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Rural Surgery Training Programs in the United States: A Review of the Literature 美国农村外科培训项目:文献综述
Pub Date : 2016-10-31 DOI: 10.4148/1936-0487.1078
D. Avery, Joseph C. Wallace
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引用次数: 10
An Econometric Analysis of the Nebraska Livestock Friendly County Program 内布拉斯加州家畜友好县计划的计量经济学分析
Pub Date : 2016-08-31 DOI: 10.4148/1936-0487.1075
B. Mills, A. Azzam, Kathleen R. Brooks, David J. Aiken
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引用次数: 1
Home is Where the Vote Is: A Research Note on the Effects of Changes in North Dakota Voter Identification Laws on College Student Turnout in the 2014 Elections 家是投票的地方:关于北达科他州选民身份法变化对2014年选举中大学生投票率影响的研究笔记
Pub Date : 2016-06-02 DOI: 10.4148/1936-0487.1072
Nicholas G. Bauroth, Kjersten Nelson
Since 2005, state legislatures across the nation have passed a series of stringent voter identification laws in the expressed hope of preventing voter fraud. However, some scholars argue that these voter id laws negatively impact people who are less likely to have a photo id, such as racial minorities and young people. This study uses a survey of college students in the North Dakota University System to examine whether changes to North Dakota voter id laws in 2013 had any influence over the ability of these students to successfully cast a vote in the 2014 midterm elections. It finds that the new law did indeed have an impact, with the survey results indicating that several hundred students were unable to vote due to issues related to voter id.
自2005年以来,美国各州立法机构通过了一系列严格的选民身份识别法,希望防止选民欺诈。然而,一些学者认为,这些选民身份法对那些不太可能有照片身份证的人产生了负面影响,比如少数民族和年轻人。本研究对北达科他州大学系统的大学生进行了调查,以检查2013年北达科他州选民身份法的变化是否对这些学生在2014年中期选举中成功投票的能力产生了任何影响。调查结果显示,数百名学生因身份证问题无法投票,因此,新法律确实产生了影响。
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引用次数: 0
Assessing the Rural-Urban Divide in a Red State 评估一个红色州的城乡差距
Pub Date : 2015-12-03 DOI: 10.4148/1936-0487.1074
J. Blankenau, C. Parker
This paper explores the rural-urban divide, as it exists within Nebraska, which is a state that is largely homogenous, primarily red, with a historically sizable rural population that is in decline in most counties. 1 Using survey data of attitudes towards political and economic issues, and self-identified political ideology, two key questions are considered. Has there been change in the rural-urban divide in Nebraska as rural areas lose population? Second, does the rural-urban divide persist when controlling for party identification, age, and income in multivariate analyses? Bivariate results show that the rural-urban divide continues to be an important factor on several issues. The multivariate analyses reveal that the ruralurban divide remains significant when the issues are prayer and sex education in public schools, gun control, assisting the poor when times are bad, and choosing to reduce services rather than to raise taxes. The discussion considers the current and potential future effects of the rural-urban divide in Nebraska.
本文探讨了城乡差距,因为它存在于内布拉斯加州,这是一个基本上同质的州,主要是红色的,历史上相当大的农村人口在大多数县都在下降。使用对政治和经济问题的态度的调查数据,以及自我认同的政治意识形态,考虑两个关键问题。随着农村人口的减少,内布拉斯加州的城乡差距是否发生了变化?其次,在多变量分析中,当控制党派认同、年龄和收入时,城乡差距是否仍然存在?双变量结果表明,城乡差距在若干问题上仍然是一个重要因素。多变量分析显示,在公立学校的祈祷和性教育、枪支管制、经济不景气时帮助穷人、选择减少服务而不是增加税收等问题上,城乡差距仍然很大。讨论考虑了内布拉斯加州城乡差距的当前和潜在的未来影响。
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引用次数: 4
Geriatrician and Other Physician Disciplines as the Usual Source of Care for Rural and Urban Older Adults: 2004-2010 Medical Expenditure Panel Survey 作为农村和城市老年人通常护理来源的老年病专家和其他医师学科:2004-2010年医疗支出小组调查
Pub Date : 2015-03-31 DOI: 10.4148/1936-0487.1071
Wei-Chen Lee, C. Sumaya
The purpose of this study is to examine the trend of usual source care (USC) rates and the discipline of choice among rural and urban older adults. Data used in this study were obtained from 2004 to 2010 Medical Expenditure Panel Survey. The yearly percentages of having a specific discipline as the USC were demonstrated from 2004 to 2010. The association of residence with likelihoods of having any of these three physician categories as USCs was assessed holding other individual characteristics constant. The overall sample size is 24,834, of which 20.0% of older adults resided in rural areas. A similar percentage of older adults living in urban areas had USCs than that of rural areas (93.69% vs. 93.46%). Overall, family practitioners were the most common USC noted in this survey while geriatricians are the least. The urban older adults are more likely than the rural ones to have geriatricians as their USC. Geriatrician discipline receives the most intensive education and training to care for older adults. The growing aging population makes it imperative to address the crisis of geriatrician shortage.
