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Rural Health
Resources by Topic: Children and youth

Bullying and Physical Violence and Their Association with Handgun Carrying among Youth Growing up in Rural Areas
Evaluates 2002 students in 12 rural communities in 7 states to identify the association between handgun carrying and violence in rural youth. Discusses implications for violence prevention efforts.
Author(s): Alice M. Ellyson, Emma Gause, Vivian H. Lyons, et al.
Citation: Preventative Medicine, 167, 107416
Date: 02/2023
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Coordinating Services To Support Families: Findings from the Head Start Connects Case Studies
Provides case studies of 6 Head Start programs to learn about program coordination and partnerships from staff, families, and local providers. Utilizes data from 2020 to evaluate strategies related to identifying family needs, connecting families with services, and maintaining connections with families. Includes rural specific feedback from 2 rural Head Start programs.
Author(s): Marissa Strassberger, Carol Hafford, Kate Stepleton
Date: 02/2023
Sponsoring organization: Administration for Children and Families
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Rural-Urban Variation in the Association of Adolescent Violence and Handgun Carrying in the United States, 2002-2019
Uses the National Survey on Drug Use and Health from 2002 to 2019 to compare associations of interpersonal violence and handgun carrying between rural and urban 12 to 17 year olds. Sample includes nearly 25 million people each year of the study and uses the U.S. Department of Agriculture's Rural-Urban Continuum Codes to determine rurality. Offers suggestions for rural-specific injury prevention measures.
Author(s): Julia P. Schleimer, Emma Gause, Kimberly Dalve, Alice Allyson, Ali Rowhani-Rahbar
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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The Other Side of the ACEs Pyramid: A Healing Framework for Indigenous Communities
Describes the Indigenous Wellness Pyramid developed at the University of Montana National Native Children's Trauma Center offering a holistic approach to healing from the effects of adverse childhood events (ACEs) in Indigenous communities. Provides examples, supporting research, and suggestions for implementing the Indigenous Wellness Pyramid.
Author(s): Maegan Rides At The Door, Sidney Shaw
Citation: International Journal of Environmental Research and Public Health, 20(5), 4108
Date: 02/2023
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A Population-Based Assessment of Metastatic Hepatoblastoma in Texas Reveals Ethnic Disparities
Presents the results of a population-based study to advance knowledge of the epidemiology of hepatoblastoma, a common liver disease in children particularly Latino children, and to identify the high-risk factors of the disease to improve health outcomes. Study evaluated population data based on sex, race or ethnicity, age, urban-rural status, and residence in the Texas-Mexico border region.
Author(s): Andres F. Espinoza, Michael E. Scheurer, Tiffany M. Chambers, Sanjeev A. Vasudevan, Philip J. Lupo
Citation: Frontiers in Public Health, 11
Date: 02/2023
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Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study
Highlights a study on the use of telemedicine for primary care visits among children. Explores the role of telemedicine in expanding access to primary care, and discusses some of the barriers to care such as insurance coverage, low health literacy, and slow technology uptake in rural areas.
Author(s): Kristin N. Ray, Samuel R. Wittman, Sarah Burns, et al.
Citation: Journal of Medical Internet Research, 25, e42892
Date: 02/2023
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The Effect of Geographic Origin and Destination on Congenital Heart Disease Outcomes: A Retrospective Cohort Study
Examines surgical outcomes related to rural versus urban residence, distance to tertiary care, and reporting characteristics of associated surgical centers for Department of Defense (DoD) health insurance beneficiaries with congenital heart disease (CHD). Analyzes outcomes by cost, length of stay, readmission within 90 days, and patient mortality, further broken down by patient demographics, including rural-urban commuting area (RUCA).
Author(s): Spencer M. Millen, Cara H. Olsen, Ryan P. Flanagan, John S. Scott, Craig P. Dobson
Citation: BMC Cardiovascular Disorders, 23, 99
Date: 02/2023
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COVID-19 Bivalent Booster Vaccination Coverage and Intent to Receive Booster Vaccination Among Adolescents and Adults — United States, November–December 2022
Reports on COVID-19 primary series and bivalent booster vaccination receipt and intent among adults and adolescents. Includes data for metropolitan and nonmetro areas.
Author(s): Peng-jun Lu, Tianyi Zhou, Tammy A. Santibanez, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(7), 190-198
Date: 02/2023
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Vaccination Coverage and Demographic Characteristics of Infants and Children Aged 6 Months–4 Years — United States, June 20–December 31, 2022
Reports on COVID-19 vaccination coverage among children aged 6 months to 4 years as of December 31, 2022. Includes national and state-by-state data by urbanicity on a two-level (urban/rural) and six-level (metro/nonmetro) scale.
Author(s): Bhavini Patel Murthy, Hannah E. Fast, Elizabeth Zell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(7), 183-189
Date: 02/2023
Sponsoring organization: Centers for Disease Control and Prevention
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4C for Cherokee Children Cultural Connection
Discusses the trauma Cherokee children experience in the foster care system and a related program meant to mitigate the grief and loss after being removed from the home. Focuses on utilizing cultural knowledge to process trauma and improve physical and mental health. Transcript available below description.
Date: 02/2023
Sponsoring organization: Capacity Building Center for Tribes
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