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Rural Health
Resources by Topic: Abuse and violence

Trends and Disparities in Firearm Fatalities in the United States, 1990-2021
Results of a study of 1,110,421 firearm fatalities from 1990-2021, using data from the Centers for Disease Control. Features statistics including age- and year-specific firearm homicide and suicide fatality rates with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing geographic distribution of firearm fatalities.
Author(s): Chris A. Rees, Michael C. Monuteaux, Isabella Steidley, et al.
Citation: JAMA Network Open, 5(11)
Date: 11/2022
Type: Document
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Accuracy of Behavioral Health Variables in Oregon National Violent Death Reporting System Data: A Linked Cohort Study
Highlights a study on the accuracy of the reported behavioral health variables in the National Violent Death Reporting System (NVDRS) linked with Veterans Affairs data from 2003-2017 in Oregon. Compares VA and NVDRS behavioral health variables, such as post-traumatic stress disorder, substance use disorders, depression, and rurality of resident location, among others.
Author(s): Kathleen F. Carlson, Tess A. Gilbert, Susan DeFrancesco, et al.
Citation: Injury Epidemiology, 9, 29
Date: 09/2022
Type: Document
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Examining the Association Between Rurality and Positive Childhood Experiences Among a National Sample
Explores the relationship between rurality and positive childhood experiences (PCEs). Compares rates of PCEs, such as nurturing and supportive relationships, safe and stable environments, and constructive social engagement, among others, in rural and urban communities.
Author(s): Elizabeth Crouch, Janice C. Probst, Sylvia Shi, et al.
Citation: Journal of Rural Health
Date: 08/2022
Type: Document
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An Algorithm Using Administrative Data to Measure Adverse Childhood Experiences (ADM‐ACE)
Article discussing the development and methodology of an administrative data tool to measure adverse childhood experiences (ADM-ACE), which researchers applied to 2018 claims and enrollment data for the Tennessee Medicaid program (TennCare). Presents ADM-ACE statistics drawn from the Tennessee data, and outlines how measures of adverse childhood experiences were defined and applied in the study. Offers rural/urban comparisons for rates of ADM-ACE prevalence.
Author(s): Laura E. Henkhaus, Gilbert Gonzales, Melinda B. Buntin
Citation: Health Services Research, 57(4), 963-972
Date: 08/2022
Type: Document
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Firearm Safety in Rural America
Policy brief describing the prevalence of firearm-related injuries and death in rural areas. Offers policy recommendations to mitigate the risk of rural firearm injury and death.
Author(s): Eneka Lamb, Ada Pariser, Andy Fosmire
Date: 07/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Crime, Violence, Discipline, And Safety in U.S. Public Schools In 2019–20 Findings from the School Survey on Crime And Safety
Reports on crime and violence in U.S. public schools based on data from the School Survey on Crime and Safety (SSOCS). Includes programs and practices in schools to prevent crime as well as data tables on recorded incidents of crime, threats and physical attacks, hate crimes, substance abuse issues, mental health factors, and more. Include breakdowns of crime and violence variables by city, suburb, town, or rural location.
Author(s): Ke Wang, Jana Kemp, Riley Burr
Date: 07/2022
Type: Document
Sponsoring organizations: American Institutes for Research, National Center for Education Statistics
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Rural Children with 4+ Adverse Childhood Experiences Often Lack Positive Experiences
Fact sheet presenting findings of a study examining the level of protective positive childhood experiences (PCEs) among rural children, sorted by high-risk adverse childhood experience (ACE) scores. Offers comparisons of PCEs among children with fewer than 4 ACEs and greater than 4 ACEs, including after school activities, safe and supportive neighborhoods, and community and family connection.
Date: 07/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Family Strengthening Research: 2021 Report
Provides an overview of the Division of Family Strengthening's (DFS) major research investments through 2021. Reports on DFS focus areas: strengthening and supporting relationships, fatherhood, children, and families; reducing teen pregnancy and supporting positive youth development; and preventing family violence. Includes discussions on programs and issues specific to tribal and rural communities.
Date: 07/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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The Impact of Adverse and Positive Childhood Experiences on Rural Children, with Elizabeth Crouch
An episode of the Exploring Rural Health podcast featuring Dr. Elizabeth Crouch, director of the Rural and Minority Health Research Center, discussing insights on rural adverse and positive childhood experiences based on her research.
Date: 07/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Report on Indicators of School Crime and Safety: 2021
Presents information on issues such as crime, safety, use of illegal substances, and bullying in schools utilizing multiple national datasets. Includes statistics on school shootings, non-fatal violent crime, school reports on crime and discipline problems, and more. Provides statistics on percentage of schools offering mental health services as well as prevalence of bullying broken down by city, suburban, town, and rural.
Author(s): Véronique Irwin, Ke Wang, Jiashan Cui, Alexandra Thompson
Date: 06/2022
Type: Document
Sponsoring organization: National Center for Education Statistics
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