Does the Medicare Part D Decision‐Making Experience Differ by Rural/Urban Location?
ConclusionsPolicy‐makers should pay particular attention to making information about Part D easily accessible for all beneficiaries and to addressing unique barriers that rural residents have in accessing information while making decisions, such as reduced Internet availability. Furthermore, confidence in the decision‐making process may be improved by simplifying the Part D program. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - February 16, 2016 Category: Rural Health Authors: Carrie Henning‐Smith, Michelle Casey, Ira Moscovice Tags: ORIGINAL ARTICLE Source Type: research

Neonatal Abstinence Syndrome in West Virginia Substate Regions, 2007‐2013
ConclusionsStatewide NAS IR increased 4‐fold over the study period, with rates over 3 times the national annual averages. This alarming trend is deleterious for the health of WV mother‐child dyads and it strains the state's health care system. Therefore, WV has a unique need for prenatal public health drug treatment and prevention resources, specifically targeting the southeastern region. Further examination of maternal drug‐specific trends and general underutilization of neonatal exposure ICD‐9‐CM codes is indicated. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - February 16, 2016 Category: Rural Health Authors: Meagan E. Stabler, D. Leann Long, Ilana R. A. Chertok, Peter R. Giacobbi, Courtney Pilkerton, Laura R. Lander Tags: ORIGINAL ARTICLE Source Type: research

Does the Medicare Part D Decision ‐Making Experience Differ by Rural/Urban Location?
ConclusionsPolicy‐makers should pay particular attention to making information about Part D easily accessible for all beneficiaries and to addressing unique barriers that rural residents have in accessing information while making decisions, such as reduced Internet availability. Furthermore, confidence in the decision‐making process may be improved by simplifying the Part D program. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - February 15, 2016 Category: Rural Health Authors: Carrie Henning ‐Smith, Michelle Casey, Ira Moscovice Tags: ORIGINAL ARTICLE Source Type: research

Neonatal Abstinence Syndrome in West Virginia Substate Regions, 2007 ‐2013
ConclusionsStatewide NAS IR increased 4‐fold over the study period, with rates over 3 times the national annual averages. This alarming trend is deleterious for the health of WV mother‐child dyads and it strains the state's health care system. Therefore, WV has a unique need for prenatal public health drug treatment and prevention resources, specifically targeting the southeastern region. Further examination of maternal drug‐specific trends and general underutilization of neonatal exposure ICD‐9‐CM codes is indicated. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - February 15, 2016 Category: Rural Health Authors: Meagan E. Stabler, D. Leann Long, Ilana R. A. Chertok, Peter R. Giacobbi, Courtney Pilkerton, Laura R. Lander Tags: ORIGINAL ARTICLE Source Type: research

Changes in Body Mass Index and the Trajectory of Depressive Symptoms Among Rural Men and Women
ConclusionsOur findings hold important public health implications given the increasing rates of overweight and obesity over the past couple of decades, particularly among rural adults. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 28, 2016 Category: Rural Health Authors: Jen Jen Chang, Joanne Salas, Maya Tabet, Zachary Kasper, Keith Elder, Holly Staley, Ross C. Brownson Tags: ORIGINAL ARTICLE Source Type: research

Careful Conversations and Careful Sex: HIV Posttesting Experiences Among African American Men in Rural Florida
ConclusionsAmong BHM, being in this HIV testing study facilitated increased protective behaviors and communications for HIV prevention. Interventions for BHM in rural areas warrant incorporating these strategies to encourage routine HIV testing. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 14, 2016 Category: Rural Health Authors: Tiffiany M. Aholou, Madeline Y. Sutton, Emma (E.J.) Brown Tags: ORIGINAL ARTICLE Source Type: research

Issue Information
(Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 5, 2016 Category: Rural Health Tags: Issue Information Source Type: research

