satellite program that brings MSD educational services to hard-of-hearing and deaf elementary students in rural western Maryland. In the past 5 years, the number of hearing-impaired preschoolers in Allegany and Garrett Counties increased…

[Two-level logistic modeling analysis on the factors that influence birth in hospitals in poor rural areas of Sichuan province].

PubMed

Yu, Chuan; Li, Xiao-song

2008-11-01

To identify the determinants of birth in hospitals in the poor rural areas. A questionnaire survey in eight poor counties in Sichuan province was conducted. Multilevel logistic regression analysis was performed to identify the factors that influenced birth in hospitals. Hospitals delivered 61.4% of babies in the selected counties. Education, eligibility to poverty relief, numbers of pre-natal examinations and abnormalities found in pre-natal examinations had a significant impact on birth in hospitals. Education of women and medical relief in the poor rural areas need to be strengthened to increase the proportion of babies delivered in hospitals in the poor rural areas. Systematic management of pregnant women and increased pre-natal examinations could also contribute to hospital delivery of babies.

DRAFT LANDSAT DATA MOSAIC: MONTGOMERY COUNTY, TEXAS; HARRIS COUNTY, TEXAS; FORT BEND COUNTY, TEXAS; BRAZORIA COUNTY, TEXAS; GALVESTON COUNTY, TEXAS

EPA Science Inventory

This is a draft Landsat Data Mosaic, which contains remote sensing information for Montgomery County, Texas Harris County, Texas Fort Bend County, Texas Brazoria County, Texas Galveston County, and Texas Imagery dates on the following dates: October 6, 1999 and September 29, 200...

Water quality of streams in Johnson County, Kansas, 2002-07

USGS Publications Warehouse

Rasmussen, Teresa J.

2008-01-01

Water quality of streams in Johnson County, Kansas was evaluated from October 2002 through December 2007 in a cooperative study between the U.S. Geological Survey and the Johnson County Stormwater Management Program. Water quality at 42 stream sites, representing urban and rural basins, was characterized by evaluating benthic macroinvertebrates, water (discrete and continuous data), and/or streambed sediment. Point and nonpoint sources and transport were described for water-quality constituents including suspended sediment, dissolved solids and major ions, nutrients (nitrogen and phosphorus), indicator bacteria, pesticides, and organic wastewater and pharmaceutical compounds. The information obtained from this study is being used by city and county officials to develop effective management plans for protecting and improving stream quality. This fact sheet summarizes important results from three comprehensive reports published as part of the study and available on the World Wide Web at http://ks.water.usgs.gov/Kansas/studies/qw/joco/ .

Mineral resources and land use in Stanislaus County, California

DOE Office of Scientific and Technical Information (OSTI.GOV)

Higgins, C.T.; Dupras, D.L.; Chapman, R.H.

1993-04-01

Stanislaus County covers portions of 3 geologic provinces: Coast Ranges, Great Valley, and Sierra Nevada. Each has been exploited for a distinct set of mineral resources, which include sand and gravel, ball and fire clay, placer gold, manganese, chromite, magnesite, mercury, diatomite, building stone, and mineral pigment. Of these, sand and gravel, clay, and diatomite have been the most important commodities produced recently. Sand and gravel, particularly that along the Tuolumne River, is and will continue to be the county's main mineral product; other potentially important areas include alluvial fans along the west side of the Great Valley. Clay andmore » diatomite could resume importance in the future. There is also potential for quartz-rich specialty sands. Although the county is largely rural, it is undergoing one of the highest growth rates in California. Several new residential communities are being proposed in the county, which would have two major effects on mineral resources: (1) large sources of aggregate will be required for construction, and (2) development of residential areas may preclude mining of resources in those areas. Maps of mineral resources produced by this study, will assist decisions on such potential conflicts in land use.« less

Food beliefs and practices among the Kalenjin pregnant women in rural Uasin Gishu County, Kenya.

PubMed

Riang'a, Roselyter Monchari; Broerse, Jacqueline; Nangulu, Anne Kisaka

2017-05-25

Understanding food beliefs and practices is critical to the development of dietary recommendations, nutritional programmes, and educational messages. This study aimed to understand the pregnancy food beliefs and practices and the underlying reasons for these among the contemporary rural Kalenjin communities of Uasin Gishu County, Kenya. Through semi-structured interviews, data was collected from 154 pregnant and post-natal Kalenjin women about restricted and recommended foods, and why they are restricted or recommended during pregnancy. Respondents were purposively selected (based on diversity) from those attending Maternal and Child Health (MCH) care in 23 rural public health facilities. Key informant interviews (n = 9) with traditional Birth Attendants (TBA) who were also herbalists, community health workers, and nursing officers in charge of MCH were also conducted. Quantitative data was analysed using SPSS software. Data from respondents who gave consent to be tape recorded (n = 42) was transcribed and qualitatively analysed using MAXQDA software. The restriction of animal organs specifically the tongue, heart, udder and male reproductive organs, meat and eggs, and the recommendation of traditional green vegetables and milk was reported by more than 60% of the respondents. Recommendation of fruits, traditional herbs, ugali (a dish made of maize flour, millet flour, or Sorghum flour, sometimes mixed with cassava flour), porridge and liver, and restriction of avocadoes and oily food were reported by more than 20% of the respondents. The reasons for observing these dietary precautions were mainly fears of: big foetuses, less blood, lack of strength during birth, miscarriages or stillbirths, and maternal deaths as well as child's colic and poor skin conditions after birth. Pregnancy food beliefs were widely known and practised mainly to protect the health of the mother and child, and ensuring successful pregnancy outcome. Given the deep-rooted nature of the

Environmental analysis of geopressured-geothermal prospect areas, Brazoria and Kenedy Counties, Texas

DOE Office of Scientific and Technical Information (OSTI.GOV)

White, W.A.; McGraw, M.; Gustavson, T.C.

Preliminary environmental data, including current land use, substrate lithology, soils, natural hazards, water resources, biological assemblages, meteorological data, and regulatory considerations have been collected and analyzed for approximately 150 km/sup 2/ of land: (1) near Chocolate Bayou, Brazoria County, Texas, where a geopressured-geothermal test well was drilled in 1978, and (2) near the rural community of Armstrong, Kenedy County, Texas, where future geopressured-geothermal test well development may occur. The study was designed to establish an environmental data base and to determine, within spatial constraints set by subsurface reservoir conditions, environmentally suitable sites for geopressured-geothermal wells.

Differences in Student Misbehavior after Completing In-School Suspension between Rural High School and Suburban High School Students

ERIC Educational Resources Information Center

Welch, Martin Ervind

2010-01-01

This study investigated the differences that exist in rural and suburban high school student misbehavior after completing in-school suspension (ISS) in Alabama's Mobile County Public School System. The independent variables of rural or suburban, gender, and ethnicity were used to determine the differences of the various groups. The archival…

Some Preliminary Findings of Structural Changes in Rural Communities Stemming from the "Farm Crisis." Department of Agricultural Economics Staff Paper.

ERIC Educational Resources Information Center

Olsen, Duane A.; And Others

Analysis of secondary data from 1980-85 revealed economic, demographic, social, and psychological effects of the current "farm crisis" on rural communities in Nebraska. Agriculturally dependent counties were found to have a widening income disparity with state and metropolitan county averages, declining retail sales, slower increase in…

Flood of May 27-28, 1954, in Panola and Lafayette Counties, Mississippi

USGS Publications Warehouse

Goines, W.H.

1955-01-01

As a result of heavy rains during the late afternoon and night of May 27, 1954, record-breaking floods occurred on small streams in Panola and Lafayette Counties. All flooding was in rural areas, and no loss of life was reported. The Agriculture Stabilization Committees at Sardis and at Oxford estimated the crop and soil losses in Panola county as $400,000, and in Lafayette County as $25,000. The total damage to county roads and State highways was estimated to be in excess of $25,000. The purpose of this report is to present rainfall information and more detailed runoff data than are found in the regular Water Supply Papers. The report contains a summary of peak discharges at 10 miscellaneous sites and a detailed record of discharge at the gaging station Clear Creek near Oxford, Miss. Field investigation incident to this report were conducted by members of the District Office, U.S. Geological Survey, Jackson, Miss., I. E. Anderson, District Engineer.

Cable T.V.: Boon to Vocational Guidance in Rural Areas.

ERIC Educational Resources Information Center

Bliss, James L.; And Others

Allegany Opportunities is a television series which is designed to assist people who may be unemployed, underemployed, or contemplating entering an occupational field by informing them of opportunities available for work, training, and education and procedures for securing work in rural Allegany County. Emphasis is on those occupations requiring…

Cardboard Houses with Wings: The Architecture of Alabama's Rural Studio

ERIC Educational Resources Information Center

Botz-Bornstein, Thorsten

2010-01-01

The Rural Studio, an outreach program of Auburn University, designs innovative houses for poor people living in Alabama's Hale County by using "junk" such as car windshields, carpet tiles, baled cardboard, and old license plates. The article theorizes this particular architecture in terms of Critical Regionalism, developed by…

A National Study of Obesity Prevalence and Trends by Type of Rural County

ERIC Educational Resources Information Center

Jackson, J. Elizabeth; Doescher, Mark P.; Jerant, Anthony F.; Hart, L. Gary

2005-01-01

Context: Obesity is epidemic in the United States, but information on this trend by type of rural locale is limited. Purpose: To estimate the prevalence of and recent trends in obesity among US adults residing in rural locations. Methods: Analysis of data from the Behavioral Risk Factor Surveillance System (BRFSS) for the years 1994-1996 (n =…

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

PubMed Central

2010-01-01

Background In China, the New Co-operative Medical System (NCMS), a rural health insurance system, has expanded nationwide since 2003. This study aims to describe prenatal care use, content and costs of care in one county where prenatal care is included in the NCMS and two counties where it is not. It also explores the perceptions of stakeholders of the prenatal care benefit package in order to understand the strengths and weaknesses of the approach in the context of rural China and to draw lessons from early implementation. Methods This study is based on the data from a cross-sectional survey and a qualitative investigation conducted in 2009. A survey recruited women giving birth in 2008, including 544 women in RC County (which covered prenatal care) and 619, and 1071 in other two counties (which did not). The qualitative investigation in RC included focus group discussions with women giving birth before or after 2007, individual interviews with local policy makers and health managers, NCMS managers and obstetric doctors in township hospitals. Results There were no significant differences in prenatal care use between RC County (which covered prenatal care) and other two counties (which did not): over 70% of women started prenatal visits early and over 60% had five or more visits. In the three counties: a small proportion of women received the number of haemoglobin and urine tests recommended by the national guideline; 90% of women received more ultrasound tests than recommended; and the out-of-pocket expenditure for prenatal care consumed a high proportion of women's annual income in the low income group. In RC: only 20% of NCMS members claimed the reimbursement; the qualitative study found that the reimbursement for prenatal care was not well understood by women and had little influence on women's decisions to make prenatal visits; and several women indicated that doctors suggested them taking more expensive tests. Conclusions Whether or not prenatal care was

The economics of potential reduction of the rural road system in Kansas.

DOT National Transportation Integrated Search

2011-11-01

Benefitcost analysis was used to examine the question of road closure in the three counties. The cost of road : closure is the additional travel cost of rural residents due to more circuitous routing to their destinations. The benefit is : the avo...

Health needs and health care utilization among rural, low-income women.

