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Rural Health
Resources by Topic: Wellness, health promotion, and disease prevention

Increasing Cervical Cancer Screening in the United States - Mexico Border Region
Discusses the effects of an intervention delivered by community health workers (CHWs), or Promotores de Salud, on cervical cancer screening rates for Hispanic women in the rural border area of New Mexico who were out of compliance with the recommended screening guidelines.
Author(s): Beti Thompson, Hugo Vilchis, Crystal Moran, Wade Copeland, et al.
Citation: Journal of Rural Health, 30(2), 196-205
Date: 2014
Type: Document
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Drug Offers as a Context for Violence Perpetration and Victimization
Analyzes the connection of drug use by rural Native Hawaiian youth with aggressive behavior and violence.
Author(s): Susana Helm, Scott Okamoto, Alexis Kaliades, Danielle Giroux
Citation: Journal of Ethnicity in Substance Abuse, 13(1), 39-57
Date: 2014
Type: Document
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Associations Between County and Municipality Zoning Ordinances and Access to Fruit And Vegetable Outlets in Rural North Carolina, 2012
Examines associations between healthy food zoning scores derived from information on local zoning ordinances, county demographics, and residents' access to fruit and vegetable outlets in 15 rural northeastern North Carolina counties. Includes data for all 15 counties by race/ethnicity, poverty, percent of population living in a food desert, obesity rates, and percent rural population.
Author(s): Mariel Leah Mayo, Stephanie B. Jilcott Pitts, Jamie F. Chriqui
Citation: Preventing Chronic Disease, 10
Date: 12/2013
Type: Document
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The Evolution, Expansion, and Effectiveness of Community Health Workers
Reviews the development of Community Health Worker roles, accomplishments, and future contributions in rural and urban settings. Discusses the education and training of CHWs, and includes a detailed table of their activities in promoting prevention and well-being.
Author(s): Randall R. Bovbjerg, Lauren Eyster, Barbara A. Ormond, Theresa Anderson, Elizabeth Richardson
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Testing to Prevent Colon Cancer: Results from a Rural Community Intervention
Examines the use of a discrete choice experiment (DCE) to learn about how vulnerable individuals, with public or no insurance and low-incomes, in rural North Carolina value different aspects of colorectal cancer (CRC) screenings. Includes statistics on DCE participants, such as race/ethnicity, education, income, employment, insurance, assistance needed with written materials, and agreement on CRC screening attributes.
Author(s): John M. Westfall, Linda Zittleman, Christin Sutter, et al.
Citation: Annals of Family Medicine, 11(6), 500-507
Date: 11/2013
Type: Document
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Addressing Rural Health Disparities Through Policy Change in the Stroke Belt
Examines the feasibility and acceptability of 24 Common Community Measures for Obesity Prevention (COCOMO) strategies based on local culture, infrastructure, funding, and community support by surveying and interviewing residents from rural Lenoir County, North Carolina.
Author(s): Stephanie B. Jilcott Pitts, Tosha W. Smith, Linden Maya Thayer, et al.
Citation: Journal of Public Health Management and Practice, 19(6), 503-510
Date: 11/2013
Type: Document
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Local Wellness Policy 5 Years Later: Is It Making a Difference for Students in Low-Income, Rural Colorado Elementary Schools?
Assesses 45 schools' environmental and policy changes resulting from implementation of a federally mandated program designed to increase physical activity and healthy eating, as a response to the childhood obesity epidemic. Looked at factors including number of minutes of recess per week, minutes of physical education, playground features, total number of fruit and vegetable offerings at meals, presence of a school health team, and familiarity with their district's policy and related state or federal mandates.
Author(s): Elaine S. Belansky, Nick Cutforth, Lynn Gilbert, et al.
Citation: Preventing Chronic Disease, 10
Date: 11/2013
Type: Document
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From Kids, Through Kids, To Kids: Examining the Social Influence Strategies Used by Adolescents to Promote Prevention among Peers
Examines messages adolescents believe are most effective in persuading their peers to resist substance use through an analysis of messages created by students from 20 rural middle schools. Gathers data on the audience-generated intervention messages to determine if they are similar to campaign philosophy and branding.
Author(s): Janice L. Krieger, Samantha Coveleski, Michael L. Hecht, et al.
Citation: Health Communication, 28(7), 683-695
Date: 10/2013
Type: Document
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Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia
Explores a study of a school-based intervention that mentors young children to reverse obesity health risks in rural Appalachia. Compares two curriculum delivery methods, one using teen mentors and the other adult teachers. Assesses the effects of the number of mentoring sessions attended on the intended outcomes.
Author(s): Laureen H. Smith, Christopher Holloman
Citation: Journal of School Nursing, 29(5), 386-396
Date: 10/2013
Type: Document
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