本研究的目的是考察农村和城市老年人通常来源护理(USC)率和学科选择的趋势。本研究使用的数据来自2004年至2010年的医疗支出小组调查。从2004年到2010年,南加州大学每年有一个特定学科的百分比。在保持其他个体特征不变的情况下,评估居住与这三种医生类别中任何一种作为USCs的可能性的关系。总体样本量为24834人,其中20.0%的老年人居住在农村地区。生活在城市地区的老年人患USCs的比例与农村地区相似(93.69%对93.46%)。总体而言,家庭医生是本调查中最常见的USC,而老年病医生最少。城市老年人比农村老年人更有可能将老年医生作为他们的USC。老年医学学科在照顾老年人方面接受最密集的教育和培训。随着人口老龄化的加剧,解决老年医生短缺危机势在必行。
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引用次数: 0
Review Strategies to Recruit and Retain Rural Patient Participating Self-management Behavioral Trials. 回顾招募和保留农村患者参与自我管理行为试验的策略。
Pub Date : 2015-01-01 DOI: 10.4148/1936-0487.1070
Lufei Young, Susan Barnason, VAN DO

Self-management plays a vital role in improving health outcomes and reducing costs in patients with cardiovascular disease (CVD) and associated risk factors. Based on existing studies, rural residents with CVD and/or risk factors show low engagement in self-management behaviors. Due to low participation in behavioral intervention trials, the most promising mechanism to promote self-management among rural populations is unknown. In turn, the purpose of this article is to review the evidence that supports strategies to recruit and retain rural patients to participate in behavioral intervention trials aimed to promote self-management of CVD and its risk factors. This review is expected to assist researchers in identifying effective solutions to overcome barriers in the recruitment and retention processes when conducting intervention research studies on the self-management of CVD in rural communities.

自我管理在改善心血管疾病(CVD)及相关危险因素患者的健康结果和降低成本方面发挥着至关重要的作用。根据现有研究,有心血管疾病和/或危险因素的农村居民自我管理行为的参与度较低。由于行为干预试验的参与率较低,促进农村人口自我管理的最有希望的机制尚不清楚。反过来,本文的目的是回顾支持招募和留住农村患者参与旨在促进心血管疾病及其危险因素自我管理的行为干预试验的策略的证据。这一综述有望帮助研究人员在开展农村社区心血管疾病自我管理干预研究时,找到克服招募和保留过程中障碍的有效解决方案。
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引用次数: 23
Creating Constraints to Community Resiliency: The Event of a Rural School's Closure 对社区恢复力的约束:农村学校关闭的事件
Pub Date : 2014-09-21 DOI: 10.4148/1936-0487.1068
J. Oncescu
In this study, a community resilience model is utilized to explore the impacts of a rural school’s closure and its implication on community resiliency in the Village of Limerick, Saskatchewan. The findings from four semi-structured interviews and three focus groups indicate that the school’s closure created a number of constraints that have considerable implications for community resilience. In particular, the school’s closure decreased the residents’ sense of community. In addition, as a result of the school’s closure, the community resident’s experienced diminishing civic engagement in the form of volunteerism, community recreation participation, and intergenerational relationships. This paper demonstrates the challenges of a rural school’s closure on cultivating community resiliency, but also the changes to rural residents’ lives and their communities.