PubMed

Simmons, Leigh Ann; Anderson, Elaine A; Braun, Bonnie

2008-01-01

This study examined the correlates of health service utilization in a sample of low-income, rural women. Self-reported data were from Rural Families Speak (N = 275), a multi-state study of low-income, rural families in the U.S. collected in 2002. Findings indicated that women with health insurance, a regular doctor, and poorer overall physical health had higher incident rates of physician visits. Women who were divorced, separated or widowed and had more chronic health problems had higher incidence rates of emergency department (ED) use, while women living in counties with higher primary care physician rates had lower incidence rates of ED use. Future research and policies should focus on improved access to health insurance, increasing physician availability in rural areas, and providing rural women with a usual source of care, so as to reduce emergency services utilization for non-emergent needs and improve health status for this population.

A tale of two land uses in the American West: rural residential growth and energy development

USGS Publications Warehouse

Assal, Timothy J.; Montag, Jessica M.

2012-01-01

This paper describes a spatiotemporal land use map for a rural county in the western United States. Sublette County, Wyoming has undergone recent land use change in the form of heightened rural residential development on private land and increased energy development on both public and private land. In this study we integrate energy production data, population census data, ownership parcel data, and a series of Landsat Thematic Mapper and Enhanced Thematic Mapper scenes (over a 25-year period) to create a map that illustrates the changing landscape. Spatial change on the landscape is mapped at 30 square meters, congruent with a Landsat pixel. Sublette County has a wealth of wildlife and associated habitat which is affected by both types of growth. While we do not attempt to quantify the effect of disturbance on wildlife species, we believe our results can provide important baseline data that can be incorporated into land use planning and ecological-wildlife research at the landscape scale.

Applying remote sensing and GIS techniques in solving rural county information needs

NASA Technical Reports Server (NTRS)

Johannsen, Chris J.; Fernandez, R. Norberto; Lozano-Garcia, D. Fabian

1992-01-01

The project designed was to acquaint county government officials and their clientele with remote sensing and GIS products that contain information about land conditions and land use. Other users determined through the course of this project were federal agencies working at the county level, agricultural businesses and others in need of spatial information. The specific project objectives were: (1) to investigate the feasibility of using remotely sensed data to identify and quantify specific land cover categories and conditions for purposes of tax assessment, cropland area measurements and land use evaluation; (2) to investigate the use of satellite remote sensing data as an aid in assessing soil management practices; and (3) to evaluate the use of remotely sensed data to assess soil resources and conditions which affect productivity.

National Television News in Seven Rural Districts. Report 96-2.

ERIC Educational Resources Information Center

Nasstrom, Roy; Gierok, Anne

The implementation, delivery, and impact on students of news programs delivered to schools by Channel One and CNN-Newsroom were examined in seven rural districts in Wisconsin. Investigation covered three districts using CNN and four districts using Channel One within a three-county area. Involved administrators, teachers, and students responded to…

Patterns of Communication in a Rural Population. Research Bulletin 1095.

ERIC Educational Resources Information Center

Ross, Peggy J.; Napier, Ted L.

Patterns of communication among residents of a predominantly rural county in Ohio were analyzed in 1975 to examine behavioral and attitudinal patterns regarding mass communication systems, and to test the extent to which variations in attitudes toward mass media were a function of variations in socio-economic and demographic characteristics.…

Vigo County Public Library Mediamobile: Evaluation of a Library Services Act Project.

ERIC Educational Resources Information Center

Pahl, E. Patricia; Pahl, Thomas L.

The Vigo County (Indiana) Public Library received a two-year grant, under the Library Services and Construction Act, to improve services to the disadvantaged in urban and rural areas. A program was developed to use a converted bookmobile to deliver films, records, video tape, viewmasters, tape recorders, and other "new" media to the OEO…

Blacks in space: land tenure and well-being in Perry County, Alabama

Treesearch

Rory F. Fraser; Buddhi R. Gyawali

2005-01-01

An exploratory research project has examined the relationship between land tenure and well-being in a rural, predominantly Afro-American, forested county in the USA. Poverty in Alabama's Black-Belt endemic, expecially among Afro-Americans. The question explores is the relationship between the spatial concentration of Afro-Americans and the well-being of the Afro-...

Health Education Needs: A Survey of Rural Adults in Northumberland County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 6.

ERIC Educational Resources Information Center

Leadley, Samuel M.

In June 1975, 53 men and 56 women living on commercial farms in Northumberland County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 23% of all adults living on commercial farms in the county. A commercial farm was defined as…

Water quality of streams in Johnson County, Kansas, 2002-07

USGS Publications Warehouse

Rasmussen, T.J.

2009-01-01

Water quality of streams in Johnson County, Kansas was evaluated from October 2002 through December 2007 in a cooperative study between the U.S. Geological Survey and the Johnson County Stormwater Management Program. Water quality at 42 stream sites, representing urban and rural basins, was characterized by evaluating benthic macroinvertebrates, water (discrete and continuous data), and/or streambed sediment. Point and nonpoint sources and transport were described for water-quality constituents including suspended sediment, dissolved solids and major ions, nutrients (nitrogen and phosphorus), indicator bacteria, pesticides, and organic wastewater and pharmaceutical compounds. The information obtained from this study is being used by city and county officials to develop effective management plans for protecting and improving stream quality. This fact sheet summarizes important results from three comprehensive reports published as part of the study and available on the World Wide Web at http://ks.water.usgs.gov/Kansas/studies/qw/joco/. ?? 2009 ASCE.

Prevalence and risk factors for primary open-angle glaucoma in a rural northeast China population: a population-based survey in Bin County, Harbin

PubMed Central

Sun, J; Zhou, X; Kang, Y; Yan, L; Sun, X; Sui, H; Qin, D; Yuan, H

2012-01-01

Purpose To estimate the prevalence and associated risk factors of primary open-angle glaucoma (POAG) in a rural population in northeast China. Methods A population-based survey was conducted within Bin County, Harbin of northeast China. Glaucoma was diagnosed using International Society of Geographical and Epidemiological Ophthalmology criteria. All the subjects underwent a complete ophthalmic examination. Results A total of 4956 (86.0%) of 5762 subjects aged 40 years or older were examined. The mean intraocular pressure (IOP) of right eyes was 14.0 (95% confidence interval (CI), 13.9 to 14.1) mm Hg. The prevalence of POAG was 0.71% (35/4956, 95% CI, 0.47 to 0.93). In these POAG subjects, 17 (48.6%) had elevated IOP >21 mm Hg in either eye, 3 (8.8%) participants had been treated by laser trabeculoplasty or trabeculectomy and were known to have POAG. Vision impairment to varying degrees was present in 20 subjects (58.8%) with 1 subject blind in both eyes and 8 subjects blind in one eye. On multivariate analysis, age, family history of glaucoma, systemic hypertension, and IOP were regarded as significant independent risk factors. Conclusions POAG is a disease of serious consequence and of low diagnosis and treatment rates in rural northeast China. Age, family history of glaucoma, systemic hypertension, and IOP remain as significant independent risk factors for POAG. PMID:22157917

An Economic Analysis of the Iowa Rural Renewal Area.

ERIC Educational Resources Information Center

1970

Economic trends in the 1960's in the Iowa rural renewal area, Appanoose and Monroe counties, show that the level of economic activity increased in the area but was clearly below the level for the state. Economic trends suggest that to provide economic opportunities in the area, by 1980, comparable to those available on the average to all residents…

Prevalence of Substance Use in a Rural Teenage Population.

ERIC Educational Resources Information Center

Silverman, Wade H.

1991-01-01

Surveyed all secondary school students (n=1,175) in rural county school system to assess prevalence rates of substance use for teenagers and their parents. Age, sex, and race were related to frequency and type of substance abuse. Lifestyle variables such as music preferences, sexual activity, and choice of friends also related to substance use.…

Rural Idaho family physicians' scope of practice.

PubMed

Baker, Ed; Schmitz, David; Epperly, Ted; Nukui, Ayaka; Miller, Carissa Moffat

2010-01-01

Scope of practice is an important factor in both training and recruiting rural family physicians. To assess rural Idaho family physicians' scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status. A survey instrument was developed based on a literature review and was validated by physician educators, practicing family physicians and executives at the state hospital association. This survey was mailed to rural family physicians practicing in Idaho counties with populations of less than 50,000. Descriptive, bivariate and multivariate analyses were employed to describe and compare scope of practice patterns. Responses were obtained from 92 of 248 physicians (37.1% response rate). Idaho rural family physicians reported providing obstetrical services in the areas of prenatal care (57.6%), vaginal delivery (52.2%) and C-sections (37.0%); other operating room services (43.5%); esophagogastroduodenoscopy (EGD) or colonoscopy services (22.5%); emergency room coverage (48.9%); inpatient admissions (88.9%); mental health services (90.1%); nursing home services (88.0%); and supervision to midlevel care providers (72.5%). Bivariate analyses showed differences in scope of practice patterns across gender, age group and employment status. Binomial logistic regression models indicated that younger physicians were roughly 3 times more likely to provide prenatal care and perform vaginal deliveries than older physicians in rural areas. Idaho practicing rural family physicians report a broad scope of practice. Younger, employed and female rural family medicine physicians are important subgroups for further study.

Health Education Needs: A Survey of Rural Adults in Juniata County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 4.

ERIC Educational Resources Information Center

Leadley, Samuel M.

In June 1975, 62 men and 64 women living on commercial farms in Juniata County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 22% of all adults living on commercial farms in the county. A commercial farm was defined as one that…

Health Education Needs: A Survey of Rural Adults in Fulton County, Pennsylvania, 1975. An Interim Report. Rural Health Staff Papers - Paper Number 5.

ERIC Educational Resources Information Center

Leadley, Samuel M.

In June 1975, 47 men and 43 women living on commercial farms in Fulton County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 39% of all adults living on commercial farms in the county. A commercial farm was defined as one that…

Up Here It's Different: Community Education in Rural East Donegal

ERIC Educational Resources Information Center

Slevin, Amanda

2009-01-01

The familiar advertising slogan, "Up here it's different," used to attract visitors to the rugged beauty of County Donegal, was correct in highlighting that things are different in Donegal, although not for the reasons one might connect with tourism. For many, Donegal evokes nostalgic images of old, rural Ireland such as close community…

"I'm Just Glad My Three Jobs Could Be during the Day": Women and Work in a Rural Community

ERIC Educational Resources Information Center

Ames, Barbara D.; Brosi, Whitney A.; Damiano-Teixeira, Karla M.

2006-01-01

The purpose of this qualitative study was to better understand the experience of wage-earning women in the context of rural economic restructuring. An ecological and life course theoretical framework was used. Nine community leaders and 17 wage-earning women residing in a rural northern Michigan county participated in semistructured interviews,…

Data for Community Health Assessment in Rural Colorado: A Comparison of Electronic Health Records to Public Health Surveys to Describe Childhood Obesity.

PubMed

Gutilla, Margaret J; Davidson, Arthur J; Daley, Matthew F; Anderson, G Brooke; Marshall, Julie A; Magzamen, Sheryl

Community-level data are necessary to inform community health assessments and to plan for appropriate interventions. However, data derived from public health surveys may be limited or unavailable in rural locations. We compared 2 sources of data for community health assessment in rural Colorado, electronic health records (EHRs) and routine public health surveys. Comparison of cross-sectional measures of childhood/youth obesity prevalence and data quality. Two rural Colorado counties, La Plata and Prowers. The EHR cohort comprised patients 2 to 19 years of age who underwent a visit with the largest health care provider in each county. These data included sex, age, weight, height, race, ethnicity, and insurance status. Public health survey data were obtained from 2 surveys, the Colorado Child Health Survey (2-14 years of age) and the Healthy Kids Colorado Survey (15-19 years of age) and included caregiver and self-reported height and weight estimates. We calculated body mass index percentile for each patient and survey respondent and determined overweight/obesity prevalence by county. We evaluated data source quality indicators according to a rubric developed for this analysis. The EHR sample captured approximately 35% (n = 3965) and 70% (n = 2219) of all children living in La Plata and Prowers Counties, respectively. The EHR prevalence estimates of overweight/obesity were greater in precision than survey data in both counties among children 2 to 14 years of age. In addition, the EHR data were more timely and geographically representative than survey data and provided directly measured height and weight. Conversely, survey data were easier to access and more demographically representative of the overall population. Electronic health records describing the prevalence of obesity among children/youth living in rural Colorado may complement public health survey data for community health assessment and health improvement planning.

