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Violence and Abuse in Rural America – Resources

Selected recent or important resources focusing on Violence and Abuse in Rural America.

Emergency Department Preparedness to Care for Sexual Assault Survivors: A Nationwide Study
Surveys 315 sexual assault (SA) advocates to determine emergency department staff preparedness and available resources for SA survivors. Discusses rural and urban access to sexual assault nurse examiners and implications for quality of care.
Author(s): Kristen Chalmers, Meredith Hollender, Liam Spurr, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3)
Date: 05/2023
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Effect of the Communities That Care Prevention System on Adolescent Handgun Carrying: A Cluster-Randomized Clinical Trial
Analyzes the impact of Communities That Care (CTC), a community-based behavioral health intervention system, in reducing adolescent handgun carrying in rural areas. Examines survey data from 4,407 youth from 2003 to 2011 living in various rural communities and states in grades 5 through 12 and their likelihood to carry handguns.
Author(s): Ali Rowhani-Rahbar, Sabrina Oesterle, Emma L. Gause, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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Americans' Experiences With Gun-Related Violence, Injuries, And Deaths
Surveyed 1,271 U.S. adults in March 2023 regarding experience with gun violence, injury, and death. Discusses respondent's level of concern of gun violence, precautionary measures taken, storage practices, healthcare provider practices, and general knowledge of gun violence including suicide statistics. Figures 4 and 5 compare respondents level of concern with and feeling of safety from gun violence in their community by rural, suburban, or urban community types.
Author(s): Shannon Schumacher, Ashley Kirzinger, Marley Presiado, Isabelle Valdes, Mollyann Brodie
Date: 04/2023
Sponsoring organization: KFF
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Your Neighborhood Matters: An Ecological Social Determinant Study of the Relationship Between Residential Racial Segregation And the Risk of Firearm Fatalities
Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
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Bullying and Physical Violence and Their Association with Handgun Carrying among Youth Growing up in Rural Areas
Evaluates 2002 students in 12 rural communities in 7 states to identify the association between handgun carrying and violence in rural youth. Discusses implications for violence prevention efforts.
Author(s): Alice M. Ellyson, Emma Gause, Vivian H. Lyons, et al.
Citation: Preventative Medicine, 167, 107416
Date: 02/2023
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Rural-Urban Variation in the Association of Adolescent Violence and Handgun Carrying in the United States, 2002-2019
Uses the National Survey on Drug Use and Health from 2002 to 2019 to compare associations of interpersonal violence and handgun carrying between rural and urban 12 to 17 year olds. Sample includes nearly 25 million people each year of the study and uses the U.S. Department of Agriculture's Rural-Urban Continuum Codes to determine rurality. Offers suggestions for rural-specific injury prevention measures.
Author(s): Julia P. Schleimer, Emma Gause, Kimberly Dalve, Alice Allyson, Ali Rowhani-Rahbar
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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Rural Domestic and Sexual Abuse Program Advocates: Making a Difference in The Lives of Older Survivors of Abuse
An overview of abuse in later life and step-by-step instructions to designing services for older victims. Includes information on outreach in rural communities, faith-based services, and coordinated care efforts.
Author(s): Ann Turner
Date: 2023
Sponsoring organization: National Clearinghouse on Abuse in Later Life (NCALL)
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Hidden in Plain Sight: Understanding the Impact of Intimate Partner Violence and Human Trafficking in Rural Communities
Recording of a November 15, 2022 webinar focused on intimate partner violence (IPV) and human trafficking in rural communities. Discusses challenges rural survivors face and discusses resources and strategies communities can use to help those experiencing IPV or trafficking.
Date: 11/2022
Sponsoring organizations: Federal Office of Rural Health Policy, Futures Without Violence, HRSA Office of Women's Health, National Domestic Violence Hotline, Samaritan Health Services
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Examining the Association Between Rurality and Positive Childhood Experiences Among a National Sample
Explores the relationship between rurality and positive childhood experiences (PCEs). Compares rates of PCEs, such as nurturing and supportive relationships, safe and stable environments, and constructive social engagement, among others, in rural and urban communities.
Author(s): Elizabeth Crouch, Janice C. Probst, Sylvia Shi, et al.
Citation: Journal of Rural Health
Date: 08/2022
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An Algorithm Using Administrative Data to Measure Adverse Childhood Experiences (ADM‐ACE)
Article discussing the development and methodology of an administrative data tool to measure adverse childhood experiences (ADM-ACE), which researchers applied to 2018 claims and enrollment data for the Tennessee Medicaid program (TennCare). Presents ADM-ACE statistics drawn from the Tennessee data, and outlines how measures of adverse childhood experiences were defined and applied in the study. Offers rural/urban comparisons for rates of ADM-ACE prevalence.
Author(s): Laura E. Henkhaus, Gilbert Gonzales, Melinda B. Buntin
Citation: Health Services Research, 57(4), 963-972
Date: 08/2022
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 4/14/2025