Rural Health
Resources by Topic: Women
Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Expecting More: Addressing America's Maternal and Infant Health Crisis
Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Sponsoring organization: U.S. House of Representatives
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Provides recording and witness testimony from the U.S. House of Representatives' Joint Subcommittee on Health, Employment, Labor, and Pensions and Workforce Protections Hearing on maternal mortality and disparities in maternal and infant care. Testimony includes some discussion of maternity care in rural areas.
Additional links: Joia Crear Perry Testimony, Stacey D. Stewart Testimony, Video of Hearing
Date: 01/2020
Sponsoring organization: U.S. House of Representatives
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Support for Rural Practice: Female Physicians and the Life-Career Interface
Reports on the results of a survey of 20 female physicians from the same rural focused family medicine residency, over a 3-month period, to identify emerging themes regarding their experience practicing in rural areas of northwestern United States.
Author(s): Kimberly Stutzman, Ruth Ray Karpen, Pragna Naidoo, et al.
Citation: Rural and Remote Health, 20(1), 5341
Date: 01/2020
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Reports on the results of a survey of 20 female physicians from the same rural focused family medicine residency, over a 3-month period, to identify emerging themes regarding their experience practicing in rural areas of northwestern United States.
Author(s): Kimberly Stutzman, Ruth Ray Karpen, Pragna Naidoo, et al.
Citation: Rural and Remote Health, 20(1), 5341
Date: 01/2020
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A Bivariate Mapping Tutorial for Cancer Control Resource Allocation Decisions and Interventions
Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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Cancer in Michigan 2020
Provides an overview of Michigan's cancer burden with data showing cancer rates by race and type of cancer, as well as mortality rates and cancer incidence by county. Includes rural versus urban comparisons of health behaviors such as smoking, drinking, and cancer screenings.
Date: 2020
Sponsoring organization: Michigan Department of Health and Human Services
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Provides an overview of Michigan's cancer burden with data showing cancer rates by race and type of cancer, as well as mortality rates and cancer incidence by county. Includes rural versus urban comparisons of health behaviors such as smoking, drinking, and cancer screenings.
Date: 2020
Sponsoring organization: Michigan Department of Health and Human Services
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2020 Navajo Nation Maternal and Child Health Needs Assessment
Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15
Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
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Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
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Rural–Urban Disparities in Pregnancy Intentions, Births, and Abortions Among US Adolescent and Young Women, 1995–2017
Study examining disparities in intendedness and resolution of first pregnancies among rural and urban adolescent and young women using 2002-2017 data from the National Survey of Family Growth. Breaks down data by race/ethnicity, by urban, rural, and suburban residence, and by state. Discusses public health implications of the findings.
Author(s): April Sutton, Daniel T. Lichter, Sharon Sassler
Citation: American Journal of Public Health, 109(12), 1762-1769
Date: 12/2019
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Study examining disparities in intendedness and resolution of first pregnancies among rural and urban adolescent and young women using 2002-2017 data from the National Survey of Family Growth. Breaks down data by race/ethnicity, by urban, rural, and suburban residence, and by state. Discusses public health implications of the findings.
Author(s): April Sutton, Daniel T. Lichter, Sharon Sassler
Citation: American Journal of Public Health, 109(12), 1762-1769
Date: 12/2019
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The Landscape of Obstetric Resources and Risks in Indiana: A Framework for Informing Policy
Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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