Adolescents and Teachers as Partners in a School-Based Research Project to Increase Physical Activity Opportunities in a Rural Community

ERIC Educational Resources Information Center

Rye, James; Tompkins, Nancy O'Hara; McClure, Darlene; Aleshire, Jacqueline

2008-01-01

Schools are an important resource in combating the physical inactivity and obesity epidemics in rural economically depressed areas. Through a University-community partnership, teachers and adolescents in a rural West Virginia county with one of the highest obesity rates in the state developed a school-based research intervention to increase…

"It was a Long Way from Perfect, but it was Working": The Canning and Home Production Initiatives in Greene County, Georgia, 1940-1942 .

PubMed

Kuhn, Clifford M

2012-01-01

During the early 1940s Greene County, Georgia's, Unified Farm Program, a model undertaking coordinating the efforts of federal, state, and local agencies, attracted national attention, largely through the work of sociologist Arthur Raper. At the core of the program was the effort to raise the standard of living for the county's rural poor through increasing home-farm production and improving diet. The initiative entailed active intervention by Farm Security Administration farm and home supervisors and illustrates the tension between the desire to promote independence among poor farmers and the impulse to closely supervise and monitor them. This treatment contributes to the discussion of modernism during the late rural New Deal.

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas.

PubMed

Locke, Christina

2015-01-01

Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining-the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes during a period of

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas

PubMed Central

Locke, Christina

2015-01-01

Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining—the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes during a period of

Keeping It Safe: Aging in Place among Rural Older Adults

ERIC Educational Resources Information Center

Peek, Gina G.; Bishop, Alex J.

2016-01-01

The purpose of the study addressed in this article was to identify ways to reduce risk and improve safe aging in place among rural older adults. Resident and Extension faculty and county educators visited study participants at home to assess functional capacity and the home environment. Extension professionals may be uniquely positioned to provide…

Investment in Communications and Transportation: Socio-economic Impacts on Rural Development.

ERIC Educational Resources Information Center

Hilewick, Carol Lee; And Others

Two rural counties served as model areas in a comparison of the size and sequence of socioeconomic changes that investment in communications, as opposed to investment in transportation networks, might stimulate. A series of communications, rail, and highway changes were simulated through the use of an econometric model. An Industrial Communication…

Experiences in Rural Mental Health. V: Creating Alternatives to Clinical Care.

ERIC Educational Resources Information Center

Hollister, William G.; And Others

Based on a North Carolina feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with the process of creating alternatives to clinical care in Vance and Franklin counties. Specifically, this booklet details the chronological development of the…

Mathematics Education in Rural Communities: A Mathematician's View. Working Paper Series.

ERIC Educational Resources Information Center

Mahoney, Carolyn R.

Elizabeth City State University (ECSU) serves the 21 counties of rural northeastern North Carolina. In Fall 2000 ECSU administrators met with educators in area school districts to discuss their professional development needs. This paper reports on those expressed needs relevant to mathematics education and discusses ways to help achieve excellence…

An Analysis of Rural Unemployment Using a Human Resources Development Perspective.

ERIC Educational Resources Information Center

Napier, Ted L.; Jarrett, Charles W.

Investigation indicated factors other than human resource variables must be used to understand unemployment status. Based on a 1979 survey of a random sample (N=640) of rural adult California residents from a multi-county development district, 15 human resource development factors (including educational level, job training, match of work skills…

Factors Associated with Illegal Drug Use in Rural Georgia.

ERIC Educational Resources Information Center

Napier, Ted L.; And Others

To ascertain the incidence of drug use in a rural area and to provide insight into the covariates of illegal drug use which might be useful in developing prevention programs, data were collected in the spring of 1981 from 2,060 or 83.2% of all students grades 8 through 12 in a southern Georgia county. Data were collected during regularly scheduled…

The Politics of Marginality in Wallowa County, Oregon: Contesting the Production of Landscapes of Consumption

ERIC Educational Resources Information Center

Abrams, Jesse B.; Gosnell, Hannah

2012-01-01

The state of Oregon's (USA) land use planning framework has long been characterized by tensions between state and local authority, between traditionally-defined "urban" and "rural" concerns, and between the competing interests of various landowners. An examination of Wallowa County, Oregon's implementation of House Bill 3326, a…

Risk assessment of metals in road-deposited sediment along an urban-rural gradient.

PubMed

Zhao, Hongtao; Li, Xuyong

2013-03-01

We applied the traditional risk assessment methods originally designed for soils and river sediments to evaluation of risk associated with metals in road-deposited sediment (RDS) along an urban-rural gradient that included central urban (UCA), urban village (UVA), central suburban county (CSA), rural town (RTA), and rural village (RVA) areas in the Beijing metropolitan region. A new indicator RI(RDS) was developed which integrated the RDS characteristics of mobility, grain size and amount with the potential ecological risk index. The risk associated with metals in RDS in urban areas was generally higher than that in rural areas based on the assessment using traditional methods, but the risk was higher in urban and rural village areas than the areas with higher administration units based on the indicator RI(RDS). These findings implied that RDS characteristics variation with the urban-rural gradient must be considered in metal risk assessment and RDS washoff pollution control. Copyright © 2012 Elsevier Ltd. All rights reserved.

[A preliminary study on dental-manpower forecasting model of Miyun County in Beijing].

PubMed

Huang, H; Wang, H; Yang, S

1999-01-01

To explore the dental-manpower forecasting model of Chinese rural region and provide references for Chinese dental-manpower researches. Chose rural Miyun County in Beijing as a sample, according to the need-based and demand-weighted forecasting method, a protocol WHO-CH model and corresponding JWG-6-M package developed by authors were used to calculate the present and future need and demand of dental-manpower in Miyun County. Further predications were also calculated on the effects of four modeling parameters to the demand of dental manpower. The present need and demand of oral care personnel for Miyun were 114.5 and 29.1 respectively. At present, Miyun has 43 oral care providers who can satisfy the demand but not the need. The change of oral health demand had a major effect on the forecast of the manpower. Dental-manpower planning should consider the need as a prime factor but must be modified by the demand. It was suggested that corresponding factors of oral care personnel need to be discussed further.

Geohydrology of the North Park area, Jackson County, Colorado; with a section on water law

USGS Publications Warehouse

Robson, Stanley G.; Graham, Glenn

1996-01-01

Increasing population in rural and suburban areas of Colorado is causing greater reliance on ground water as a source of domestic supply. In the primarily rural area of Jackson County, for example, the number of registered water wells increased from about 100 in 1972 to about 500 in 1995. Most of the new wells were drilled after 1988 and supply water to ranches and summer homes. In Jackson County, ground water is pumped from a series of shallow alluvial aquifers along principal stream valleys and from deeper, more extensive, bedrock aquifers. In much of the area, the alluvial aquifers are thin and can be dewatered by moderate water- level declines. Knowledge of the nature and extent of the alluvial and bedrock aquifers, the sources of recharge and discharge, and the effects of ground- water withdrawal on water levels in the aquifers is vital if management of the area's water resources is to ensure continued availability of a dependable water supply.

Geochemistry and origin of regional dolomites

NASA Astrophysics Data System (ADS)

Hanson, G. N.; Meyers, W. J.

1989-12-01

The major goal of the carbonate research program at Stony Brook is to better understand the conditions and processes leading to regional diagenesis of carbonate rocks. Our research focuses on studies of ancient, massive dolostones, but we are also studying limestone diagenesis for its own importance, and as it relates to dolomitization. Our approach has been to carry out a very detailed petrographic and geochemical case study to the Mississippian Burlington-Keokuk Fms. of Iowa, Illinois and Missouri, and to develop this as a testing ground for new geochemical and modelling techniques, and for testing various models for regional dolomitization in epicontinental carbonates. The ideas and techniques developed in our Burlington-Keokuk studies are being expanded and applied to carbonate sequences of other ages (Devonian to Neogene), and other tectono-sedimentary settings. The emphasis of this report will be on new developments and results on the Burlington-Keokuk studies and on our diagenetic studies of other strata. Recent research on Burlington-Keokuk rocks include development and application of boron isotopes and the U--Th--Pb system to dolomite studies, investigations of porosity and permeability in the dolostones. Projects on other strata include dolomitization and limestones diagenesis of Devonian carbonates of Alberta and Western Australia, Miocene reefal carbonates of Spain, Neogene carbonates of Curacao and Bonaire, Waulsortian limestones of Ireland, modelling of trace elements and stable isotopes, and experimental growth of calcites to investigate crystallographic controls of trace element incorporation.

The Role of the Extension Service in Rural/Frontier Disaster

ERIC Educational Resources Information Center

Eighmy, Myron A.; Hall, Thomas

2012-01-01

This study was conducted to determine what the Extension Service's community roles and responses were during flood events and what should be done to better prepare Extension staff for future flooding in rural and frontier counties. A survey was used to determine the extent Extension staff were prepared to respond to citizen requests for services.…

Rural Health Professions Education at East Tennessee State University: Survey of Graduates from the First Decade of the Community Partnership Program

ERIC Educational Resources Information Center

Florence, Joseph A.; Goodrow, Bruce; Wachs, Joy; Grover, Susan; Olive, Kenneth E.

2007-01-01

Context: To help meet rural Appalachian needs, and with initial support from the W.K. Kellogg Foundation, East Tennessee State University partnered with 2 counties to implement a health curriculum for nursing, public health, and medical students in a rural setting. The Community Partnerships Program 3-year longitudinal curriculum included…

Social Vulnerability and Ebola Virus Disease in Rural Liberia.

PubMed

Stanturf, John A; Goodrick, Scott L; Warren, Melvin L; Charnley, Susan; Stegall, Christie M

2015-01-01

The Ebola virus disease (EVD) epidemic that has stricken thousands of people in the three West African countries of Liberia, Sierra Leone, and Guinea highlights the lack of adaptive capacity in post-conflict countries. The scarcity of health services in particular renders these populations vulnerable to multiple interacting stressors including food insecurity, climate change, and the cascading effects of disease epidemics such as EVD. However, the spatial distribution of vulnerable rural populations and the individual stressors contributing to their vulnerability are unknown. We developed a Social Vulnerability Classification using census indicators and mapped it at the district scale for Liberia. According to the Classification, we estimate that districts having the highest social vulnerability lie in the north and west of Liberia in Lofa, Bong, Grand Cape Mount, and Bomi Counties. Three of these counties together with the capital Monrovia and surrounding Montserrado and Margibi counties experienced the highest levels of EVD infections in Liberia. Vulnerability has multiple dimensions and a classification developed from multiple variables provides a more holistic view of vulnerability than single indicators such as food insecurity or scarcity of health care facilities. Few rural Liberians are food secure and many cannot reach a medical clinic in <80 minutes. Our results illustrate how census and household survey data, when displayed spatially at a sub-county level, may help highlight the location of the most vulnerable households and populations. Our results can be used to identify vulnerability hotspots where development strategies and allocation of resources to address the underlying causes of vulnerability in Liberia may be warranted. We demonstrate how social vulnerability index approaches can be applied in the context of disease outbreaks, and our methods are relevant elsewhere.

Access to Primary Care in US Counties Is Associated with Lower Obesity Rates.

