Differences in Cigarette Use and the Tobacco Environment Among Youth Living in Metropolitan and Nonmetropolitan Areas
ConclusionsThe present results suggest vast differences in smoking behavior among nonmetropolitan and metropolitan adolescents and that targeting social and environmental factors may be beneficial for reducing tobacco disparities among nonmetropolitan adolescents. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Debra H. Bernat, Kelvin Choi Tags: ORIGINAL ARTICLE Source Type: research

Supporting Caregivers of Rural Veterans Electronically (SCORE)
ConclusionThis study demonstrates the feasibility and acceptability of using a variety of modalities to deliver caregiver support to a group of largely older, rural, spousal caregivers of veterans with dementia. The potential for reducing isolation for caregivers capable of receiving this intervention through the Internet is a promising finding. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Bret L. Hicken, Candice Daniel, Marilyn Luptak, Marren Grant, Shirley Kilian, Randall W. Rupper Tags: ORIGINAL ARTICLE Source Type: research

Hospital Characteristics are Associated With Readiness to Attain Stage 2 Meaningful Use of Electronic Health Records
ConclusionRural hospitals have increasingly limited resources, which have resulted in a struggle for these facilities to attain meaningful use. Given increasing closures among rural hospitals, it is all the more important that EHR development focus on advancing rural hospital quality of care and linkages with patients and other organizations supporting the care of their patients. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Jungyeon Kim, Robert L. Ohsfeldt, Larry D. Gamm, Tiffany A. Radcliffe, Luohua Jiang Tags: ORIGINAL ARTICLE Source Type: research

Implementing a Hospitalist Program in a Critical Access Hospital
ConclusionsHospitalist care contributed to ongoing delivery of high‐quality care and satisfactory patient experiences while supporting the mission of a CAH in rural Iowa. Implementation required careful consideration of its effects on the outpatient practice. Broader implementation of this model in CAHs may be warranted. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Brian M. Dougan, Victor M. Montori, Kurt W. Carlson Tags: ORIGINAL ARTICLE Source Type: research

The State of Nursing Home Information Technology Sophistication in Rural and Nonrural US Markets
ConclusionsThis study represents the most current national assessment of NH IT since 2004. Historically, NH IT has been used solely for administrative activities and much less for resident care and clinical support. However, results are encouraging as ITS in other domains appears to be greater than previously imagined. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Gregory L. Alexander, Richard W. Madsen, Erin L. Miller, Douglas S. Wakefield, Keely K. Wise, Rachel L. Alexander Tags: ORIGINAL ARTICLE Source Type: research

A Community‐Engaged Approach to Collecting Rural Health Surveillance Data
ConclusionsThe implications of this project are that engaging stakeholders in community surveillance efforts increases the quality, relevance and utility of the information collected and can help reach otherwise difficult‐to‐reach populations. This can result in a more accurate picture of the health status of residents, which can lead to making health‐related, data‐driven decisions concerning resource allocation, needed services, and intervention priorities. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Jini E. Puma, Elaine S. Belansky, Reginaldo Garcia, Sharon Scarbro, Devon Williford, Julie A. Marshall Tags: ORIGINAL ARTICLE Source Type: research

Risk Factors for In‐Hospital Mortality in Heart Failure Patients: Does Rurality, Payer or Admission Source Matter?
ConclusionIncreasing age, comorbidity and length of stay were risk factors for in‐hospital death for heart failure. An understanding of the risk factors for in‐hospital death is critical to improving outcomes of care for heart failure patients. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Preethy Nayar, Fang Yu, Aastha Chandak, Ge Lin Kan, Brian Lowes, Bettye A. Apenteng Tags: ORIGINAL ARTICLE Source Type: research

Individual and Network Correlates of Antisocial Personality Disorder Among Rural Nonmedical Prescription Opioid Users
ConclusionsParticipants meeting criteria for ASPD were more likely to report recent heroin and crack use, which are far less common drugs of abuse in this population in which the predominant drug of abuse is prescription opioids. Greater discord within relationships was also identified among those with ASPD symptomatology. Given the elevated risk for blood‐borne infection (eg, HIV) and other negative social and health consequences conferred by this high‐risk subgroup, exploration of tailored network‐based interventions with mental health assessment is recommended. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Rachel V. Smith, April M. Young, Ursula L. Mullins, Jennifer R. Havens Tags: ORIGINAL ARTICLE Source Type: research

