Rural Health
Resources by Topic: Women
Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018
Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Providing Maternity Care in a Rural Northern Iowa Community
Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Spatial Barriers as Moral Failings: What Rural Distance Can Teach Us about Women's Health and Medical Mistrust
Explores the perceptions of rural women about their access to healthcare, including maternal care. Discusses some of the perceived barriers to healthcare access by rural women, such as spacial distance and mistrust of healthcare providers.
Author(s): Michele Statz, Kaylie Evers
Citation: Health and Place, 64, 102396
Date: 07/2020
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Explores the perceptions of rural women about their access to healthcare, including maternal care. Discusses some of the perceived barriers to healthcare access by rural women, such as spacial distance and mistrust of healthcare providers.
Author(s): Michele Statz, Kaylie Evers
Citation: Health and Place, 64, 102396
Date: 07/2020
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Perceptions of the Food Environment and Access among Predominantly Black Low-Income Residents of Rural Louisiana Communities
Study of food security, food access, and perceptions of the food environment among predominantly Black, low-income rural Louisiana residents. Discusses issues of food insecurity in rural areas related to financial resources, transportation, and food shopping options. Presents recurring themes from focus group discussions including 44 participants, most of whom were Black women of various ages and employment statuses, including experiences finding and buying food, fishing and hunting, and utilizing food pantries, SNAP, WIC, and other assistance programs.
Author(s): Denise Holston, Jessica Stroope, Matthew Greene, Bailey Houghtaling
Citation: International Journal of Environmental Research and Public Health, 17(15), 5340
Date: 07/2020
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Study of food security, food access, and perceptions of the food environment among predominantly Black, low-income rural Louisiana residents. Discusses issues of food insecurity in rural areas related to financial resources, transportation, and food shopping options. Presents recurring themes from focus group discussions including 44 participants, most of whom were Black women of various ages and employment statuses, including experiences finding and buying food, fishing and hunting, and utilizing food pantries, SNAP, WIC, and other assistance programs.
Author(s): Denise Holston, Jessica Stroope, Matthew Greene, Bailey Houghtaling
Citation: International Journal of Environmental Research and Public Health, 17(15), 5340
Date: 07/2020
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
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Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
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Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Virtually Possible: Using Telehealth to Bring Reproductive Health Care to Women with Opioid Use Disorder in Rural Maine
Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
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Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
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