Medicine and Health Sciences Commons^™

Optimizing Cdes And Chws For Kentucky’S Rural Diabetes Belt Counties, Frances J. Feltner

Center of Excellence in Rural Health Presentations

CDC scientists have identified a diabetes belt located mostly in the southern portion of the United States. This diabetes belt consists of 644 counties in 15 states. Sixty-eight (68) of Kentucky’s 120 counties are in this diabetes belt, which requires that ≥ 11% of adults aged ≥ 20 have been diagnosed as having type 2 diabetes.

Certified Diabetes Educators (CDEs) are a major resource for health campaigns to prevent type diabetes, delay its onset, and to lessen its serious negative health outcomes. Unfortunately Kentucky has only 257 publicly listed CDEs and becoming a CDE is a long and arduous process. …

The Influence Of Cognitive-Perceptual Variables On Patterns Of Change Over Time In Rural Midlife And Older Women's Healthy Eating., Bernice C, Yates, Carol H. Pullen, Jonathan Bruce Santo, Linda Boeckner, Patricia A. Hageman, Paul J. Dizona, Susan Noble Walker

Journal Articles: College of Nursing

Although studies demonstrate that dietary interventions for healthy adults can result in beneficial dietary changes, few studies examine when and how people change in response to these interventions, particularly in rural populations. The purpose of this study was to examine patterns of change over time in healthy eating behaviors in midlife and older women in response to a one-year health-promoting intervention, and to examine what predictors (perceived benefits, barriers, self-efficacy, and family support for healthy eating) influence the changes during the intervention and follow-up. Data for this secondary analysis were from the Wellness for Women community-based trial. Women (N = …

Community Health News, Georgia Southern University

Community Health Department News (2011-2018)

• Farmer’s Markets in Rural Communities

The Last Frontier: Rural Emergency Nurses’ Perceptions Of End-Of-Life Care Obstacles, Renea L. Beckstrand, Virginia C. Giles, Karlen E. (Beth) Luthy, Lynn C. Callister, Sondra Heaston

Faculty Publications

Introduction: Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers or obstacles to providing end-of-life (EOL) care. This study was completed to discover the size, frequency, and magnitude of obstacles in providing EOL care in rural emergency departments as perceived by rural emergency nurses.

Methods: A 57-item questionnaire was sent to 52 rural hospitals in Idaho, Wyoming, Utah, Nevada, and Alaska. Respondents were asked to rate items on size and frequency of perceived obstacles to providing EOL care in rural emergency departments. …

Rural Implications Of Geographic Rating Of Health Insurance Premiums, Andrew F. Coburn Phd, Erika C. Ziller Phd, Zachariah T. Croll Ba, Elizabeth Kilbreth Phd

Access / Insurance

This brief examines how and to what extent states allow health plans to vary premiums by geographic rating area and, using insurance data from selected states, assesses the direction and magnitude of variations in rural and urban geographic rating factors. The authors conclude with a discussion of strategies that federal and state policymakers might use to help ensure that premium variations based on geography are justified. KEY POINTS: There is no clear pattern of geographic rating factors favoring rural or urban areas. This lack of a clear pattern suggests that health plans may use geographic rating for business purposes other …

Physical Activity And Screen Time Behaviour In Metropolitan, Regional And Rural Adolescents: A Cross-Sectional Study Of Australians Aged 9–16 Years, James Dollman, Carol Maher, Tim S. Olds, Kate Ridley

Aboriginal Policy Research Consortium International (APRCi)

Objectives: While there is consistent evidence that rural adults in Australia are less active than their urban counterparts, studies relating geographical remoteness to activity patterns in Australian adolescents have yielded inconsistent results. The aim of this study was to describe objectively and subjectively measured patterns of physical activity and sedentary behaviours across remoteness categories in a representative sample of 9–16 year old Australians. Design: Cross-sectional observational study. Methods: 2071 Australian adolescents provided self-report use of time data on four days and wore a pedometer for at least 6 days within the 2007 Australian National Children’s Nutrition and Physical Activity Survey. …

