Prevalence and Trends in Smoking: A National Rural Study

Doescher, Mark P.; Jackson, J. Elizabeth; Jerant, Anthony F; Hart, L. Gary

doi:10.1111/j.1748-0361.2006.00018.x

Cited by 124 publications

(118 citation statements)

References 14 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…These factors are closely followed by three additional major risks: low fruit and vegetable intake, physical inactivity, and illicit drug use (93). With some exceptions, rural residents have higher rates of tobacco use (1,34,138,141), obesity (13,15,106), physical inactivity (106,110,141), and lower rates of fruit and vegetable intake (82) compared with residents of nonrural areas. In addition, rural and urban areas share the distinctions of highest, or equally high, rates of alcohol and drug use compared with lower suburban rates.…”

Section: Health Behavior and Risk Factorsmentioning

confidence: 99%

The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

124

104

View full text Add to dashboard Cite

Residents of rural jurisdictions face significant health challenges, including some of the highest rates of risky health behaviors and worst health outcomes of any group in the country. Rural communities are served by smaller local health departments (LHDs) that are more understaffed and underfunded than their suburban and urban peers. As a result of history and current need, rural LHDs are more likely than their urban peers to be providers of direct health services, leading to relatively lower levels of population-focused activities. This review examines the double disparity faced by rural LHDs and their constituents: pervasively poorer health behaviors and outcomes and a historical lack of investment by local, state, and federal public health entities.

show abstract

Section: Health Behavior and Risk Factorsmentioning

confidence: 99%

The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

124

104

View full text Add to dashboard Cite

show abstract

“…Still, some studies show that rural residents may experience decreased life expectancy and increased all-cause and disease-specific mortality, particularly with respect to some cancers, compared to urban residents (Singh and Siahpush 2014a, b;LeVault et al 2014;Colli et al 2009;Cole et al 2012;Colleran et al 2007;Singh 2012;Fogleman et al 2015). Some incidence and mortality differences may be attributed to the increased prevalence of smoking, obesity, and alcohol use in many rural areas (Befort et al 2012;Doescher et al 2006;Jackson et al 2005Jackson et al , 2006. Alternatively, the history and geography of many rural American communities are suitable for an underlying genetic heterogeneity in disease susceptibility to arise due to possible founder effects and relative geographic isolation (Jenkins et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Engaging rural communities in genetic research: challenges and opportunities

et al. 2017

View full text Add to dashboard Cite

Statistical analyses of health and disease in rural communities is frequently limited by low sample counts. Still, some studies indicate increased risk for some diseases even after adjustment for known risk factors. It has been hypothesized that the context of community formation in rural areas facilitates the propagation of genetic founder effectspotentially impacting disease susceptibility. However, outright examination of genetic diversity in such communities has not been performed. Our objective was to engage otherwise research-inexperienced rural communities of largely European descent in genomic research in the context of cancer susceptibility. From September 2015 to February 2016, we implemented a systematic process of progressive community engagement. This iterative method sought project buy-in from first the town mayor, then village council. If approved by both, a focus group of community members examined how residents might view the research, informed consent and specimen collection, and issues of privacy. We were successful in engaging three of the four communities approached for the research project. There was universal enthusiasm for the project by all mayors and village councils. The focus groups' main point of discussion involved wording in the informed consent, with little concern regarding the research question or privacy. Perhaps contrary to popular thought, we found each community we approached to be both welcoming and enthusiastic about collaborating in research on genomic diversity. The systematic method of engagement did much to preserve community respect and autonomy and facilitated buy-in.

show abstract

“…In addition to being a medically underserved population, U.S. rural residents experience more disease and greater health and health care disparities than urban residents [12,13] . Specifically, compared to the urban population, rural populations have higher prevalences of uninsured adults, adults with chronic conditions such as diabetes and cardiovascular disease, adolescent and adult smoking, and below-guideline consumption of fruits and vegetables [12][13][14][15][16][17][18][19] . Other important disparities in social determinants of health have also been detected for rural U.S. residents including higher poverty levels and lower levels of attained education.…”

Section: Introductionmentioning

confidence: 99%

Rural/Urban differences in health services deficits among U.S. adults with arthritis: A population- based study

Lutfiyya

McCullough

Saman

et al. 2013

JNEP

View full text Add to dashboard Cite

Introduction: More than 21% of adults in the United States (U.S.) have self-reported physician diagnosed arthritis with the prevalence increasing to 70% for adults aged 75 years and older. Despite significant disease burden of arthritis, little research has been conducted to examine health service deficits experienced by U.S. adults with this disease. Since U.S. rural residents experience more disease and greater health and health care disparities than urban residents, this study sought to ascertain the prevalence of health service deficits in U.S. adults with arthritis and to explore whether rural residents experienced greater deficits than urban residents. Methods:Multivariate techniques were performed on 2011 Behavioral Risk Factor Surveillance System data to determine if there were differences in the prevalence of health service deficits in rural versus urban adults with arthritis and if rural residency was an independent risk factor for health service deficits after controlling for socioeconomic status and race/ ethnicity. The population of interest was U.S. adults who self-reported having arthritis diagnosed by a health care provider.Results: Bivariate analysis revealed and logistic regression confirmed that among U.S. adults > 45 years of age, rural residency was a predictor for a higher prevalence of arthritis as well as for health service deficits among those with arthritis. Overall about 1 in 3 individuals > 45 years of age suffering from arthritis experienced a health deficit. The two most common health service deficits were not having a routine medical checkup within the last 12 months and deferring health care because of cost. Rural residency emerged as an independent risk factor for health service deficits after controlling for socioeconomic status and race/ethnicity. Conclusions:Many individuals with arthritis experience a health service deficit and rural residents are at greater risk when compared to their urban counterparts. Given the burden of disease from arthritis the results suggest that there is considerable potential for improving services and perhaps improving outcomes for individuals with arthritis. The finding that the most common health service deficits were delaying care because of cost and not having seen a provider within the last 12 months suggests that finances rather than simply the availability of services is a key factor.

show abstract

Prevalence and Trends in Smoking: A National Rural Study

Abstract: Smoking remains a refractory public health problem. Better ways to curb smoking in rural America are needed.

Cited by 124 publications

References 14 publications

The Double Disparity Facing Rural Local Health Departments

The Double Disparity Facing Rural Local Health Departments

Engaging rural communities in genetic research: challenges and opportunities

Rural/Urban differences in health services deficits among U.S. adults with arthritis: A population- based study

Contact Info

Product

Resources

About