PubMed

Gaglioti, Anne H; Petterson, Stephen; Bazemore, Andrew; Phillips, Robert

2016-01-01

Obesity causes substantial morbidity and mortality in the United States. Evidence shows that primary care physician (PCP) supply correlates positively with improved health, but its association with obesity in the United States as not been adequately characterized. Our purpose was to characterize the association between PCP supply in US counties and adult obesity. We performed a multivariate logistic regression analysis to examine the relationship between county-level PCP supply and individual obesity status. We controlled for individual variables, including sex, race, marital status, income, and insurance status, and county-level variables, including rurality and poverty. Higher county-level PCP supply was associated with lower adult obesity after controlling for common confounders. Individuals living in counties with the most robust PCP supply were about 20% less likely to be obese (P ≤ .01) than those living in counties with the lowest PCP supply. While the observed association between the supply of PCPs and lower rates of obesity may not be causal, the association warrants further investigation. This may have important implications for restructuring the physician workforce in the context of the current PCP shortage and implementation of the Affordable Care Act and the patient-centered medical home. © Copyright 2016 by the American Board of Family Medicine.

Effects of Career Education on 9th Graders in Rural Mississippi.

ERIC Educational Resources Information Center

Sprabery, Carol A.; King, Jo Carol

This study evaluated a career education program for 141 ninth grade students at Kemper County High School in rural Mississippi in an effort to reduce the dropout rate and increase career awareness. A mental health counselor gave students monthly instruction on career issues necessary for vocational life after high school graduation. A local…

Galvanizing Local Resources: A Strategy for Sustainable Development in Rural China

ERIC Educational Resources Information Center

Cho, Eun Ji

2014-01-01

China has been undergoing a rapid development over the past decades, and rural areas are facing a number of challenges in the process of the change. The "New Channel" project, initiated to promote sustainable development and protect natural and cultural heritage in Tongdao county in China from a rapid urbanization and economic…

Improving reproductive health in rural China through participatory planning.

PubMed

Kaufman, Joan; Liu, Yunguo; Fang, Jing

2012-01-01

China's new health reform initiative aims to provide quality accessible health care to all, including remote rural populations, by 2020. Public health insurance coverage for the rural poor has increased, but rural women have fared worse because of lower status and lack of voice in shaping the services they need. Use of prenatal care, safe delivery and reproductive tract infections (RTIs) services is inadequate and service seeking for health problems remains lower for men. We present findings from a study of gender and health equity in rural China from 2002 to 2008 and offer recommendations from over a decade of applied research on reproductive health in rural China. Three studies, conducted in poor counties between 1994 and 2008, identified problems in access and pilot tested interventions and mechanisms to increase women's participation in health planning. They were done in conjunction with a World Bank programme and the global Gender and Health Equity Network (GHEN). Reproductive health service-seeking improved and the study interventions increased local government commitment to providing such services through new health insurance mechanisms. Findings from the studies were summarised into recommendations on gender and health for inclusion in new health reform efforts.

Teacher Unions, (Neo) Liberalism and the State: The Perth County Conspiracy of 1885

ERIC Educational Resources Information Center

Smaller, Harry

2004-01-01

In 1885, following a period of severe economic depression and social unrest in colonial Canada, state teachers in rural Perth County, Ontario met and formed the nucleus of what could clearly be described as a teachers' union. The idea spread quickly, and within six months the founding convention of a province-wide union was held in Toronto.…

Differences Between Rural and Urban Areas in Mortality Rates for the Leading Causes of Infant Death: United States, 2013-2015.

PubMed

Ely, Danielle M; Hoyert, Donna L

2018-02-01

The leading causes of infant death vary by age at death but were consistent from 2005 to 2015 (1-6). Previous research shows higher infant mortality rates in rural counties compared with urban counties and differences in cause of death for individuals aged 1 year and over by urbanization level (4,5,7,8). No research, however, has examined if mortality rates from the leading causes of infant death differ by urbanization level. This report describes the mortality rates for the five leading causes of infant, neonatal, and postneonatal death in the United States across rural, small and medium urban, and large urban counties defined by maternal residence, as reported on the birth certificate for combined years 2013-2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Eastern Rensselaer County Community Warehouse. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1998-02-01

The Eastern Rensselaer County Community Warehouse (ERCCW) project was conducted to determine if reuse is a feasible waste-management technology. The project had three phases: determining the feasibility of economically collecting, warehousing, refurbishing, and selling salvageable items from transfer stations, individuals, and businesses located in a rural area; preparing an operational plan; implementing the plan. Project findings suggest that, with proper management, a warehouse for waste reuse is feasible and can be self-sustaining. It also found that reuse results in the short-term saving of landfill capacity, and can provide low-cost goods to residents of rural areas. The study concludes that reuse,more » through retailing, is a viable waste-management practice. The report has been prepared as a how-to guide for municipalities, organizations, and individuals interested in reducing landfill waste and in establishing a reuse/recycling facility. Questions to consider, resources, and an overview of the ERCCW project are provided.« less

Rural-Urban Differences in the Social Climate Surrounding Environmental Tobacco Smoke: A Report From the 2002 Social Climate Survey of Tobacco Control

ERIC Educational Resources Information Center

McMillen, Robert; Breen, Julie; Cosby, Arthur G.

2004-01-01

Although previous research has found smoking rates to be higher among residents of rural areas, few studies have investigated rural-urban differences in exposure to environmental tobacco smoke (ETS). Objective: This study contrasted the social climate surrounding ETS among Americans who resided in 5 levels of county urbanization. Design: Data were…

Unemployment and Child Abuse in a Rural Community: A Diverse Relationship.

ERIC Educational Resources Information Center

Pare, Joan

Both the literature and common beliefs suggest that unemployment increases family stress and child abuse. To test this idea, data were collected on monthly unemployment rate and number of child abuse complaints during 1978-91 in a rural county in the northwestern United States dependent on the lumber industry. Unexpectedly, the data showed that…

Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States

ERIC Educational Resources Information Center

Hendryx, Michael; Fedorko, Evan; Halverson, Joel

2010-01-01

Purpose: To conduct an assessment of rural environmental pollution sources and associated population mortality rates. Methods: The design is a secondary analysis of county-level data from the Environmental Protection Agency (EPA), Department of Agriculture, National Land Cover Dataset, Energy Information Administration, Centers for Disease Control…

An Exploration and Analysis of the Modes of Rural School Consolidation in China

ERIC Educational Resources Information Center

Hongyong, Jia; Fenfen, Zhou

2013-01-01

Based on research involving 177 primary and secondary schools spread over thirty-eight counties in six provinces (including one autonomous region), this article explores and analyzes four modes used in rural school consolidation in China. These four modes are: complete amalgamation, annexation, crossover, and centralization-decentralization.

75 FR 62365 - Notice of Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

...Pursuant to the authorities in the Federal Advisory Committee Act (Pub. L. 92-463) and under the Secure Rural Schools and Community Self-Determination Act of 2000 (Pub. L. 106-393) the Kootenai National Forest's Lincoln County Resource Advisory Committee will meet on Wednesday, October 13, 2010 at 6 p.m. at the Forest Supervisor's Office in Libby, Montana for a business meeting. The meeting is open to the public.

76 FR 5330 - Notice of Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-31

...Pursuant to the authorities in the Federal Advisory Committee Act (Pub. L. 92-463) and under the Secure Rural Schools and Community Self-Determination Act of 2000 (Pub. L. 106-393) the Kootenai National Forest's Lincoln County Resource Advisory Committee will meet on Wednesday, February 15, 2011 at 6 p.m. at the Forest Supervisor's Office in Libby, Montana for a business meeting. The meeting is open to the public.

75 FR 69620 - Notice of Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-15

...Pursuant to the authorities in the Federal Advisory Committee Act (Pub. L. 92-463) and under the Secure Rural Schools and Community Self-Determination Act of 2000 (Pub. L. 106-393) the Kootenai National Forest's Lincoln County Resource Advisory Committee will meet on Wednesday, December 1, 2010 at 6 p.m. at the Forest Supervisor's Office in Libby, Montana for a business meeting. The meeting is open to the public.

Variation in prostate cancer treatment associated with population density of the county of residence.

PubMed

Cary, C; Odisho, A Y; Cooperberg, M R

2016-06-01

We sought to assess variation in the primary treatment of prostate cancer by examining the effect of population density of the county of residence on treatment for clinically localized prostate cancer and quantify variation in primary treatment attributable to the county and state level. A total 138 226 men with clinically localized prostate cancer in the Surveillance, Epidemiology and End Result (SEER) database in 2005 through 2008 were analyzed. The main association of interest was between prostate cancer treatment and population density using multilevel hierarchical logit models while accounting for the random effects of counties nested within SEER regions. To quantify the effect of county and SEER region on individual treatment, the percent of total variance in treatment attributable to county of residence and SEER site was estimated with residual intraclass correlation coefficients. Men with localized prostate cancer in metropolitan counties had 23% higher odds of being treated with surgery or radiation compared with men in rural counties, controlling for number of urologists per county as well as clinical and sociodemographic characteristics. Three percent (95% confidence interval (CI): 1.2-6.2%) of the total variation in treatment was attributable to SEER site, while 6% (95% CI: 4.3-9.0%) of variation was attributable to county of residence, adjusting for clinical and sociodemographic characteristics. Variation in treatment for localized prostate cancer exists for men living in different population-dense counties of the country. These findings highlight the importance of comparative effectiveness research to improve understanding of this variation and lead to a reduction in unwarranted variation.

Experiences in Rural Mental Health. IX: Measuring and Monitoring Stress in Communities.

ERIC Educational Resources Information Center

Miller, Francis T.; And Others

Based on a North Carolina feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with measuring and monitoring stress in the community. Emphasizing the "proactive" efforts developed in a stress model for Vance and Franklin counties, this…

"Active Living" Related to the Rural-Urban Continuum: A Time-Use Perspective

ERIC Educational Resources Information Center

Millward, Hugh; Spinney, Jamie

2011-01-01

Purpose: This paper assesses the degree to which "active living" varies along the rural-urban continuum, within the county-sized regional municipality of Halifax, Nova Scotia. Methods: Time-diary data from the Halifax Space-Time Activity Research project were used to compute daily participation rates (PRs) and time durations, at various…

The Impact of Rural Non-Farm Residential Development on the Provision of Local Public Services. Iowa Land Use Research Report Series.

ERIC Educational Resources Information Center

Fisher, Peter S.

Using multiple regression analysis for each county and a case study of selected services in Johnson County, Iowa, the study estimated the impacts of rural non-farm development in Iowa on the demand for local public services, on the cost of providing these services, and on the distribution of service benefits and tax burdens among population…

Geocoding rural addresses in a community contaminated by PFOA: a comparison of methods.

PubMed

Vieira, Verónica M; Howard, Gregory J; Gallagher, Lisa G; Fletcher, Tony

2010-04-21

Location is often an important component of exposure assessment, and positional errors in geocoding may result in exposure misclassification. In rural areas, successful geocoding to a street address is limited by rural route boxes. Communities have assigned physical street addresses to rural route boxes as part of E911 readdressing projects for improved emergency response. Our study compared automated and E911 methods for recovering and geocoding valid street addresses and assessed the impact of positional errors on exposure classification. The current study is a secondary analysis of existing data that included 135 addresses self-reported by participants of a rural community study who were exposed via public drinking water to perfluorooctanoate (PFOA) released from a DuPont facility in Parkersburg, West Virginia. We converted pre-E911 to post-E911 addresses using two methods: automated ZP4 address-correction software with the U.S. Postal Service LACS database and E911 data provided by Wood County, West Virginia. Addresses were geocoded using TeleAtlas, an online commercial service, and ArcView with StreetMap Premium North America NAVTEQ 2008 enhanced street dataset. We calculated positional errors using GPS measurements collected at each address and assessed exposure based on geocoded location in relation to public water pipes. The county E911 data converted 89% of the eligible addresses compared to 35% by ZP4 LACS. ArcView/NAVTEQ geocoded more addresses (n = 130) and with smaller median distance between geocodes and GPS coordinates (39 meters) than TeleAtlas (n = 85, 188 meters). Without E911 address conversion, 25% of the geocodes would have been more than 1000 meters from the true location. Positional errors in TeleAtlas geocoding resulted in exposure misclassification of seven addresses whereas ArcView/NAVTEQ methods did not misclassify any addresses. Although the study was limited by small numbers, our results suggest that the use of county E911 data in rural

Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties - United States.