Geographic Variations of Colorectal and Breast Cancer Late‐Stage Diagnosis and the Effects of Neighborhood‐Level Factors
ConclusionsResults suggested that socioeconomic deprivation, rather than spatial accessibility, contributed to CRC late‐stage risks in South Dakota as a rural state. CRC intervention programs could be developed to target isolated small rural areas, socioeconomically disadvantaged areas, as well as American Indians residing in these areas. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Yan Lin, Michael C. Wimberly Tags: ORIGINAL ARTICLE Source Type: research

What Can the National Broadband Map Tell Us About the Health Care Connectivity Gap?
ConclusionsThe NBM CAI data are a publicly available and easy to use asset that rural health advocates should be aware of. The fact that the connectivity gap increased during 2010‐2014, despite policies focusing on this issue, is a cause for concern. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Brian E. Whitacre, Denna Wheeler, Chad Landgraf Tags: BRIEF REPORT Source Type: research

Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare?
ConclusionsThe study suggests there are no differences in surgical patient safety outcomes between CAHs and PPS hospitals of comparable size. This reinforces the central role of CAHs in providing quality surgical care to populations in rural and isolated areas, and underscores the importance of strategies to sustain rural surgery infrastructure. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Nabil Natafgi, Jure Baloh, Paula Weigel, Fred Ullrich, Marcia M. Ward Tags: ORIGINAL ARTICLE Source Type: research

Mental Health First Aid in Rural Communities: Appropriateness and Outcomes
ConclusionsThis study provides preliminary evidence that MHFA holds promise for improving rural BH. MHFA alone cannot compensate for weaknesses in rural BH infrastructure. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Jean A. Talbot, Erika C. Ziller, Donald A. Szlosek Tags: ORIGINAL ARTICLE Source Type: research

Differences in Women's Use of Medical Help for Becoming Pregnant by the Level of Urbanization of County of Residence in Georgia
ConclusionsWomen living in urban and rural counties were least likely to seek infertility care, suggesting that factors including but not limited to physical proximity to providers are influencing utilization of this type of care. Increased communication about reproductive goals and infertility care available to meet these goals by providers who women see for regular care may help address these barriers. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Helen B. Chin, Michael R. Kramer, Ann C. Mertens, Jessica B. Spencer, Penelope P. Howards Tags: ORIGINAL ARTICLE Source Type: research

Self‐Reported Physical Activity Among American Indian Adults From Two Diverse Regions
ConclusionsDifferences in physical activity among the American Indian communities may be due to regional variations in occupations, climate, and tribal and community support and infrastructure. The unexpected high level of activity evokes uncertainty in the accuracy and appropriateness of the data collection instrument. Research is needed to understand culturally appropriate approaches to measure physical activity and inactivity among rural American Indians. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - January 1, 2016 Category: Rural Health Authors: Erica Blue Roberts, Sheila Fleischhacker, Marla Pardilla, Margarita Treuth, Preety Gadhoke, Karina Christiansen, Joel Gittelsohn Tags: ORIGINAL ARTICLE Source Type: research

Utilization of Mental Health Services by Veterans Living in Rural Areas
ConclusionsWhile research indicates that recent efforts to improve MH service delivery have resulted in improved access to services, this study found that veterans’ rates of MH treatment are lower in rural areas, compared to urban areas. Continued efforts to support the provision of behavioral health services to rural veterans are needed. Telemedicine, using rural providers to their maximum potential, and engagement with community stakeholder groups are promising approaches. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Judith Teich, Mir M. Ali, Sean Lynch, Ryan Mutter Tags: ORIGINAL ARTICLE Source Type: research

Current State of Child Health in Rural America: How Context Shapes Children's Health
ConclusionImproving rural children's health will require both increased public health surveillance and research that creates solutions appropriate for rural environments, where health care professionals may be in short supply. Most importantly, solutions must be multisectoral, engaging education, economic development, and other community perspectives as well as health care. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Janice C. Probst, Judith C. Barker, Alexandra Enders, Paula Gardiner Tags: ORIGINAL ARTICLE Source Type: research