Rural Health
Resources by State: Iowa
The Women Farmer Stress Inventory: Examining Women Farmer Stress in the United States Corn Belt
Explores the causes of stress for women farmers. Discusses sociodemographic and farm-level factors that correlate with, and contribute to, stress. Breaks down data such as farm size and revenue, off-farm work and care labor, and demographic factors such as age, marital status, and education, among others.
Author(s): Carly E. Nichols, Jonathan Davis
Citation: Journal of Rural Health, 40(3), 457-466
Date: 11/2023
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Explores the causes of stress for women farmers. Discusses sociodemographic and farm-level factors that correlate with, and contribute to, stress. Breaks down data such as farm size and revenue, off-farm work and care labor, and demographic factors such as age, marital status, and education, among others.
Author(s): Carly E. Nichols, Jonathan Davis
Citation: Journal of Rural Health, 40(3), 457-466
Date: 11/2023
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Active Iowa: Increasing Physical Activity in Iowa Communities Program - Manual of Implementation
Toolkit details the Active Iowa program and provides information and tools for implementing and evaluating similar programs aimed at promoting active lifestyles in rural communities. Presents the structure of Active Iowa and gives step-by-step guidance on planning and implementation. Features supplemental training videos and other programmatic materials on the toolkit landing page.
Additional links: Landing Page, Supplemental Training Videos
Author(s): Barbara Baquero, Natoshia M. Askelson, Edith Parker, et al.
Date: 10/2023
Sponsoring organization: University of Iowa Prevention Research Center for Rural Health
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Toolkit details the Active Iowa program and provides information and tools for implementing and evaluating similar programs aimed at promoting active lifestyles in rural communities. Presents the structure of Active Iowa and gives step-by-step guidance on planning and implementation. Features supplemental training videos and other programmatic materials on the toolkit landing page.
Additional links: Landing Page, Supplemental Training Videos
Author(s): Barbara Baquero, Natoshia M. Askelson, Edith Parker, et al.
Date: 10/2023
Sponsoring organization: University of Iowa Prevention Research Center for Rural Health
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Closing the Broadband Infrastructure Gap: State Grant Funds and the Digital Divide
Analyzes Pew Trusts data on awarded broadband grants in 17 states between 2014 and 2020 to determine common characteristics of funded projects, criteria for allocation, and communities reached. Includes discussion of implications for Broadband Equity, Access, and Deployment (BEAD) funds and the impact on existing disparities. Offers rural and urban comparisons.
Additional links: Q&A with Pew Trusts, Summary
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 10/2023
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Analyzes Pew Trusts data on awarded broadband grants in 17 states between 2014 and 2020 to determine common characteristics of funded projects, criteria for allocation, and communities reached. Includes discussion of implications for Broadband Equity, Access, and Deployment (BEAD) funds and the impact on existing disparities. Offers rural and urban comparisons.
Additional links: Q&A with Pew Trusts, Summary
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 10/2023
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Bringing the Doctor to the Patients: Cardiology Outreach to Rural Areas
Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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Partners in Action: Health Improvement Strategies Throughout Iowa
Outlines county-level and community-level strategies that organizations in Iowa are undertaking to address the 7 priority health areas outlined in Healthy Iowans: Iowa's State Health Assessment: access, cancer, economic stability and income, healthy eating and active living, housing, mental health and mental disorders, and substance use. Includes organization name, strategy, desired outcome, and contact information.
Date: 10/2023
Sponsoring organization: Iowa Department of Health and Human Services
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Outlines county-level and community-level strategies that organizations in Iowa are undertaking to address the 7 priority health areas outlined in Healthy Iowans: Iowa's State Health Assessment: access, cancer, economic stability and income, healthy eating and active living, housing, mental health and mental disorders, and substance use. Includes organization name, strategy, desired outcome, and contact information.
Date: 10/2023
Sponsoring organization: Iowa Department of Health and Human Services
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Improving Maternal and Infant Services in Rural Iowa
Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Sponsoring organization: American Hospital Association
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Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Sponsoring organization: American Hospital Association
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The Association of Forced Expiratory Volume in One Second with Occupational Exposures in a Longitudinal Study of Adults in a Rural Community in Iowa
Examines the impact of occupational vapor–gas, dust, and fumes (VGDF) exposures and cigarette smoke on respiratory health. Provides data on 1,071 adults living in rural Iowa according to health status, health behaviors, and lifetime VGDF exposures. Discusses the health implications of work-related VGDF exposures.
Author(s): Paul K. Henneberger, Steven M. Rollins, Michael J. Humann, et al.
Citation: International Archives of Occupational and Environmental Health, 96(6), 919-930
Date: 08/2023
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Examines the impact of occupational vapor–gas, dust, and fumes (VGDF) exposures and cigarette smoke on respiratory health. Provides data on 1,071 adults living in rural Iowa according to health status, health behaviors, and lifetime VGDF exposures. Discusses the health implications of work-related VGDF exposures.
Author(s): Paul K. Henneberger, Steven M. Rollins, Michael J. Humann, et al.
Citation: International Archives of Occupational and Environmental Health, 96(6), 919-930
Date: 08/2023
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Testing Evidence-based Strategies to Improve HPV Vaccination Coverage in Rural Primary Care Clinics
Describes a human papillomavirus (HPV) vaccination intervention providing training, evaluation, and support to clinics in rural Iowa. Discusses challenges rural clinics face in their efforts to increase HPV vaccine initiation.
Author(s): Natoshia M. Askelson, Shelley Walker
Date: 06/2023
Sponsoring organization: St. Jude Children's Research Hospital
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Describes a human papillomavirus (HPV) vaccination intervention providing training, evaluation, and support to clinics in rural Iowa. Discusses challenges rural clinics face in their efforts to increase HPV vaccine initiation.
Author(s): Natoshia M. Askelson, Shelley Walker
Date: 06/2023
Sponsoring organization: St. Jude Children's Research Hospital
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