PubMed

Henley, S Jane; Anderson, Robert N; Thomas, Cheryll C; Massetti, Greta M; Peaker, Brandy; Richardson, Lisa C

2017-07-07

Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. 2004-2015. Cancer incidence data from CDC's National Program of Cancer Registries and the National Cancer Institute's Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009-2013 and trends in annual age-adjusted incidence rates for 2004-2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011-2015 and trends in annual age-adjusted death rates for 2006-2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006-2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age

Mortality In Rural China Declined As Health Insurance Coverage Increased, But No Evidence The Two Are Linked.

PubMed

Zhou, Maigeng; Liu, Shiwei; Kate Bundorf, M; Eggleston, Karen; Zhou, Sen

2017-09-01

Health insurance holds the promise of improving population health and survival and protecting people from catastrophic health spending. Yet evidence from lower- and middle-income countries on the impact of health insurance is limited. We investigated whether insurance expansion reduced adult mortality in rural China, taking advantage of differences across Chinese counties in the timing of the introduction of the New Cooperative Medical Scheme (NCMS). We assembled and analyzed newly collected data on NCMS implementation, linked to data from the Chinese Center for Disease Control and Prevention on cause-specific, age-standardized death rates and variables specific to county-year combinations for seventy-two counties in the period 2004-12. While mortality rates declined among rural residents during this period, we found little evidence that the expansion of health insurance through the NCMS contributed to this decline. However, our relatively large standard errors leave open the possibility that the NCMS had effects on mortality that we could not detect. Moreover, mortality benefits might arise only after many years of accumulated coverage. Project HOPE—The People-to-People Health Foundation, Inc.

An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District.

PubMed

Houghton, Adele; Austin, Jessica; Beerman, Abby; Horton, Clayton

2017-01-01

Climate change represents a significant and growing threat to population health. Rural areas face unique challenges, such as high rates of vulnerable populations; economic uncertainty due to their reliance on industries that are vulnerable to climate change; less resilient infrastructure; and lower levels of access to community and emergency services than urban areas. This article fills a gap in public health practice by developing climate and health environmental public health indicators for a local public health department in a rural area. We adapted the National Environmental Public Health Tracking Network's framework for climate and health indicators to a seven-county health department in Western Kentucky. Using a three-step review process, we identified primary climate-related environmental public health hazards for the region (extreme heat, drought, and flooding) and a suite of related exposure, health outcome, population vulnerability, and environmental vulnerability indicators. Indicators that performed more poorly at the county level than at the state and national level were defined as "high vulnerability." Six to eight high vulnerability indicators were identified for each county. The local health department plans to use the results to enhance three key areas of existing services: epidemiology, public health preparedness, and community health assessment.

Understanding Satisfaction with Shamanic Practices among the Hmong in Rural California

ERIC Educational Resources Information Center

Pinson-Perez, Helda; Moua, Neng; Perez, Miguel A.

2005-01-01

The Hmong are a group of people from Southern China, Laos, Northern Vietnam, and Thailand who have immigrated to the US and who have settled in rural counties in Central California. The literature suggests, the Hmong routinely use the services of shamans as part of their health care services. The purpose of this study was to determine the…

The role of amenities and quality of life in rural economic growth

Treesearch

Steven C. Deller; Tsung-Hsiu (Sue) Tsai; David W. Marcouiller; Donald B.K. English

2001-01-01

A structural model of regional economic growth is estimated using data for 2243 rural US. counties. Five indices designed to capture specific amenity and quality of life characteristics are constructed using 54 separate indicators. Results suggest that amenity characteristics can be organized into consistent and meaningful empirical measures that move beyond ad hoc...

Parental Influence, Youth Contra-Culture, and Rural Adolescent Attitudes Toward Minority Groups.

ERIC Educational Resources Information Center

Summers, Gene F.; And Others

Parental heads of households and high school students in 2 rural Illinois counties were studied to determine their respective attitudes toward several minority groups using the Bogardus Social Distance Scale as the primary attitudinal measure. A parental sample of 1096 households and a sample of 738 students were independently drawn. The two…

Improvements in Care and Reduced Self-Management Barriers Among Rural Patients With Diabetes

ERIC Educational Resources Information Center

Dettori, Nancy; Flook, Benjamin N.; Pessl, Erich; Quesenberry, Kim; Loh, Johnson; Harris, Colleen; McDowall, Janet M.; Butcher, Marcene K.; Helgerson, Steven D.; Gohdes, Dorothy; Harwell, Todd S.

2005-01-01

Improved preventive care and clinical outcomes among patients with diabetes can reduce complications and costs; however, diabetes care continues to be suboptimal. Few studies have described effective strategies for improving care among rural populations with diabetes. In 2000, the Park County Diabetes Project and the Montana Diabetes Control…

An Evaluation of Elementary School Nutrition Practices and Policies in a Southern Illinois County

ERIC Educational Resources Information Center

Sherry, Jennifer S.

2008-01-01

The purpose of this study is to assess elementary school nutrition programs in a rural county in southern Illinois. The researcher interviewed the food service managers of eight schools and completed the School Health Index (SHI) based on their responses. Eighty-seven percent of the schools did not have venues such as vending machines outside the…

Television Viewing Habits of Kindergarten, Third and Sixth Grade Students in a Western Kentucky County.

ERIC Educational Resources Information Center

Bossing, Lewis; Mikulcik, Marilyn

Parents from rural and urban areas of Calloway County, Kentucky were surveyed regarding their children's television viewing habits. Fifteen survey questions were asked, among them whether there was a television set in the home; whether the child had a personal set; whether the family ate meals while watching television; whether television sound…

An Ecological Approach to Exploring Rural Food Access and Active Living for Families With Preschoolers.

PubMed

Buro, Brandy; Gold, Abby; Contreras, Dawn; Keim, Ann L; Mobley, Amy R; Oscarson, Renee; Peters, Paula; Procter, Sandy; Smathers, Carol

2015-01-01

To identify factors using the Ecological Model of Childhood Overweight related to accessing nutritious foods and physical activity opportunities from the perspectives of rural parents of preschoolers. A mixed-methods study using a quantitative survey (Active Where?) and qualitative interviews. Analyzed interview themes provided context to the survey results. The setting was Head Start centers, county human service offices, and Women, Infants, and Children Program sites in rural counties in the Midwest. Rural parents (n = 377) of preschoolers took part in the survey in 7 Midwestern states; 15 similar participants were interviewed from 1 of the states. Transcribed interviews were coded. Frequencies and chi-square tests were computed; significance was set at P < .05. The Active Where? survey and interviews revealed that close proximity to recreation spaces and traffic safety issues influenced physical activity. For food access, close proximity to full service grocery stores did not influence access to healthy foods because respondents traveled to urban communities to purchase healthy foods. Public transportation solutions and enhanced neighborhood safety are potential community-wide obesity prevention strategies in rural communities. However, interventions should be tailored to the community's stage of readiness. Strong social networks should be considered an asset for community change in these regions. Copyright © 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Psychosocial Intervention for Rural Women with Breast Cancer

PubMed Central

Angell, Karyn L; Kreshka, Mary Anne; McCoy, Rebecca; Donnelly, Patricia; Turner-Cobb, Julie M; Graddy, Kathy; Kraemer, Helena C; Koopman, Cheryl

2003-01-01

OBJECTIVE This study was initiated by breast cancer survivors living in a rural community in California. They formed a partnership with academic researchers to develop and evaluate a low-cost, community-based Workbook-Journal (WBJ) for improving psychosocial functioning in geographically and economically isolated women with primary breast cancer. DESIGN A randomized controlled trial was used to compare the WBJ intervention plus educational materials to educational materials alone (usual care). SETTING One rural cancer center and several private medical, surgical, and radiation oncology practices in 7 rural counties in the Sierra Nevada Foothills of California. PARTICIPANTS One hundred women with primary breast cancer who were either within 3 months of diagnosis or within 3 months of completing treatment. INTERVENTION A community-initiated, theoretically-based Workbook-Journal, designed by rural breast cancer survivors and providers as a support group alternative. It included compelling personal stories, local rural resources, coping strategies, and messages of hope. RESULTS Community recruiters enrolled 83% of the women referred to the study. Retention at 3-month follow-up was 98%. There were no main effects for the WBJ. However, 3 significant interactions suggested that women who were treated in rural practices reported decreased fighting spirit and increased emotional venting and posttraumatic stress disorder symptoms if they did not receive the WBJ. Among women who receive the WBJ, 74% felt emotionally supported. CONCLUSIONS This community-based Workbook-Journal may be an effective psychosocial intervention for rural, isolated, and low-income women with breast cancer. Community involvement was essential to the success of this project. PMID:12848832

Fertility Decline in Rural China: A Comparative Analysis

PubMed Central

Harrell, Stevan; Yuesheng, Wang; Hua, Han; Santos, Gonçalo D.; Yingying, Zhou

2014-01-01

Many models have been proposed to explain both the rapidity of China’s fertility decline after the 1960s and the differential timing of the decline in different places. In particular, scholars argue over whether deliberate policies of fertility control, institutional changes, or general modernization factors contribute most to changes in fertility behavior. Here the authors adopt an ethnographically grounded behavioral–institutional approach to analyze qualitative and quantitative data from three different rural settings: Xiaoshan County in Zhejiang (East China), Ci County in Hebei (North China), and Yingde County in Guangdong (South China). The authors show that no one set of factors explains the differential timing and rapidity of the fertility decline in the three areas; rather they must explain differential timing by a combination of differences in social–cultural environments (e.g., spread of education, reproductive ideologies, and gender relations) and politico-economic conditions (e.g., economic development, birth planning campaigns, and collective systems of labor organization) during the early phases of the fertility decline. PMID:21319442

Geochemistry and origin of regional dolomites

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hanson, G.N.; Meyers, W.J.

1989-12-01

The major goal of the carbonate research program at Stony Brook is to better understand the conditions and processes leading to regional diagenesis of carbonate rocks. Our research focuses on studies of ancient, massive dolostones, but we are also studying limestone diagenesis for its own importance, and as it relates to dolomitization. Our approach has been to carry out a very detailed petrographic and geochemical case study to the Mississippian Burlington-Keokuk Fms. of Iowa, Illinois and Missouri, and to develop this as a testing ground for new geochemical and modelling techniques, and for testing various models for regional dolomitization inmore » epicontinental carbonates. The ideas and techniques developed in our Burlington-Keokuk studies are being expanded and applied to carbonate sequences of other ages (Devonian to Neogene), and other tectono-sedimentary settings. The emphasis of this report will be on new developments and results on the Burlington-Keokuk studies and on our diagenetic studies of other strata. Recent research on Burlington-Keokuk rocks include development and application of boron isotopes and the U--Th--Pb system to dolomite studies, investigations of porosity and permeability in the dolostones. Projects on other strata include dolomitization and limestones diagenesis of Devonian carbonates of Alberta and Western Australia, Miocene reefal carbonates of Spain, Neogene carbonates of Curacao and Bonaire, Waulsortian limestones of Ireland, modelling of trace elements and stable isotopes, and experimental growth of calcites to investigate crystallographic controls of trace element incorporation. 118 refs., 46 figs.« less

77 FR 47592 - Umatilla National Forest, Columbia County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-09

...The Umatilla National Forest, Columbia County Resource Advisory Committee will meet in Dayton, Washington as authorized under the Secure Rural Schools and Community Self-Determination Act. Purpose of the meeting will be to monitor projects being implemented under Public Law 110-343 and if authorized by the Secretary of Agriculture by the meeting date, to review and recommend projects to be funded under Public Law 112-141. This meeting is open to the public.

