Rural Health
Resources by State: Iowa
Developing Smokeless Tobacco Prevention Messaging for At-Risk Youth: Early Lessons from "The Real Cost" Smokeless Campaign
Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
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Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
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Unintentional Firearm Injuries Remain Prevalent Over a 12 Year Experience at a Rural Midwestern Level 1 Trauma Center
Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
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Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Rural Unintentional Injuries: They're Not Accidents – They're Preventable
Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2017
Sponsoring organization: Rural Health Information Hub
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Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2017
Sponsoring organization: Rural Health Information Hub
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Staff Sharing Arrangements for Local Public Health
Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in 3 adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Sponsoring organizations: Center for State & Local Government Excellence, Public Health Accreditation Board
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Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in 3 adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Sponsoring organizations: Center for State & Local Government Excellence, Public Health Accreditation Board
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines 6 states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Examines 6 states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults
Examines differences in occupational exposure to vapor-gas, dust, and fumes in rural and urban areas. The rural population studied included both current and former farmers, and those who never farmed, thereby providing insights related to non-agriculture occupational exposure to airborne pollutants in rural areas.
Author(s): Brent C. Doney, Paul K. Henneberger, Michael J. Humann, et al.
Citation: MMWR Surveillance Summaries, 66(21), 1-5
Date: 11/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Examines differences in occupational exposure to vapor-gas, dust, and fumes in rural and urban areas. The rural population studied included both current and former farmers, and those who never farmed, thereby providing insights related to non-agriculture occupational exposure to airborne pollutants in rural areas.
Author(s): Brent C. Doney, Paul K. Henneberger, Michael J. Humann, et al.
Citation: MMWR Surveillance Summaries, 66(21), 1-5
Date: 11/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Life Course Patterns of Concurrent Trajectories of BMI and Affective Symptoms of Rural Mothers: Socioeconomic Antecedents and Disease Outcomes in Later Life
Study examining patterns of body mass index (BMI), socioeconomic background, and symptoms of depression and anxiety in rural Midwestern mothers over a 25-year period from 1991-2015. Participants in the study were 552 White families in rural Iowa who were parents of early adolescents in 1991. Discusses health risks, comorbidity, and socioeconomic stresses over time, noting that the rural women in the study experienced the rural farm crisis of the late 1980s.
Author(s): Kandauda Wickrama, Eric T. Klopack, Catherine Walker O'Neal, et al.
Citation: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 74(7), 1233-1244
Date: 10/2017
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Study examining patterns of body mass index (BMI), socioeconomic background, and symptoms of depression and anxiety in rural Midwestern mothers over a 25-year period from 1991-2015. Participants in the study were 552 White families in rural Iowa who were parents of early adolescents in 1991. Discusses health risks, comorbidity, and socioeconomic stresses over time, noting that the rural women in the study experienced the rural farm crisis of the late 1980s.
Author(s): Kandauda Wickrama, Eric T. Klopack, Catherine Walker O'Neal, et al.
Citation: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 74(7), 1233-1244
Date: 10/2017
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PROSPER Delivery of Universal Preventive Interventions with Young Adolescents: Long-term Effects on Emerging Adult Substance Misuse and Associated Risk Behaviors
Presents a study on the long term effects of substance abuse in young adults and the effectiveness of PROSPER prevention interventions for young adolescents. Features participants from 28 rural communities in Pennsylvania and Iowa.
Author(s): Richard Spoth, Cleve Redmond, Chungyeol Shin, et al.
Citation: Psychological Medicine, 47(3), 2246-2259
Date: 10/2017
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Presents a study on the long term effects of substance abuse in young adults and the effectiveness of PROSPER prevention interventions for young adolescents. Features participants from 28 rural communities in Pennsylvania and Iowa.
Author(s): Richard Spoth, Cleve Redmond, Chungyeol Shin, et al.
Citation: Psychological Medicine, 47(3), 2246-2259
Date: 10/2017
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