Health Communications in Rural America: Lessons Learned from an Arthritis Campaign in Rural Arkansas

Balamurugan, Appathurai; Rivera, Mark; K, Sutphin; D, Campbell

doi:10.1111/j.1748-0361.2007.00101.x

Cited by 19 publications

(18 citation statements)

References 16 publications

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“…A diminished tobacco control impact in rural areas could also be a function of poor health communication (Balamurugan et al, 2007; Kefalides, 1999), low access to health care (Rural Health Reform Policy Research Center, 2014), and a low quality of health care (Agency for Healthcare Research and Quality, 2014). Our model controls for health insurance coverage of respondents, but this accounts for only one aspect of the rural disparity in health care.…”

Section: Discussionmentioning

confidence: 99%

A growing geographic disparity: Rural and urban cigarette smoking trends in the United States

Doogan

Roberts

Wewers

et al. 2017

Preventive Medicine

187

174

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Rural areas of the United States have a higher smoking prevalence than urban areas. However, no recent studies have rigorously examined potential changes in this disparity over time or whether the disparity can be explained by demographic or psychosocial characteristics associated with smoking. The present study used yearly cross sectional data from the National Survey on Drug Use and Health from 2007 through 2014 to examine cigarette smoking trends in rural versus urban areas of the United States. The analytic sample included 303,311 respondents. Two regression models were built to examine (a) unadjusted rural and urban trends in prevalence of current smoking and (b) whether differences remained after adjusting for demographic and psychosocial characteristics. Results of the unadjusted model showed disparate and diverging cigarette use trends during the 8-year time period. The adjusted model also showed diverging trends, initially with no or small differences that became more pronounced across the 8-year period. We conclude that differences reported in earlier studies may be explained by differences in rural versus urban demographic and psychosocial risk factors, while more recent and growing disparities appear to be related to other factors. These emergent differences may be attributable to policy-level tobacco control and regulatory factors that disproportionately benefit urban areas such as enforcement of regulations around the sale and marketing of tobacco products and treatment availability. Strong federal policies and targeted or tailored interventions may be important to expanding tobacco control and regulatory benefits to vulnerable populations including rural Americans.

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Section: Discussionmentioning

confidence: 99%

A growing geographic disparity: Rural and urban cigarette smoking trends in the United States

Doogan

Roberts

Wewers

et al. 2017

Preventive Medicine

187

174

View full text Add to dashboard Cite

show abstract

“…We know of no comparable evidence regarding tobacco regulatory resources, but that possibility merits review especially regarding vulnerable populations such as women of reproductive age and pregnant women. Given a more limited public health infrastructure among rural communities [40], a combination of federal and state resources is likely to be necessary to eliminate these urban-rural disparities through increased tobacco regulatory efforts, such as increased excise taxes [41], clean indoor air policies in workplaces and other public venues [15, 39, 42–44], and targeted public health messaging [35, 45–46], particularly to rural women of childbearing age and healthcare providers who care for them.…”

Section: Discussionmentioning

confidence: 99%

Smoking prevalence and trends among a U.S. national sample of women of reproductive age in rural versus urban settings

et al. 2018

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U.S. smoking prevalence is declining at a slower rate in rural than urban settings and contributing to regional health disparities. Cigarette smoking among women of reproductive age is particularly concerning due to the potential for serious maternal and infant adverse health effects should a smoker become pregnant. The aim of the present study was to examine whether this rural-urban disparity impacts women of reproductive age (ages 15–44) including pregnant women. Data came from the ten most recent years of the U.S. National Survey on Drug Use and Health (2007–2016). We estimated prevalence of current smoking and nicotine dependence among women categorized by rural-urban residence, pregnancy status, and trends using chi-square testing and multivariable modeling while adjusting for common risk factors for smoking. Despite overall decreasing trends in smoking prevalence, prevalence was higher among rural than urban women of reproductive age overall (χ2(1) = 579.33, p < .0001) and among non-pregnant (χ2(1) = 578.0, p < .0001) and pregnant (χ2(1) = 79.69, p < .0001) women examined separately. An interaction between residence and pregnancy status showed adjusted odds of smoking among urban pregnant compared to non-pregnant women (AOR = .58, [.53 –.63]) were lower than those among rural pregnant compared to non-pregnant women (AOR = 0.75, [.62 –.92]), consistent with greater pregnancy-related smoking cessation among urban pregnant women. Prevalence of nicotine dependence was also higher in rural than urban smokers overall (χ2(2) = 790.42, p < .0001) and among non-pregnant (χ2(2) = 790.58, p < .0001) and pregnant women examined separately (χ2(2) = 63.69, p < .0001), with no significant changes over time. Associations involving residence and pregnancy status remained significant in models adjusting for covariates (ps < 0.05). Results document greater prevalence of smoking and nicotine dependence and suggest less pregnancy-related quitting among rural compared to urban women, disparities that have potential for direct, multi-generational adverse health impacts.

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“…[8] This is evidenced by poor medication adherence and issues with drug safety, problems that are only compounded in patients living in medically underserved areas. Several key medication-related health needs in residents in rural Arkansas have been identified.…”

Section: Discussionmentioning

confidence: 99%

Consumer-Oriented Drug Information Service Needs Assessment

Cheum¹,

Patel²,

Richmond³

2014

iosrphr

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Health Communications in Rural America: Lessons Learned from an Arthritis Campaign in Rural Arkansas

Abstract: Challenges to health communications campaigns in rural areas can decrease campaign reach and effectiveness. If resource constraints exist, leveraging partnerships and building trust among residents of the community are important for achieving campaign success.

Cited by 19 publications

References 16 publications

A growing geographic disparity: Rural and urban cigarette smoking trends in the United States

A growing geographic disparity: Rural and urban cigarette smoking trends in the United States

Smoking prevalence and trends among a U.S. national sample of women of reproductive age in rural versus urban settings

Consumer-Oriented Drug Information Service Needs Assessment

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