Effectiveness Of The Coping Power Program In A Mexican-American Sample: Distinctive Cultural Considerations, Susan L. O'Donnell, Diomaris E. Jurecska, Robert Dyer

Aboriginal Policy Research Consortium International (APRCi)

This study responds to the challenges associated with delivering culturally sensitive and evidence-based treatment (EBT) to at-risk children. Current research supports group interventions based on the Coping Power Program (CPP) curriculum as EBT for improving the frequency of positive behaviors in children and adolescents. However, the effectiveness of the CPP in a Mexican-American sample has not been explored to date. This study investigated the effectiveness of the CPP delivered as a preventative intervention to Mexican-American adoles- cents in a rural school setting. A major emphasis is put on cultural sensitivity when working with this population. Cultural sensitivity is expressed by …

Comparison Of Assessment Performance Of Rural And Regional Students In A Unique Australian Graduate-Entry Medical Program, David L. Garne, J Bushnell, A Lethbridge, J Douglas

Faculty of Science, Medicine and Health - Papers: part A

The Graduate School of Medicine at the University of Wollongong is one of Australia's newest medical schools, with a regional/rural focus and a distributed campus, and students are all expected to spend a significant proportion of their training in a rural setting. Due to the diverse learning environments that students are exposed to, we sought to determine by phase if there was any difference in examination results between groups who were located in rural settings and those in regional settings.

Climate Change And Rural Child Health: Results And New Directions From An International Collaboration, Bastian Seidel

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

Re-Creating The Rural, Reconstructing Nature: An International Literature Review Of The Environmental Implications Of Amenity Migration, Jesse B. Abrams, Hannah Gosnell, Nicholas J. Gill, Peter J. Klepeis

Faculty of Science, Medicine and Health - Papers: part A

The term 'amenity migration' describes a broad diversity of patterns of human movement to rural places in search of particular lifestyle attributes. This review of international literature, drawn from the authors' own prior research and searches on relevant databases, synthesises findings on the implications of amenity migration for the creation and distribution of environmental harms and benefits. Further, we critique common framings of amenity migration-related environmental transformations and offer suggestions for future research. Analysis is positioned within a review of five common themes reflected in the cases we consider: land subdivision and residential development; changes in private land use; cross-boundary …

Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Medical education in Australia is increasingly delivered through longitudinal placements in general practice and other community settings. Early meaningful exposure to patients has been shown to improve the transition from medical student to junior doctor. This study examines the experience of the first year cohort of the University of Western Sydney (UWS) Medical School long-term rural placement students. Results have been placed in the context of other published results for rural training schemes, comparing and contrasting the present results to those of others. Methods: Students undertaking a rural placement in their final year of the UWS medical program (n=21) …

Cautiousness In Young Rural And Semi-Rural Drivers: Are There Influencing Factors?, Patricia J. Knight, Donald C. Iverson, Mark F. Harris

Graduate School of Medicine - Papers (Archive)

All drivers have to be prepared for driving with changed conditions, either intrinsic or external to the vehicle. This study explores factors influencing the cautiousness while driving of high school students in a rural and small semirural town community in New South Wales. Perceptions of caution in response to a range of different conditions including driving with passengers, bad weather, driving an unfamiliar car, poor road conditions, driving in heavy traffic and darkness - all conditions which have the potential to affect driving style or speed - were reported. Many of the young rural students reported having started to drive …

Early Driving Experience And Influence On Risk Perception In Young Rural People, Patricia J. Knight, Donald Iverson, Mark F. Harris

Graduate School of Medicine - Papers (Archive)

Young people, particularly males and those from a rural area, are over represented in road crashes; this occurs in vehicle dependent countries around the world, including Australia. The attitudes, experiences and behaviours of young drivers are some of the key factors which affect their potential to have an earlyon road driving experience that is crash free.