Residents' willingness-to-pay for attributes of rural health care facilities.

PubMed

Allen, James E; Davis, Alison F; Hu, Wuyang; Owusu-Amankwah, Emmanuel

2015-01-01

As today's rural hospitals have struggled with financial sustainability for the past 2 decades, it is critical to understand their value relative to alternatives, such as rural health clinics and private practices. To estimate the willingness-to-pay for specific attributes of rural health care facilities in rural Kentucky to determine which services and operational characteristics are most valued by rural residents. We fitted choice experiment data from 769 respondents in 10 rural Kentucky counties to a conditional logit model and used the results to estimate willingness-to-pay for attributes in several categories, including hours open, types of insurance accepted, and availability of health care professionals and specialized care. Acceptance of Medicaid/Medicare with use of a sliding fee scale versus acceptance of only private insurance was the most valued attribute. Presence of full diagnostic services, an emergency room, and 24-hour/7-day-per-week access were also highly valued. Conversely, the presence of specialized care, such as physical therapy, cancer care, or dialysis, was not valued. In total, respondents were willing to pay $225 more annually to support a hospital relative to a rural health clinic. Rural Kentuckians value the services, convenience, and security that rural hospitals offer, though they are not willing to pay more for specialized care that may be available in larger medical treatment centers. The results also inform which attributes might be added to existing rural health facilities to make them more valuable to local residents. © 2014 National Rural Health Association.

Built Environment and Active Commuting: Rural-Urban Differences in the U.S.

PubMed

Fan, Jessie X; Wen, Ming; Wan, Neng

2017-12-01

The purpose of this research was to investigate rural-urban differences in participation rates in three modes of active commuting (AC) and their built environmental correlates. The 2010 Census supplemented with other datasets were used to analyze AC rates in percent of workers age 16+ walking, biking, or taking public transportation to work in 70,172 Census tracts, including 12,844 rural and 57,328 urban. Random-intercept factional logit regressions were used to account for zero-inflated data and for clustering of tracts within counties. We found that the average AC rates were 3.44% rural and 2.77% urban (p<0.01) for walking to work, 0.40% rural and 0.58% urban (p<0.01) for biking to work, and 0.59% rural and 5.86% urban (p<0.01) for public transportation to work. Some environmental variables had similar relationships with AC in rural and urban tracts, such as a negative association between tract greenness and prevalence of walking to work. Others had opposite correlational directions for rural vs. urban, such as street connectivity for walking to work and population density for both walking to work and public transportation to work. We concluded that rurality is an important moderator in AC-environment relationships. In developing strategies to promote AC, attention needs to be paid to rural-urban differences to avoid unintended consequences.

Accessible Transportation, Geographic Elevation, and Masticatory Ability Among Elderly Residents of a Rural Area.

PubMed

Hamano, Tsuyoshi; Tominaga, Kazumichi; Takeda, Miwako; Sundquist, Kristina; Nabika, Toru

2015-06-26

Given that public transportation networks are often worse in rural areas than in urban areas, rural residents who do not drive can find it difficult to access health-promoting goods, services, and resources related to masticatory ability. Moreover, geographical location, assessed by elevation, could modify this association. The aim of this study was to test whether the association between access to transportation and masticatory ability varied by elevation. Data were collected from a cross-sectional study conducted in Mizuho and Iwami counties, Japan. Objective masticatory ability was evaluated using a test gummy jelly and elevation was estimated by the geographic information systems according to the participant's address. After excluding subjects with missing data, 672 subjects (Mizuho = 401 and Iwami = 271) were analyzed. After adjustment for potential confounders, being a driver was not significantly associated with masticatory ability among elderly people living at low elevation (≤313 m) in Mizuho county. However, after the same adjustment, being a driver remained significantly associated with increased masticatory ability among elderly at high elevations. Similar findings were observed in Iwami county. Accessible transportation was significantly associated with increased mastication ability in elderly people living at high elevations, but not in those living at low elevations.

Food Deserts in Leon County, FL: Disparate Distribution of Supplemental Nutrition Assistance Program-Accepting Stores by Neighborhood Characteristics

ERIC Educational Resources Information Center

Rigby, Samantha; Leone, Angela F.; Kim, Hwahwan; Betterley, Connie; Johnson, Mary Ann; Kurtz, Hilda; Lee, Jung Sun

2012-01-01

Objective: Examine whether neighborhood characteristics of racial composition, income, and rurality were related to distribution of Supplemental Nutrition Assistance Program (SNAP)-accepting stores in Leon County, Florida. Design: Cross-sectional; neighborhood and food store data collected in 2008. Setting and Participants: Forty-eight census…

Recruitment and retention strategies for hospital laboratory personnel in urban and rural settings.

PubMed

Slagle, Derek R

2013-01-01

Laboratory directors and administrators play vital roles in the recruitment and retention processes of their employees. A total of 71 laboratory directors from hospitals across 51 counties in Tennessee responded to questionnaires regarding recruitment and retention strategies. Respondents reported strategies for recruitment and retention, which were agreed to be effective by management. Overall, these major strategies were consistent regardless of geographic location and limited differences were noted with regard to urban-rural locations. The findings that varied significantly between urban and rural locations included: 1) rural employees needed additional supervision; 2) rural hospitals relied on local residents more so than urban hospitals; 3) rural laboratory administrators noted more limited access to resources; and the 4) lower effectiveness of recruitment agencies and family relocation programs for rural hospitals. This is significant given the disparities often associated with rural areas, and the potential to develop more successful recruitment and retention strategies for those areas. Active managers in clinical laboratory science programs in the hospital setting should note effective strategies for both, recruitment and retention of personnel, and note the potential impact of geography on such processes.

Epidemiology of multiple sclerosis in London and Middlesex County, Ontario, Canada.

PubMed

Hader, W J; Elliot, M; Ebers, G C

1988-04-01

A case-controlled epidemiologic study of multiple sclerosis (MS) was carried out in London, Ontario, and its surrounding Middlesex County for the period 1974-1983. The prevalence rates for clinically definite/probable MS on January 1, 1984 were 94/100,000 for the city and 91/100,000 for the county. The estimated annual incidence rate for the decade 1974-83 was 3.4/100,000. The female-to-male sex ratio was 2.5:1. A familial history of MS was recorded in 14.4% of close relatives and a total of 17% when distant relatives are included. The MS group is predominantly of British (70%) and European (23%) origin. The urban-rural residence pattern analysis indicates no significant regional influence on the risk of developing MS.

Analysis of arable land loss and its impact on rural sustainability in Southern Jiangsu Province of China.

PubMed

Liu, Y S; Wang, J Y; Long, H L

2010-01-01

Rapid urbanization and industrialization in southern Jiangsu Province have consumed a huge amount of arable land. Through comparative analysis of land cover maps derived from TM images in 1990, 2000 and 2006, we identified the trend of arable land loss. It is found that most arable land is lost to urbanization and rural settlements development. Urban settlements, rural settlements, and industrial park-mine-transport land increased, respectively, by 87 997 ha (174.65%), 81 041 ha (104.52%), and 12 692 ha (397.99%) from 1990 to 2006. Most of the source (e.g., change from) land covers are rice paddy fields and dryland. These two covers contributed to newly urbanized areas by 37.12% and 73.52% during 1990-2000, and 46.39% and 38.86% during 2000-2006. However, the loss of arable land is weakly correlated with ecological service value, per capita net income of farmers, but positively with grain yield for some counties. Most areas in the study site have a low arable land depletion rate and a high potential for sustainable development. More attention should be directed at those counties that have a high depletion rate but a low potential for sustainable development. Rural settlements should be controlled and rationalized through legislative measures to achieve harmonious development between urban and rural areas, and sustainable development for rural areas with a minimal impact on the ecoenvironment. 2009 Elsevier Ltd. All rights reserved.

Rainfall-runoff relationships and water-quality assessment of Coon Creek watershed, Anoka County, Minnesota

USGS Publications Warehouse

Arntson, A.D.; Tornes, L.H.

1985-01-01

Water-quality characteristics were determined based on 14 water samples from 4 sites and 1 bottom-mate rial sample from each site. Results of the analyses indicated that streams draining urban areas carry the highest concentrations of most constituents sampled. Sand Creek at Xeon Boulevard, which drains the most urbanized area, had the highest mean concentration of metals, chloride, dissolved solids, and suspended sediment. Concentrations of total phosphorus ranged from 0.04 to 0.43 milligram per liter at the rural sites on County Ditch 58 at Andover Boulevard and Coon Creek at Raddison Road. Average phosphorus concentrations at the rural sites are comparable to concentrations at the urban sites.

Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns.

PubMed

Congdon, Peter

2017-09-07

There is much ongoing research about the effect of the urban environment as compared with individual behaviour on growing obesity levels, including food environment, settlement patterns (e.g., sprawl, walkability, commuting patterns), and activity access. This paper considers obesity variations between US counties, and delineates the main dimensions of geographic variation in obesity between counties: by urban-rural status, by region, by area poverty status, and by majority ethnic group. Available measures of activity access, food environment, and settlement patterns are then assessed in terms of how far they can account for geographic variation. A county level regression analysis uses a Bayesian methodology that controls for spatial correlation in unmeasured area risk factors. It is found that environmental measures do play a significant role in explaining geographic contrasts in obesity.

Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns

PubMed Central

2017-01-01

There is much ongoing research about the effect of the urban environment as compared with individual behaviour on growing obesity levels, including food environment, settlement patterns (e.g., sprawl, walkability, commuting patterns), and activity access. This paper considers obesity variations between US counties, and delineates the main dimensions of geographic variation in obesity between counties: by urban-rural status, by region, by area poverty status, and by majority ethnic group. Available measures of activity access, food environment, and settlement patterns are then assessed in terms of how far they can account for geographic variation. A county level regression analysis uses a Bayesian methodology that controls for spatial correlation in unmeasured area risk factors. It is found that environmental measures do play a significant role in explaining geographic contrasts in obesity. PMID:28880209

Community matters: intimate partner violence among rural young adults.

PubMed

Edwards, Katie M; Mattingly, Marybeth J; Dixon, Kristiana J; Banyard, Victoria L

2014-03-01

Drawing on social disorganization theory, the current study examined the extent to which community-level poverty rates and collective efficacy influenced individual reports of intimate partner violence (IPV) perpetration, victimization, and bystander intervention among a sample of 178 young adults (18-24; 67.4% women) from 16 rural counties across the eastern US who completed an online survey that assessed demographic information, IPV perpetration, victimization, bystander intervention, and collective efficacy. We computed each county's poverty rate from the 2007-2011 American Community Survey. Generalized estimating equations demonstrated that after controlling for individual-level income status, community-level poverty positively predicted IPV victimization and perpetration for both men and women. Collective efficacy was inversely related to IPV victimization and perpetration for men; however, collective efficacy was unrelated to IPV victimization and perpetration for women. Whereas IPV bystander intervention was positively related to collective efficacy and inversely related to individual-level income status for both men and women, community-level poverty was unrelated to IPV bystander intervention for both men and women. Overall, these findings provide some support for social disorganization theory in explaining IPV among rural young adults, and underscore the importance of multi-level IPV prevention and intervention efforts focused around community-capacity building and enhancement of collective efficacy.

