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Rural Health
Resources by Topic: Children and youth

Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Impact of Concurrent Hospice Care on Primary Care Visits among Children in Southern Rural Appalachia
Explores the relationship between concurrent hospice care and primary care visits among children in southern rural Appalachia between 2011 and 2013. Describes demographic and clinical characteristics of children in hospice care in this study. Discusses the findings in relation to the children's residence in medically underresourced areas.
Author(s): Mary Lou Clark Fornehed, Radion Svynarenko, Lisa C. Lindley
Citation: Journal of Pediatric Health care, 36(5), 438-442
Date: 09/2022
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A Granular Look at Internet Speeds and Demographic Groups: Implications for Digital Equity
Research brief on geographic variation in internet speed, utilizing 2020 Census block-level data. Provides statistics on national, Southern, and state-by-state rural-urban broadband speed disparities, with breakdowns by race and ethnicity and presence of children. Discusses barriers to access, broadband, and digital equity.
Author(s): Roberto Gallardo, Brian Whitacre
Date: 09/2022
Sponsoring organization: Southern Rural Development Center
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Determining Trends and Factors Associated with Self-Reported Physical Activity among Adolescents in Rural North Carolina
Uses data from a school-based wellness intervention to evaluate demographic, environmental, and school-level factors that may impact self-reported physical activity (PA) in 7th grade students in rural, eastern North Carolina during the 2018–2019 school year. Includes statistics on self-reported days of 60 min. PA per week with breakdowns by sex, race, and weight category.
Author(s): Sina Kazemzadeh, Chloe E. Opper, Xiangming, Suzanne Lazorick
Citation: International Journal of Environmental Research and Public Health, 19(18), 11417
Date: 09/2022
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Partnership to Develop and Deliver Curriculum Supporting Student-Led Air Quality Research in Rural Washington State
Highlights a partnership between an urban and rural university and a tribal high school in Washington's Yakima Valley to conduct air-quality research. Discusses the design of the project, the roles and responsibilities of each party, and evaluates the success of the partnership.
Author(s): Orly Stampfer, Omar Torres Cassio, Jason A. Grajales, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 16(3), 411-420
Date: 09/2022
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2022 National Strategy to Support Family Caregivers
Report details and defines a national support strategy for family caregivers of all ages. Highlights strategies for caring for children, elderly adults, people with disabilities, people with chronic conditions, and post-acute conditions, among others. Also, discusses recommendations for caregivers residing in rural areas.
Additional links: Actions for States, Communities, and Others, Federal Actions, First Principles: Cross-Cutting Considerations for Family Caregiver Support
Date: 09/2022
Sponsoring organization: Administration for Community Living
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QuickStats: Percentage of Children and Adolescents Aged 6–17 Years Who Have Roads, Sidewalks, Paths, or Trails Where They Can Walk or Ride a Bicycle, by Urban-Rural Status and Family Income — National Health Interview Survey, United States, 2020
Bar chart showing children's access to locations where they can walk or ride a bicycle. Provides data for rural and urban neighborhoods for families with incomes below 200% of the federal poverty level and for families with incomes at or above 200% of the federal poverty level.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(35), 1136
Date: 09/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Booster COVID-19 Vaccinations Among Persons Aged ≥5 Years and Second Booster COVID-19 Vaccinations Among Persons Aged ≥50 Years — United States, August 13, 2021–August 5, 2022
Reports on booster and second booster vaccination coverage among eligible populations, with data by urban and rural location by age group for those age 5-11, 12-17, 18-39, 40-64, and 65 and older. Includes discussion of vaccination barriers in rural areas.
Author(s): Hannah E. Fast, Bhavini Patel Murthy, Elizabeth Zell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(35), 1121-1125
Date: 09/2022
Sponsoring organization: Centers for Disease Control and Prevention
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National Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2021
Reports on trends in vaccination coverage among U.S. adolescents by age for ages 13 through 17. Includes discussion of rural vaccination coverage concerns but does not provide rural-specific data.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(35), 1101-1108
Date: 09/2022
Sponsoring organization: Centers for Disease Control and Prevention
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