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    Current State of Child Health in Rural America: How Context Shapes Children's Health

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    Authors
    Probst, Janice C.
    Barker, Judith C.
    Enders, Alexandra
    Gardiner, Paula
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Center for Integrated Primary Care
    Document Type
    Journal Article
    Publication Date
    2016-02-01
    Keywords
    children's health
    epidemiology
    health disparities
    rural
    social determinants of health
    Epidemiology
    Health Psychology
    Health Services Administration
    Health Services Research
    Integrative Medicine
    Maternal and Child Health
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373918/
    Abstract
    PURPOSE: Children's health is influenced by the context in which they live. We provide a descriptive essay on the status of children in rural America to highlight features of the rural environment that may affect health. DESCRIPTION: We compiled information concerning components of the rural environment that may contribute to health outcomes. Areas addressed include the economic characteristics, provider availability, uniquely rural health risks, health services use, and health outcomes among rural children. ASSESSMENT: Nearly 12 million children live in the rural United States. Rural counties are economically disadvantaged, leading to higher rates of poverty among rural versus urban children. Rural and urban children are approximately equally likely to be insured, but Medicaid insures a higher proportion of children in rural areas. While generally similar in health, rural children are more likely to be overweight or obese than urban children. Rural parents are less likely to report that their children received preventive medical or oral health visits than urban parents. Rural children are more likely to die than their urban peers, largely due to unintentional injury. CONCLUSION: Improving 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

    J Rural Health. 2018 Feb;34 Suppl 1:s3-s12. doi: 10.1111/jrh.12222. Epub 2016 Sep 28. Link to article on publisher's site

    DOI
    10.1111/jrh.12222
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26825
    PubMed ID
    27677973
    Notes

    At the time of publication, Paula Gardiner was not yet affiliated with the University of Massachusetts Medical School.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/jrh.12222
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