Application of a gender-based approach to conducting a community health assessment for rural women in Southern Illinois.

PubMed

Zimmermann, Kristine; Khare, Manorama M; Wright, Cherie; Hasler, Allison; Kerch, Sarah; Moehring, Patricia; Geller, Stacie

2015-08-01

Rural populations in the United States experience unique challenges in health and health care. The health of rural women, in particular, is influenced by their knowledge, work and family commitments, as well as environmental barriers in their communities. In rural southern Illinois, the seven southernmost counties form a region that experiences high rates of cancer and other chronic diseases. To identify, understand, and prioritize the health needs of women living in these seven counties, a comprehensive gender-based community health assessment was conducted with the goal of developing a plan to improve women's health in the region. A gender-analysis framework was adapted, and key stakeholder interviews and focus groups with community women were conducted and analyzed to identify factors affecting ill health. The gender-based analysis revealed that women play a critical role in the health of their families and their communities, and these roles can influence their personal health. The gender-based analysis also identified several gender-specific barriers and facilitators that affect women's health and their ability to engage in healthy behaviors. These results have important implications for the development of programs and policies to improve health among rural women. Copyright © 2014 Elsevier Ltd. All rights reserved.

Reviving the Rural Factory: Automation and Work in the South. Volumes 1 and 2.

ERIC Educational Resources Information Center

Rosenfeld, Stuart A.; And Others

These two volumes examine how the public sector can help revitalize southern rural counties adversely affected by global competition and technological advances. The first volume examines public and private factors that influence investment decisions in new technologies and outcomes of those decisions; effects of automation on employment and the…

Residence in Rural Areas of the United States and Lung Cancer Mortality. Disease Incidence, Treatment Disparities, and Stage-Specific Survival.

PubMed

Atkins, Graham T; Kim, Taeha; Munson, Jeffrey

2017-03-01

There is increased lung cancer mortality in rural areas of the United States. However, it remains unclear to what extent rural-urban differences in disease incidence, stage at diagnosis, or treatment explain this finding. To explore the relationship between smoking rates, lung cancer incidence, and lung cancer mortality in populations across the rural-urban continuum and to determine whether survival is decreased in rural patients diagnosed with lung cancer and whether this is associated with rural-urban differences in stage at diagnosis or the treatment received. We conducted a retrospective cohort study of 348,002 patients diagnosed with lung cancer between 2000 and 2006. Data from metropolitan, urban, suburban, and rural areas in the United States were obtained from the Surveillance, Epidemiology, and End Results program database. County-level population estimates for 2003 were obtained from the U.S. Census Bureau, and corresponding estimates of smoking prevalence were obtained from published literature. The exposure was rurality, defined by the rural-urban continuum code area linked to each cohort participant by county of residence. Outcomes included lung cancer incidence, mortality, diagnostic stage, and treatment received. Lung cancer mortality increased with rurality in a dose-dependent fashion across the rural-urban continuum. The most rural areas had almost twice the smoking prevalence and lung cancer incidence of the largest metropolitan areas. Rural patients diagnosed with stage I non-small cell lung cancer underwent fewer surgeries (69% vs. 75%; P < 0.001) and had significantly reduced median survival (40 vs. 52 mo; P = 0.0006) compared with the most urban patients. Stage at diagnosis was similar across the rural-urban continuum, as was median survival for patients with stages II-IV lung cancer. Higher rural smoking rates drive increased disease incidence and per capita lung cancer mortality in rural areas of the United States. There were no

Correlates of Social Participation and Mobility Potentials Among Rural Low Income Families.

ERIC Educational Resources Information Center

Miller, David B.

Based on the completed interview schedules of 74 black and 34 white rural household heads (from an East Mississippi county) making less than $3,000 annually, the purpose of this study was to examine whether social participation of the impoverished may be correlated with the geographic mobility potential of household heads and their adult children.…

Implementation of a School-Based Fluoride Tablet Program in a Rural Community.

ERIC Educational Resources Information Center

Eriksen, Michael; And Others

A segment of a 3-year dental research project involving 2,000 school children aged 5-13 conducted in a rural Pennsylvania county, this study presents 1 component in a 3-pronged attempt to determine the effectiveness of a school-based dental health delivery system. The implementation procedures of this program are described as involving:…

Farm Persistence and Adaptation at the Rural-Urban Interface: Succession and Farm Adjustment

ERIC Educational Resources Information Center

Inwood, Shoshanah M.; Sharp, Jeff S.

2012-01-01

Despite assumptions that agriculture will automatically go into a mode of decline at the Rural Urban Interface (RUI), official statistics suggest that agriculture as a whole remains a strong (and in some cases a growing) industry in many U.S. RUI counties. RUI scholars have acknowledged internal family dynamics can significantly influence farm…

Statewide Dissemination of a Rural, Non-Chain Restaurant Intervention: Adoption, Implementation and Maintenance

ERIC Educational Resources Information Center

Nothwehr, F.; Haines, H.; Chrisman, M.; Schultz, U.

2014-01-01

The obesity epidemic calls for greater dissemination of nutrition-related programs, yet there remain few studies of the dissemination process. This study, guided by elements of the RE-AIM model, describes the statewide dissemination of a simple, point-of-purchase restaurant intervention. Conducted in rural counties of the Midwest, United States,…

Rural Oregon community perspectives: introducing community-based participatory research into a community health coalition.

PubMed

Young-Lorion, Julia; Davis, Melinda M; Kirks, Nancy; Hsu, Anna; Slater, Jana Kay; Rollins, Nancy; Aromaa, Susan; McGinnis, Paul

2013-01-01

The Community Health Improvement Partnership (CHIP) model has supported community health development in more than 100 communities nationally. In 2011, four rural Oregon CHIPs collaborated with investigators from the Oregon Rural Practice-based Research Network (ORPRN), a component of the Oregon Clinical and Translational Research Institute (OCTRI), to obtain training on research methods, develop and implement pilot research studies on childhood obesity, and explore matches with academic partners. This article summarizes the experiences of the Lincoln County CHIP, established in 2003, as it transitioned from CHIP to Community Health Improvement and Research Partnership (CHIRP). Our story and lessons learned may inform rural community-based health coalitions and academicians who are engaged in or considering Community-based participatory research (CBPR) partnerships. Utilizing existing infrastructure and relationships in community and academic settings provides an ideal starting point for rural, bidirectional research partnerships.

76 FR 22671 - Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-22

...The Lincoln County Resource Advisory Committee will meet in Libby, MT. The committee is authorized under the Secure Rural Schools and Community Self-Determination Act (Pub. L. 110-343) (the Act) and operates in compliance with the Federal Advisory Committee Act. The purpose of the committee is to improve collaborative relationships and to provide advice and recommendations to the Forest Service concerning projects and funding consistent with the title II of the Act. The meeting is open to the public. The purpose of the meeting is to review 2011 project proposals.

76 FR 24852 - Lincoln County Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-03

...The Lincoln County Resource Advisory Committee will meet in Libby, MT. The committee is authorized under the Secure Rural Schools and Community Self-Determination Act (Pub. L. 110-343) (the Act) and operates in compliance with the Federal Advisory Committee Act. The purpose of the committee is to improve collaborative relationships and to provide advice and recommendations to the Forest Service concerning projects and funding consistent with the title II of the Act. The meeting is open to the public. The purpose of the meeting is to review 2011 project proposals.

Assessing local capacity to expand rural breast cancer screening and patient navigation: An iterative mixed-method tool.

PubMed

Inrig, Stephen J; Higashi, Robin T; Tiro, Jasmin A; Argenbright, Keith E; Lee, Simon J Craddock

2017-04-01

Despite federal funding for breast cancer screening, fragmented infrastructure and limited organizational capacity hinder access to the full continuum of breast cancer screening and clinical follow-up procedures among rural-residing women. We proposed a regional hub-and-spoke model, partnering with local providers to expand access across North Texas. We describe development and application of an iterative, mixed-method tool to assess county capacity to conduct community outreach and/or patient navigation in a partnership model. Our tool combined publicly-available quantitative data with qualitative assessments during site visits and semi-structured interviews. Application of our tool resulted in shifts in capacity designation in 10 of 17 county partners: 8 implemented local outreach with hub navigation; 9 relied on the hub for both outreach and navigation. Key factors influencing capacity: (1) formal linkages between partner organizations; (2) inter-organizational relationships; (3) existing clinical service protocols; (4) underserved populations. Qualitative data elucidate how our tool captured these capacity changes. Our capacity assessment tool enabled the hub to establish partnerships with county organizations by tailoring support to local capacity and needs. Absent a vertically integrated provider network for preventive services in these rural counties, our tool facilitated a virtually integrated regional network to extend access to breast cancer screening to underserved women. Copyright © 2016 Elsevier Ltd. All rights reserved.

A conceptual model exploring the relationship between HIV stigma and implementing HIV clinical trials in rural communities of North Carolina.

PubMed

Sengupta, Sohini; Strauss, Ronald P; Miles, Margaret S; Roman-Isler, Malika; Banks, Bahby; Corbie-Smith, Giselle

2010-01-01

HIV/AIDS disproportionately affects minority groups in the United States, especially in the rural southeastern states. Poverty and lack of access to HIV care, including clinical trials, are prevalent in these areas and contribute to HIV stigma. This is the first study to develop a conceptual model exploring the relationship between HIV stigma and the implementation of HIV clinical trials in rural contexts to help improve participation in those trials. We conducted focus groups with HIV service providers and community leaders, and individual interviews with people living with HIV/AIDS in six counties in rural North Carolina. Themes related to stigma were elicited. We classified the themes into theoretical constructs and developed a conceptual model. HIV stigma themes were classified under the existing theoretical constructs of perceived, experienced, vicarious, and felt normative stigma. Two additional constructs emerged: causes of HIV stigma (e.g., low HIV knowledge and denial in the community) and consequences of HIV stigma (e.g., confidentiality concerns in clinical trials). The conceptual model illustrates that the causes of HIV stigma can give rise to perceived, experienced, and vicarious HIV stigma, and these types of stigma could lead to the consequences of HIV stigma that include felt normative stigma. Understanding HIV stigma in rural counties of North Carolina may not be generalizeable to other rural US southeastern states. The conceptual model emphasizes that HIV stigma--in its many forms--is a critical barrier to HIV clinical trial implementation in rural North Carolina.

Municipal solid waste management in rural areas and small counties: an economic analysis using contingent valuation to estimate willingness to pay for Yunnan, China.

PubMed

Wang, Hua; He, Jie; Kim, Yoonhee; Kamata, Takuya

2014-08-01

Municipal solid waste management (SWM) is a major challenge for local governments in rural China. One key issue is the low priority assigned by the local government which is faced with limited financing capacity. We conducted an economic analysis in Eryuan, a poor county in Yunnan, China, where the willingness- to- pay (WTP) for an improved solid waste collection and disposal service was valuated and compared with project cost. Similar to most previous studies in developing countries, this study found that the mean WTP is approximately 1% of the household income. The economic internal rate of return of the project is about 5%, which signifies the estimated social benefit to be already higher than the project cost. Moreover, we believe our estimation of social benefit to be a conservative one since our study only focuses on the local people who will be directly served by the project; wider positive externality of the project, such as CO2 emission reduction and groundwater pollution alleviation, etc., whose impact most probably surpass the frontier of Eryuan county, are not considered explicitly in our survey. The analysis also reveals that the poorest households are not only willing to pay more than the rich households in terms of percentage income but are also willing to pay no less than the rich in terms of absolute value in locations where solid waste services are unavailable. This result reveals the fact that the poorest households have stronger demands for public SWM services, whereas the rich may have the ability to employ private solutions. © The Author(s) 2014.

