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Rural Health
Resources by Topic: Research methods and resources

A Stepped-Wedge Cluster Randomized Trial Designed to Improve Completion of HPV Vaccine Series and Reduce Missed Opportunities to Vaccinate in Rural Primary Care Practices
Describes a study that will examine the effectiveness of using a team-based intervention to improve human papillomavirus (HPV) vaccination in rural Oregon. Addresses study design, planned interventions, and baseline HPV series initiation and completion rates.
Author(s): Patricia A. Carney, Brigit Hatch, Isabel Stock, et al.
Citation: Implementation Science, 14(1), 30
Date: 03/2019
Type: Document
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San Joaquin Valley Latino Immigrants: Implications of Survey Findings for Census 2020
Examines how 2020 Census collection methods could affect data accuracy for the San Joaquin Valley, a large, rural agricultural area with a significant Latino immigrant population. Focuses on the impact of whether the Census included a citizenship question, and addresses impacts of other factors on response rate, including internet access, mail delivery, and more. Discusses the potential impacts of undercounting on program funding and other areas.
Author(s): Edward Kissam, Richard Mines, Cindy Quezada, Jo Ann Intili, Gail Wadsworth
Date: 01/2019
Type: Document
Sponsoring organization: California Institute for Rural Studies
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Utility and Generalizability of Multi-State, Population-Based Cancer Registry Data for Rural Cancer Surveillance Research in the United States
Analyzes various cancer registries to determine the usability of these sources in rural cancer surveillance research. Includes data from 2009-2013 on rural and urban cancer incidence rates by cancer site and race/ethnicity.
Author(s): Whitney Zahnd, Wiley Jenkins, Aimee James, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1252-1260
Date: 11/2018
Type: Document
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An Overview of the National Cancer Institute's Initiatives to Accelerate Rural Cancer Control Research
Highlights initiatives developed by the National Cancer Institute (NCI) to address the obstacles and opportunities in rural cancer control research. Summarizes discussions from a NCI-hosted national meeting held on May 30-31, 2018. Conference topics centered on rural definitions, surveillance and epidemiologic research, overcoming methodologic challenges, executing multilevel interventions, and using implementation science in rural cancer control.
Author(s): Amy Kennedy, Robin Vanderpool, Robert Croyle, Shobha Srinivasan
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1240-1244
Date: 11/2018
Type: Document
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Counting Rural America: A Guide to 2020 Census Operations
Discusses the U.S. Census Bureau's special operations for counting populations in remote rural areas, including locations without mailing addresses, with high seasonal vacancies, or areas recovering from national disasters. Addresses the challenges of limited internet access and cell phone service, and methods to improve the count in these areas. Identifies specific Hard-to-count (HTC) populations, and ways local governments, businesses, and service providers can ensure an accurate count in rural areas.
Author(s): Cara Brumfield, Sophie Khan
Date: 10/2018
Type: Document
Sponsoring organization: Georgetown Center on Poverty and Inequality
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Population Denominator Data Sources and Data for Use with the HCUP Databases (Updated with 2017 Population Data)
Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes two rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2017 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Additional links: Appendix A: Population Data Tables
Author(s): Marguerite Barrett, Rosanna M. Coffey, Katharine Levit
Date: 10/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Health Research Participation, Opportunity, and Willingness Among Minority and Rural Communities of Arkansas
Examines factors associated with opportunities and willingness to participate in health research, as well as health research participation rates for rural and racial/ethnic minorities based on questions added to the Behavioral Risk Factor Surveillance System (BRFSS) in Arkansas. Addresses the impact of age group, gender, marital status, education, employment, poverty, access to healthcare, and health status.
Author(s): Pearl A. McElfish, Christopher R. Long, James P. Selig, et al.
Citation: Clinical and Translational Science, 11(5), 487-497
Date: 09/2018
Type: Document
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Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis: Final Report
Identifies and describes secondary data sources that can be used in research and evaluations related to the opioid crisis. Discusses common approaches used to link or merge data sources. Describes research needs and challenges related to studying the opioid crisis.
Author(s): Rosanna Smart, Courtney Ann Kase, Amanda Meyer, Bradley D. Stein
Date: 09/2018
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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U.S. Small-Area Life Expectancy Estimates Project: Methodology and Results Summary
Describes the methodology used to determine the first set of abridged period life tables for U.S. census tracts from 2010 to 2015 for the District of Columbia and all states excluding Maine and Wisconsin. Provides statistics on small-area life expectancy at birth, and life expectancy at birth and population educational attainment by census tract.
Author(s): Elizabeth Arias, Loraine A. Escobedo, Jocelyn Kennedy, Chunxia Fu, Jodi Cisewski
Date: 09/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup
Identifies a set of core measures focused on rural access to care and recommends how to measure them while coordinating data collection efforts. Third in a series of 3 reports documenting the Measures Applications Partnerships Rural Health Workgroup's efforts, a public-private partnership of healthcare stakeholders.
Date: 08/2018
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Workgroup
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