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Rural Health Information Hub

Rural Health
Resources by State: Iowa

Closure of Labor & Delivery Units in Rural Counties Is Associated with Reduced Adequacy of Prenatal Care, Even When Prenatal Care Remains Available
Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, age, race and ethnicity, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 2023
Type: Document
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The Occurrence of Bone and Joint Cancers and Their Association with Rural Living and Radon Exposure in Iowa
Examines primary bone and joint cancers between 1975 and 2016 to understand long-term changes in their occurrence. Utilizes the Surveillance, Epidemiology, and End Results (SEER) database to focus on cancer occurrence in Iowa and the related correlation between cancers and rural populations, farmland size, and residential radon levels. Includes demographic data of Iowa regions and their corresponding age-adjusted incidence (AAIR) and mortality (AAMR) rates.
Author(s): Jonathan D. Nilles, Dooyoung Lim, Michael P. Boyer, et al.
Citation: Environmental Geochemistry and Health, 45(3), 925-940
Date: 2023
Type: Document
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Exploring Health Insurance Coverage in the North Central Region at the Intersection of Location, Employment, Gender, Race, and Ethnicity
Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type, gender, and race/ethnicity.
Date: 12/2022
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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Improving Access and Quality of Maternal and Infant Services in Rural Iowa through a Regional Center of Excellence
Profiles St. Anthony Regional Hospital in Carroll, Iowa, which serves six counties in west central Iowa. Discusses the hospital's efforts to improve maternal health and birth outcomes, including improving care coordination, increasing access to support and behavioral health services, and promoting better access to care in the region.
Date: 08/2022
Type: Document
Sponsoring organization: American Hospital Association
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Hospitals and Maternal Health in Rural America, with John Supplitt, Aisha Syeda, Virginia Uhlenkamp, and Ashleigh Wiederin
An episode of the Exploring Rural Health podcast discussing the role of rural hospitals in maternal health. Features John Supplitt and Aisha Syeda from the American Hospital Association, and Virginia Uhlenkamp and Ashleigh Wiederin from St. Anthony Regional Hospital in Carroll, Iowa.
Date: 08/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Healthy Iowans: Iowa's State Health Assessment
Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Type: Document
Sponsoring organization: Illinois Department of Public Health
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Community Engagement: An Essential Component of an Effective and Equitable Substance Use Prevention System
Describes the role of community engagement for tribal, urban, suburban, and rural communities when developing equitable evidence-based programs and policies supporting substance use prevention programs. Discusses research focused on community engagement activities and outcomes, hands-on strategies derived from participation in community engagement, and evaluation as part of the planning and implementation process. Presents examples of how community engagement facilitates substance use prevention systems in rural and tribal communities.
Date: 06/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Examines the extent of missed opportunities (MOs) for human papillomavirus (HPV) vaccination among adolescents in Iowa between the ages of 11 to 13 and continuously enrolled in private health insurance. Compares the number of MOs by gender and rurality.
Author(s): Grace Ryan, Sato Ashida, Paul A. Gilbert, et al.
Citation: Journal of Community Health, 47, 783-789
Date: 06/2022
Type: Document
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Implementation of a Maternal Child Knowledgebase
Describes the development and implementation of the Maternal-Child Knowledgebase (MCK), an Obstetrics and Gynecology-focused enterprise data warehouse that integrates pregnancy and care data for patients of the University of Iowa Hospitals and Clinics to facilitate maternal and women's health surveillance and research. Offers an overview of the MCK architecture, interface, security, and data governance, and notes the need for maternal and child health data to address rural disparities.
Author(s): Donna A. Santillan, Mark K. Santillan, Heather A. Davis, et al.
Citation: AMIA Annual Symposium Proceedings Archive, 2022, 432-438
Date: 05/2022
Type: Document
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