Outcomes of Community-Based Prenatal Education Programs for Pregnant Women in Rural Texas.

PubMed

Ramsey, Joseph; Mayes, Brandii

A prenatal, evidenced-based education program was implemented in 7 rural counties and provided by trained staff at the Texas Department of State Health Services. This was implemented to address health disparities, in regard to birth outcomes, in rural minorities of Southeast Texas. The participants were given a preassessment (N = 382) and a postassessment (N = 326) of relevant health knowledge and a follow-up assessment (N = 149) to document the outcomes of their birth as well as health practices they were employing as new parents. The assessment results were analyzed to determine the effectiveness of the programs on improving health outcomes and knowledge.

SMART GROWTH LAND USE PLANNING FOR A COMMUNITY AT THE RURAL URBAN INTERFACE UTILIZING STRUCTURED PUBLIC INVOLVEMENT

EPA Science Inventory

A. Simpson County, KY is facing suburban growth pressure like many communities across the country at the rural urban interface. This presents opportunities and challenges to maintain community identity, build economic diversity, protect environmental resources, and imp...

DPT/CT: A Realistic Answer for Preventive Special Education Services in Rural School Setting.

ERIC Educational Resources Information Center

Sapp, David N.

The consulting teacher program involving the use of special classes and resource rooms, which serves mildly to moderately handicapped students in Griggs, Steele, and Traill Counties in North Dakota, a rural school district, is described. Outlined is the service design model consisting of 11 steps: referral, observation, initial parent contact,…

School-Based Screening of the Dietary Intakes of Third Graders in Rural Appalachian Ohio

ERIC Educational Resources Information Center

Hovland, Jana A.; McLeod, Sara M.; Duffrin, Melani W.; Johanson, George; Berryman, Darlene E.

2010-01-01

Background: Children in Appalachia are experiencing high levels of obesity, in large measure because of inferior diets. This study screened the dietary intake of third graders residing in 3 rural Appalachian counties in Ohio and determined whether the Food, Math, and Science Teaching Enhancement Resource Initiative (FoodMASTER) curriculum improved…

The single-hospital county: is its hospital at risk?

PubMed Central

Chang, C F; Tuckman, H P

1991-01-01

This article focuses on a hospital group that has not received adequate attention in the literature: the sole provider of short-term, acute hospital care located in a county. In Tennessee, SPHs (single provider hospitals) are fewer in number but are present in more counties than multiprovider hospitals (MPHs). They are smaller in size, less labor and capital intensive, more likely to be a government hospital, and more likely to be in a rural area with low income and limited health care resources. SPHs operate with lower costs, charge patients less, and have lower revenue write-offs than MPHs. As a result, their cash flow is sufficient to fund their depreciation and they consistently earn modest returns. Between 1982 and 1988, a total of 16 hospitals failed in Tennessee but only 3 were SPHs. While SPHs have not been profitable enough to make them ideal candidates for takeover by major hospital systems, they are not a population that is unduly at risk. PMID:1905685

Transformational Leadership: A Qualitative Study of Rural Elementary Schools in Fresno County

ERIC Educational Resources Information Center

Pina, Xavier

2013-01-01

Principal leadership is crucial to improving school effectiveness and positively affecting organizational culture in the midst of expectations from education reform mandates. Principals who provide direction and exercise influence can inspire commitment from organizational members to attain shared goals. Rural school principals face unique…

An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District

PubMed Central

2017-01-01

Climate change represents a significant and growing threat to population health. Rural areas face unique challenges, such as high rates of vulnerable populations; economic uncertainty due to their reliance on industries that are vulnerable to climate change; less resilient infrastructure; and lower levels of access to community and emergency services than urban areas. This article fills a gap in public health practice by developing climate and health environmental public health indicators for a local public health department in a rural area. We adapted the National Environmental Public Health Tracking Network's framework for climate and health indicators to a seven-county health department in Western Kentucky. Using a three-step review process, we identified primary climate-related environmental public health hazards for the region (extreme heat, drought, and flooding) and a suite of related exposure, health outcome, population vulnerability, and environmental vulnerability indicators. Indicators that performed more poorly at the county level than at the state and national level were defined as “high vulnerability.” Six to eight high vulnerability indicators were identified for each county. The local health department plans to use the results to enhance three key areas of existing services: epidemiology, public health preparedness, and community health assessment. PMID:28352286

Race, Ruralism, and Reformation: William J. Edwards and Snow Hill Institute, 1894-1915.

ERIC Educational Resources Information Center

Cooper, Arnold

This article examines the Snow Hill Institute, one of several 19th-century industrial schools founded for rural Southern black students, following the model of Booker T. Washington's Tuskegee Institute. This case study provides a sketch of William J. Edwards, an early Tuskegee alumnus and founder of the Snow Hill Institute in Wilcox County,…

Safety status of farm tractors that operate on public highways in four rural Kentucky counties.

PubMed

Cole, H P; Piercy, L R; Heinz, K L; Westneat, S C; Arrowsmith, H E; Raymond, K M

2009-07-01

Kentucky FFA students inspected 153 farm tractors for safety features that prevent operator injuries during tractor overturns, highway collisions, runovers, and power take-off (PTO) entanglements. Tractor mean age was 23.6 years (SD = 20.9). Rollover protective structures (ROPS) were present on 50.66% of tractors, but only 33.33% of these had functional seatbelts. Loose and damaged seats were found on 30.46% of tractors. In 38.99% of cases, tractor rear-wheel fenders exposed operators to moving tractor tires, and 48.67% of tractors had dangerously worn or damaged tires. Tractors with a narrow front-end stance comprised 16.11% of the total. Only 53.06% of the tractors had starters with secure hard cover by-pass starting shields that fully covered the starter terminals, and 37.37% had fully exposed terminals with no cover. PTO master shields with all parts present and undamaged were present on only 29.27% of the tractors, and in 39.02% of cases the entire shield was missing. Only 44.67% of the tractors had properly mounted and fully functional mounting and dismounting access steps and handholds. SMV emblems were missing on 53.64% of tractors and in the proper place and condition in only 25.83% of cases. Tractors with properly mounted and fully functional head and tail lights comprised 40.94% of the sample, and tractors with no functional lights comprised 24.16%. Properly mounted, clean, and functional rearview mirrors were present on only 19.87% of the tractors, and 69.54% had no rearview mirrors. The project increased farming and non-farming students' awareness of tractor safety issues, provided empirical data about the safety status of a sample of tractors that frequently travel public highways in four rural Kentucky farming counties, and promoted dialog about these issues with adult farmers and other community members with whom the students interacted.

Recruitment and retention of mental health care providers in rural Nebraska: perceptions of providers and administrators.

PubMed

Watanabe-Galloway, Shinobu; Madison, Lynda; Watkins, Katherine L; Nguyen, Anh T; Chen, Li-Wu

2015-01-01

The nationwide shortage of mental health professionals is especially severe in rural communities in the USA. Consistent with national workforce statistics, Nebraska's mental health workforce is underrepresented in rural and frontier parts of the state, with 88 of Nebraska's 93 counties being designated as federal mental health professional shortage areas. Seventy-eight counties have no practicing psychiatrists. However, supply statistics alone are inadequate in understanding workforce behavior. The objective of this study was to understand mental health recruitment and retention issues from the perspectives of administrators and mental healthcare professionals in order to identify potential solutions for increasing the mental health workforce in rural communities. The study used semi-structured focus groups to obtain input from administrators and mental health providers. Three separate focus groups were conducted in each of four regions in 2012 and 2013: licensed psychiatrists and licensed psychologists, licensed (independent) mental health practitioners, and administrators (including community, hospital, and private practice administrators and directors) who hire mental health practitioners. The transcripts were independently reviewed by two reviewers to identify themes. A total of 21 themes were identified. Participants reported that low insurance reimbursement negatively affects rural healthcare organizations' ability to attract and retain psychiatrists and continue programs. Participants also suggested that enhanced loan repayment programs would provide an incentive for mental health professionals to practice in rural areas. Longer rural residency programs were advocated to encourage psychiatrists to establish roots in a community. Establishment of rural internship programs was identified as a key factor in attracting and retaining psychologists. To increase the number of psychologists willing to provide supervision to provisionally licensed psychologists and

Urban-Rural Differences in Suicide in the State of Maryland: The Role of Firearms.

PubMed

Nestadt, Paul S; Triplett, Patrick; Fowler, David R; Mojtabai, Ramin

2017-10-01

To assess whether the use of firearms explains rural-urban differences in suicide rates. We performed a retrospective analysis on all 6196 well-characterized adult suicides in Maryland from 2003 through 2015. We computed rate ratios by using census data and then stratified by sex, with adjustment for age and race. Suicide rates were higher in rural compared with urban counties. However, the higher rural suicide rates were limited to firearm suicides (incident rate ratio [IRR] = 1.66; 95% confidence interval [CI] = 1.20, 2.31). Nonfirearm suicide rates were not significantly higher in rural settings. Furthermore, 89% of firearm suicides occurred in men and the higher rural firearm suicide rate was limited to men (IRR = 1.36; 95% CI = 1.09, 1.69). Women were significantly less likely to complete suicide in rural areas (IRR = 0.63; 95% CI = 0.43, 0.94), regardless of method. Male firearm use drives the increased rate of suicide in rural areas. The opposite associations between urbanicity and suicide in men and women may be driven by the male preference for firearms as a method for committing suicide.

Mesa County Public Library District, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

ERIC Educational Resources Information Center

LaDuke, Caryl

The Adult Reading Program, a project of the Mesa County Public Library District (Grand Junction, Colorado), involved recruitment, retention, coalition building, public awareness, training, rural oriented, basic literacy, collection development, tutoring, employment oriented, intergenerational/family, and English as a Second Language (ESL)…

Food deserts in Leon County, FL: disparate distribution of Supplemental Nutrition Assistance Program-accepting stores by neighborhood characteristics.

PubMed

Rigby, Samantha; Leone, Angela F; Kim, Hwahwan; Betterley, Connie; Johnson, Mary Ann; Kurtz, Hilda; Lee, Jung Sun

2012-01-01

Examine whether neighborhood characteristics of racial composition, income, and rurality were related to distribution of Supplemental Nutrition Assistance Program (SNAP)-accepting stores in Leon County, Florida. Cross-sectional; neighborhood and food store data collected in 2008. Forty-eight census tracts as proxy of neighborhoods in Leon County, Florida. All stores and SNAP-accepting stores were identified from a commercial business directory and a United States Department of Agriculture SNAP-accepting store list, respectively (n = 288). Proportion of SNAP-accepting stores across neighborhoods. Descriptive statistics to describe distribution of SNAP-accepting stores by neighborhood characteristics. Proportions of SNAP-accepting stores were compared by neighborhood characteristics with Wilcoxon-Mann-Whitney and Kruskal-Wallis tests. Of 288 available stores, 45.1% accepted SNAP benefits. Of the 48 neighborhoods, 16.7% had no SNAP-accepting stores. Proportions of SNAP-accepting grocery stores were significantly different by neighborhood racial composition and income. Primarily black neighborhoods did not have any supermarkets. Results were mixed with regard to distribution of food stores and SNAP-accepting stores by neighborhood racial composition, income, and rurality. This study suggests disparities in distribution of SNAP-accepting stores across neighborhood characteristics of racial composition, income, and rurality. Copyright © 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Dental Care Utilization among North Carolina Rural Older Adults