本研究以萨斯喀彻温省利默里克村为研究对象,运用社区弹性模型探讨农村学校关闭对社区弹性的影响及其启示。四次半结构化访谈和三个焦点小组的调查结果表明,学校的关闭造成了许多限制,对社区的恢复能力产生了相当大的影响。特别是学校的关闭,降低了居民的社区意识。此外,由于学校的关闭,社区居民在志愿服务、社区娱乐参与和代际关系方面的公民参与减少了。本文展示了农村学校关闭对培养社区恢复力的挑战,以及农村居民生活和社区的变化。
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引用次数: 4
An Integrative Review of Literature Regarding Health Concerns of Rural Dwelling Adolescents 农村青少年健康问题的文献综述
Pub Date : 2014-02-13 DOI: 10.4148/1936-0487.1066
D. Tilley, G. Roux, Fuqin Liu, Kyoung-eun Lee, Suzanne M Ackers, V. Zeigler
Those living in rural areas face particular risks to health and well-being as they are more likely to be poor, have no health insurance, and have less access to health care. Many obstacles exist in achieving optimal rural health outcomes. Many of the health related issues experienced by adolescents are preventable and are often related to risky behavior such as substance use and abuse, smoking, and unprotected sex. The purpose of this review is to define the current primary health concerns of rural dwelling adolescents worldwide. Based on current research, the primary health related problems of rural adolescents were identified as risky sexual behaviors, mental health issues, violence and bullying, substance and alcohol use, and overweight and obesity. These problems are exacerbated by diminished access to care, peer influences, and parental influences. This integrative review also illustrates many dimensions of health disparities exist in rural areas. When addressing diversity in care models, it is important to consider the rural setting as well as race or ethnicity, sex, and socioeconomic status in designing curriculum and interventions. Globally, evidence based findings are needed to inform curriculum and respond to the health needs of rural adolescents. Health Concerns of Rural Dwelling Adolescents Vol. 9, Issue 1 (2014) 2 Programs and rural initiatives for adolescents can decrease the prevalence of established health problems and lower health care expenditures across life spans. Those living in rural areas face particular risks to health and well-being (United States [U.S.] Department of Health and Human Services [HHS], 2011). Rural dwellers are more likely than their urban counterparts to be poor, have no health insurance, and have less access to health care (Gamm, Hutchinson, Dabney, & Dorsey, 2003; Ziller, Anderson, & Coburn, 2010). Rural health concerns continue to draw attention from policy makers, clinicians and researchers. Healthy People 2020 re-emphasized the 2010 goal to address the health needs among rural U.S. populations (Bolin & Gamm, 2003; HHS, Healthy People 2020, 2011). Nonetheless, many obstacles exist in achieving optimal rural health outcomes. The purpose of this article is to synthesize findings from an integrative literature review on the current state of rural health needs for adolescents. Adolescence is typically considered to occur between the ages of 13 and 19 years (American Academy of Child and Adolescent Psychiatry, 2008). During these years, adolescents become more independent and autonomous and often make decisions with lifetime implications for their health. Many of the health related issues experienced by adolescents are preventable and are often related to risky behavior by adolescents (Shannon & Broussard, 2011). Risky behaviors such as substance use and abuse, smoking, and unprotected sex have been targeted as leading health indicators for adolescent health in the Healthy People 2020 initiative (HHS, Healt
