Comparison of Hypertension Prevalence and Control in 5,237 Rural and Urban Alabama Residents

Sn, Barton; Dw, Coombs; Hl, Miller; Gh, Hughes; Cutter, Gary

doi:10.1097/00007611-198710000-00005

Cited by 3 publications

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“…Hypertension, the single most important risk factor for vascular dementia (Forette & Boller, 1990, is not only more prevalent but also is less aggressively treated in rural communities (Barton, Coombs, Miller, Hughes, & Cutter, 1987). Cerebrovascular disease itself is more common in some rural populations as well (Paschalis, Polychronopoulos, Makris, Kondakis, & Papapetropoulos, 1989;Polakowska, et al, 1990).…”

Section: Potential Benefits From Rural Dementia Researchmentioning

confidence: 99%

Dementing Illnesses in Rural Populations: The Need for Research and Challenges Confronting Investigators

Keefover¹,

Rankin²,

Keyl³

et al. 1996

The Journal of Rural Health

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Expansion of the world's elderly populations has increased concerns about aging-related medical disorders like Alzheimer's disease and other dementias. In the United States, one fourth of those older than age 65 and at greatest risk for developing dementia live in rural environments that may influence its manifestation. The objectives of this study were to determine the need for and potential benefits of further epidemiological research concerning dementia and similar disorders in rural U.S. populations and to identify pertinent methodological issues related to rural dementia research. This study employed a National Library of Medicine (MEDLINE) document search based on the key words "cognitive disorders," "dementia," "Alzheimer's disease," and "rural," followed by recovery of literature resources references in the bibliographies of selected articles. Nineteen studies focusing on dementia or related disorders in rural settings have been reported from around the world. While four of these were conducted in the United States, only one rural dementia prevalence study has been undertaken in this country. Because of methodological variability, comparisons of prevalence estimates between these rural studies, as well as with those from urban investigations, is difficult. Nonetheless, there is reason to believe that certain potentially dementing illnesses are more common in rural populations. There is also evidence to suggest that the screening instruments commonly used in such studies tend to misclassify rural elders as "false positive" dementia cases. Information regarding dementing disorders, particularly Alzheimer's disease, in rural populations is scarce. Preliminary observations that dementia may be more common in rural settings and that rural families are more likely to maintain their dementing elders in the community imply that further rural dementia research could yield important insights into the risk factors for these illnesses, the variables influencing their course, and the methods by which they can be more effectively managed. A determination of the reliability and validity of commonly used dementia screening instruments in rural populations would represent an important advancement in this area of research.

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Section: Potential Benefits From Rural Dementia Researchmentioning

confidence: 99%

Dementing Illnesses in Rural Populations: The Need for Research and Challenges Confronting Investigators

Keefover¹,

Rankin²,

Keyl³

et al. 1996

The Journal of Rural Health

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Marques‐Vidal

1998

Journal of Hypertension

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Health Status and Access to Care Among Rural Minorities

Mueller¹,

Ortega²,

Parker³

et al. 1999

hpu

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This paper provides a review of the scholarly and applied literature published between 1970 and 1993 on health and health care access problems among racial and ethnic minority group members living in rural U.S. areas. Results on the distribution of specific illnesses and diseases, and utilization of medical services are summarized for two major minority groups—African Americans and Hispanic Americans. Findings generally document the expected pattern of rural and minority disadvantage. A review of the conceptual and methodological limitations of existing research suggests that research does not yet permit any clear understanding of the underlying structures and processes that give rise to racial health disparities. Very little is known about the health of rural minorities living in some areas of the country, for example, the west north central United States (Kansas, Missouri, Nebraska, Iowa, North Dakota, South Dakota and Minnesota).

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Comparison of Hypertension Prevalence and Control in 5,237 Rural and Urban Alabama Residents

Cited by 3 publications

References 0 publications

Dementing Illnesses in Rural Populations: The Need for Research and Challenges Confronting Investigators

Dementing Illnesses in Rural Populations: The Need for Research and Challenges Confronting Investigators

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Health Status and Access to Care Among Rural Minorities

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