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Rural Health Information Hub

Rural Health
Resources by Topic: Women

Vital Signs: Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants — United States
Examines influenza-associated hospitalization among pregnant women and infant hospitalization and death associated with influenza and pertussis. Includes data on vaccination rates for influenza and Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis) among pregnant women in rural and nonrural areas.
Author(s): Megan C. Lindley, Katherine E. Kahn, Barbara H. Bardenheier, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(40), 885-892
Date: 10/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants
Analyzes the efficacy of direct-to-consumer (DTC) telelactation services in rural Pennsylvania in areas that lack in-person availability of international board-certified lactation consultants (IBCLCs). Discusses potential challenges such as lack of personal relationships, preference for local resources, and limited WiFi in rural areas. Reflects on potential benefits including access to support and increased maternal breastfeeding confidence.
Author(s): Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, Lori Uscher-Pines
Citation: Telemedicine Journal and E-Health, 25(9), 853-858
Date: 09/2019
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Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders
Highlights a study exploring the rates of rural DUI offenders by sex. Details the substance use, mental health, and impaired driving histories of study participants by sex via self-reported data.
Author(s): J. Matthew Webster, Michele Staton, Megan F. Dickson
Citation: The American Journal on Addictions, 28(5), 405-408
Date: 09/2019
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Life Course Patterns of Concurrent Trajectories of BMI and Affective Symptoms of Rural Mothers: Socioeconomic Antecedents and Disease Outcomes in Later Life
Study examining patterns of body mass index (BMI), socioeconomic background, and symptoms of depression and anxiety in rural Midwestern mothers over a 25-year period from 1991-2015. Participants in the study were 552 White families in rural Iowa who were parents of early adolescents in 1991. Discusses health risks, comorbidity, and socioeconomic stresses over time, noting that the rural women in the study experienced the rural farm crisis of the late 1980s.
Author(s): Kandauda Wickrama, Eric T. Klopack, Catherine Walker O'Neal, et al.
Citation: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 74(7), 1233-1244
Date: 09/2019
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
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Maternal and Child Health Assessment for American Indians and Alaska Natives Using a Women, Infants, and Children Program in Utah
Reports on the health indicators of pregnant and postpartum mothers, infants, and children within American Indian and Alaska Native (AI/AN) communities from 2014-2018. Data presented is derived from the Utah Department of Health's Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Offers recommendations from professional healthcare organizations to improve the health of AI/AN pregnant and postpartum mothers, infants, and children.
Date: 09/2019
Sponsoring organizations: Inter Tribal Council of Arizona, Inc., Tribal Epidemiology Center, Utah Department of Health and Human Services
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Maternal Characteristics and Infant Outcomes in Appalachia and the Delta
Compares maternal characteristics and poor infant outcomes for women and children in the Delta and Appalachia regions with the rest of the United States. Includes charts showing distribution of births, preterm births, and infant mortality with data broken down by maternal characteristics.
Additional links: Supplemental Tables
Author(s): Anne Driscoll, Danielle Ely
Citation: National Vital Statistics Reports, 68(11)
Date: 09/2019
Sponsoring organization: National Center for Health Statistics
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Maternal Mortality in the United States
Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Sponsoring organization: American Action Forum
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