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Rural Health
Resources by Topic: Women

Increasing Mortality From Premature Coronary Artery Disease in Women in the Rural United States
Assesses rural and urban differences in premature coronary artery disease (CAD) mortality rates from 1999 to 2017 using the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research (CDC WONDER) database. Includes data breakdowns by sex, age group, race, and urbanization.
Author(s): Matthias Bossard, Yllka Latifi, Matteo Fabbri, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
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Increase in Suicide Mortality in the United States, 1999–2018
Reports on changes in suicide rates in the U.S. from 1999 through 2018. Includes 2018 age-adjusted suicide rates for men and women by county of residence for urban and rural counties.
Author(s): Holly Hedegaard, Sally C. Curtin, Margaret Warner
Date: 04/2020
Sponsoring organization: National Center for Health Statistics
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Maternal Mortality: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them
Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death and patient demographic characteristics. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Sponsoring organization: Government Accountability Office
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MACPAC Response to Senate Finance Committee Request for Information on Maternal Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) examination of the role of Medicaid in maternity care. Describes results of its analysis of Medicaid-financed maternity care and program performance, an inventory of Medicaid policies, and plans to analyze policy solutions. Includes rural references throughout.
Date: 03/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Measurement of Nutrition Environments in Grocery Stores, Convenience Stores, and Restaurants in the Lower Mississippi Delta
Reports on the Delta Food Outlets Study, evaluating the local nutrition environments of pregnant woman and their infants living in rural Lower Mississippi Delta to assess environmental exposures influencing their dietary habits. Study participants had previously participated in a nutrition and physical activity intervention, the Delta Health Sprouts Project.
Author(s): Jessica L. Thomson, Melissa H. Goodman, Alicia S. Landry
Citation: Preventing Chronic Disease, 17
Date: 03/2020
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Severe Maternal Morbidity and Mortality Among Indigenous Women in the United States
Compares maternal mortality and morbidity rates of Native American and Alaska Native women to those of non-Hispanic White women in both rural and urban areas across the U.S. Draws from hospital discharge data from 2012 to 2015.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alena N. Tofte, Lindsay K. Admon
Citation: Obstetrics and Gynecology, 135(2), 294-300
Date: 02/2020
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A Best Practices Approach to Treating Maternal Hemorrhage
Provides an overview of how Titus Regional Medical Center in Mount Pleasant, Texas, developed and implemented protocols to improve maternal hemorrhage outcomes. Discusses the impact and lessons learned from implementing the protocols as well, as future maternal health improvement goals at the medical center.
Date: 02/2020
Sponsoring organization: American Hospital Association
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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Patient and Hospital Factors Associated With Unexpected Newborn Complications Among Term Neonates in US Hospitals
Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Rural Availability of the Obstetrician-Gynecologist Physician and Certified Nurse Midwife Workforce
Brief examining Obstetrician-Gynecologist workforce and maternal care in rural Arizona by county, discussing impacts of workforce shortages on rural mothers.
Author(s): B Koch, S Coates, S Brady, H Carter, D Derksen
Date: 01/2020
Sponsoring organization: Arizona Center for Rural Health
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