This paper considers the views of young people, some of whom were brought up on rural properties, and had significant, responsible roles in agricultural work, including task related driving from a very early age. This early responsibility and associated awareness of risk of injury …

Patient Perceptions Of Innovative Longitudinal Integrated Clerkships Based In Regional, Rural And Remote Primary Care: A Qualitative Study, Judith N. Hudson, Patricia J. Knight, Kathryn M. Weston

Graduate School of Medicine - Papers (Archive)

No abstract provided.

The Study Design And Methodology For The Archer Study - Adolescent Rural Cohort Study Of Hormones, Health, Education, Environments And Relationships, Katharine Steinbeck, P Hazell, Robert Cumming, S Skinner, Rebecca Ivers, Robert Booy, G Fulcher, D Handelsman, Andrew Martin, Geoff Morgan, J M. Starling, Adrian E. Bauman, M Rawsthorne, D Bennett, C Chow, Mary K. Lam, P Kelly, Ngiare J. Brown, K Paxton, C Hawke

Graduate School of Medicine - Papers (Archive)

Background: Adolescence is characterized by marked psychosocial, behavioural and biological changes and represents a critical life transition through which adult health and well-being are established. Substantial research confirms the role of psycho-social and environmental influences on this transition, but objective research examining the role of puberty hormones, testosterone in males and oestradiol in females (as biomarkers of puberty) on adolescent events is lacking. Neither has the tempo of puberty, the time from onset to completion of puberty within an individual been studied, nor the interaction between age of onset and tempo. This study has been designed to provide evidence on …

Poor Food And Nutrient Intake Among Indigenous And Non-Indigenous Rural Australian Children, Josephine D. Gwynn, Victoria M. Flood, Catherine A. D'Este, John R. Attia, Nicole Turner, Janine Cochrane, Jimmy Chun Yu Louie, John H. Wiggers

Faculty of Health and Behavioural Sciences - Papers (Archive)

BACKGROUND: The purpose of this study was to describe the food and nutrient intake of a population of rural Australian children particularly Indigenous children. Participants were aged 10 to 12 years, and living in areas of relative socio-economic disadvantage on the north coast of New South Wales. METHODS: In this descriptive cross-sectional study 215 children with a mean age of 11.30 (SD 0.04) years (including 82 Indigenous children and 93 boys) completed three 24-hour food recalls (including 1 weekend day), over an average of two weeks in the Australian summer of late 2005. RESULTS: A high proportion of children consumed …

Rural–Urban Differences In Dental Service Use Among Children Enrolled In A Private Dental Insurance Plan In Wisconsin: Analysis Of Administrative Data, Pradeep Bhagavatula, Qun Xiang, Aniko Szabo, Fredrick Eichmiller, Raymond A. Kuthy, Christopher Okunseri

School of Dentistry Faculty Research and Publications

Background

Studies on rural–urban differences in dental care have primarily focused on differences in utilization rates and preventive dental services. Little is known about rural–urban differences in the use of wider range of dental procedures. This study examined patterns of preventive, restorative, endodontic, and extraction procedures provided to children enrolled in Delta Dental of Wisconsin (DDWI).

Methods

We analyzed DDWI enrollment and claims data for children aged 0-18 years from 2002 to 2008. We modified and used a rural and urban classification based on ZIP codes developed by the Wisconsin Area Health Education Center (AHEC). We categorized the ZIP codes …

The Collaborative Role Of Psychologists In Rural Pediatric Primary Care Settings, Kimberly M. Russo

Antioch University Dissertations & Theses

In this dissertation I discuss research conducted to gain a greater understanding of the unique collaborative needs and desires of medical professionals working with pediatric patients in rural communities. Specifically, I researched the following question: Do medical professionals working in rural areas desire more in-depth collaborative relationships with mental health professionals than they currently have? I acquired information on this subject by mailing surveys to primary care physicians, nurse practitioners, and family practice doctors to learn more about their opinions regarding collaboration with mental health professionals. I collected data over a one-month period, resulting in 11 completed surveys being returned. …