Effects of the Affordable Care Act's Dependent Coverage Mandate on Private Health Insurance Coverage in Urban and Rural Areas
ConclusionsAlthough young adults in metropolitan and nonmetropolitan areas experienced increased access to private health insurance following the ACA's dependent coverage mandate, it did not appear to directly impact rural‐urban disparities in health insurance coverage. Despite residents in both areas gaining insurance coverage, over one‐third of young adults still lacked access to full‐year health insurance coverage. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Kevin A. Look, Nam Hyo Kim, Prachi Arora Tags: BRIEF REPORT Source Type: research

Mental Health, Racial Discrimination, and Tobacco Use Differences Across Rural‐Urban California
ConclusionResiding in rural areas was associated with an increased risk for smoking, above and beyond sociodemographics. There were no significant differences across rural‐urban environments for the relationship between stress and tobacco use—an indication that the impact of stress and discrimination is not buffered or exacerbated by environmental characteristics potentially found in either location. Mechanisms that explain rural‐urban tobacco use disparities need to be explored, and smoking cessation programs and policies should be tailored to target these factors within rural communities. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Amenah A. Agunwamba, Ichiro Kawachi, David R. Williams, Lila J. Finney Rutten, Patrick M. Wilson, Kasisomayajula Viswanath Tags: ORIGINAL ARTICLE Source Type: research

Long‐Term Trends in Black and White Mortality in the Rural United States: Evidence of a Race‐Specific Rural Mortality Penalty
ConclusionsThe rural mortality penalty is evident in race‐specific mortality trends over time, with an added disadvantage in black mortality. The rate of mortality improvement for rural blacks and whites lags behind their same‐race, urban counterparts, creating a diverging gap in race‐specific mortality trends in rural America. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Wesley James, Jeralynn S. Cossman Tags: ORIGINAL ARTICLE Source Type: research

A Community Partnership to Respond to the Heroin and Opioid Abuse Epidemic
(Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 31, 2015 Category: Rural Health Authors: Laura C. Palombi, Joe Vargo, Laura Bennett, Jared Hendler, Paul Coughlin, Greta Winter, Amy LaRue Tags: COMMENTARY Source Type: research

Geographic Variation in Treatment and Outcomes Among Patients With AMI: Investigating Urban‐Rural Differences Among Hospitalized Patients
ConclusionOur findings suggest that despite limited access to cardiac care facilities, rural patients are accessing revascularization services. However, rural residents are more likely to undergo CABG during their index admission. High transfer rates suggest that rural regions rely on effective transfer networks to access invasive cardiac services. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 3, 2015 Category: Rural Health Authors: Daniel Bechtold, G.G. Salvatierra, Emily Bulley, Alex Cypro, Kenn B. Daratha Tags: ORIGINAL ARTICLE Source Type: research

Geographic Variation in Treatment and Outcomes Among Patients With AMI: Investigating Urban ‐Rural Differences Among Hospitalized Patients
ConclusionOur findings suggest that despite limited access to cardiac care facilities, rural patients are accessing revascularization services. However, rural residents are more likely to undergo CABG during their index admission. High transfer rates suggest that rural regions rely on effective transfer networks to access invasive cardiac services. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 2, 2015 Category: Rural Health Authors: Daniel Bechtold, G.G. Salvatierra, Emily Bulley, Alex Cypro, Kenn B. Daratha Tags: ORIGINAL ARTICLE Source Type: research

Characteristics of Farm Equipment ‐Related Crashes Associated With Injury in Children and Adolescents on Farm Equipment
ConclusionPrecautions should be taken to limit or restrict youth from riding on or operating farm equipment. These findings reiterate the need to enforce policies that improve safety measures for youth involved in or exposed to agricultural tasks. (Source: The Journal of Rural Health)
Source: The Journal of Rural Health - December 2, 2015 Category: Rural Health Authors: Maisha Toussaint, Kayla Faust, Corinne Peek ‐Asa, Marizen Ramirez Tags: ORIGINAL ARTICLE Source Type: research