生活在农村地区的人面临着特别的健康和福祉风险,因为他们更有可能贫穷,没有医疗保险,获得医疗保健的机会也更少。在实现最佳农村保健成果方面存在许多障碍。青少年所经历的许多与健康有关的问题是可以预防的,而且往往与诸如药物使用和滥用、吸烟和无保护的性行为等危险行为有关。本综述的目的是确定目前全球农村居住青少年的主要健康问题。根据目前的研究,农村青少年的主要健康相关问题被确定为危险性行为、精神健康问题、暴力和欺凌、物质和酒精使用以及超重和肥胖。这些问题因获得护理的机会减少、同伴影响和父母影响而加剧。这一综合审查还说明了农村地区存在的健康差距的许多方面。在解决护理模式的多样性问题时,重要的是在设计课程和干预措施时考虑农村环境以及种族或民族、性别和社会经济地位。在全球范围内,需要以证据为基础的调查结果为课程提供信息,并满足农村青少年的健康需求。农村居住青少年的健康问题第9卷,第1期(2014年)2针对青少年的方案和农村倡议可以降低既定健康问题的患病率,并降低整个生命周期的医疗保健支出。生活在农村地区的人面临着特别的健康和福祉风险(美国)]美国卫生与公众服务部,2011年。农村居民比城市居民更有可能贫穷,没有医疗保险,获得医疗保健的机会也更少(Gamm, Hutchinson, Dabney, & Dorsey, 2003;Ziller, Anderson, & Coburn, 2010)。农村卫生问题继续引起决策者、临床医生和研究人员的注意。《2020年健康人》再次强调了2010年的目标,即解决美国农村人口的健康需求(Bolin & Gamm, 2003年;卫生与公众服务部,《健康人2020》,2011年)。然而,在实现最佳农村保健成果方面存在许多障碍。本文的目的是对农村青少年健康需求现状的综合文献进行综述。青春期通常被认为发生在13到19岁之间(美国儿童和青少年精神病学学会,2008年)。在这些年中,青少年变得更加独立和自主,并经常作出对其健康有终身影响的决定。青少年经历的许多与健康相关的问题是可以预防的,而且往往与青少年的危险行为有关(Shannon & Broussard, 2011)。《2020年健康人倡议》(卫生与公众服务部,《2020年健康人》,2011年)将药物使用和滥用、吸烟和无保护的性行为等危险行为作为青少年健康的主要健康指标。与生活在城市和郊区的青少年相比,生活在农村地区的青少年健康状况不佳的风险可能更大(Curtis, Waters, & Brindis, 2011)。开展了一项综合审查,以确定农村居住青少年最常见的健康问题,作为制定循证课程和干预措施的途径,这些课程和干预措施可能促进处于危险中的农村青年的健康。
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引用次数: 1
Persistence among Deep Rural Communities in the Northern Plains, Revisited 北方平原农村深层社区的持久性,再访
Pub Date : 2013-11-20 DOI: 10.4148/1936-0487.1064
A. Anderson, George Langelett, Gary Aguiar, B. Shuler, Meredith Redlin
This research note revisits the question of rural persistence, which was first brought to light in this journal by Redlin et al. (2010) 1 . We follow Redlin et al’s example by employing county-level data and seek to identify small towns that are surviving to explain their persistence. Our effort to replicate their results begins with the collection of the data anew, but we also include two additional states and incorporate a time dimension. By using Census data from 2000 only, Redlin et al. applied a static approach to test their hypothesis. In this study, we collect data from 1990 as well as 2000 to explore the time dimension of rural persistence. Our findings indicate that rural persistence is a dynamic rather than a static process. First, human capital systematically affects rural persistence. Second, changes in human capital affect rural persistence much more significantly than a stock of each measure at an earlier point in time. This result is encouraging; it suggests that no matter a community’s starting point in human capital, efforts towards community survival can be successful. Increases in any of our independent variables affect small town persistence more than the initial stock of any of them. Moreover, our results produce differences among the states, specifically Montana and Wyoming from the Dakotas, which indicate that future research efforts in rural persistence
这篇研究报告重新审视了农村持久性的问题,这个问题最初是由Redlin等人(2010)在本刊上提出的。我们遵循Redlin等人的例子,采用县级数据,并试图找出幸存下来的小城镇,以解释它们的持久性。我们复制他们的结果的努力从重新收集数据开始,但我们也包括两个额外的状态,并纳入一个时间维度。Redlin等人仅使用2000年的人口普查数据,采用静态方法来检验他们的假设。本研究以1990年和2000年的数据为样本,探讨了农村持久性的时间维度。我们的研究结果表明,农村的持久性是一个动态的而不是静态的过程。首先,人力资本系统性地影响农村持久性。其次,人力资本的变化对农村持久性的影响要比以往每项指标的存量显著得多。这个结果令人鼓舞;这表明,无论一个社区的人力资本起点如何,社区生存的努力都可能取得成功。任何自变量的增加对小镇持久性的影响都大于它们的初始存量。此外,我们的结果在各州之间产生了差异,特别是蒙大拿州和怀俄明州与达科他州之间的差异,这表明未来在农村持久性方面的研究工作
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引用次数: 0
Effect of Small Monetary Incentive and Demographic Characteristics on Response Rate of Self-Administered Questionnaire Mailed to Rural Women. 小额货币激励与人口特征对农村妇女自填问卷回复率的影响。
Pub Date : 2013-01-01 DOI: 10.4148/ojrrp.v8i1.1866
Lacey A McCormack

Objectives: The National Children's Study (NCS) is a longitudinal observational study that will examine the effects of genetics and environment on the health and development of children in the United States. The NCS is in a Vanguard, or pilot phase, so it is important to determine the feasibility, acceptability and cost of different data collection methods. The purpose of this study was to determine whether demographic characteristics differed in self-administered questionnaire (SAQ) completion rates, and to examine response rates when a $2 incentive was included with the mailed questionnaire.

Methods: Subjects for the study (~500) were being followed by a local call center and were mailed SAQs. Women who did not complete their last telephone event were eligible. Women were randomized to receive a $2 bill incentive with their SAQ (approximately 250 women in each group).

Results: Approximately 450 women comprised the final sample. In the incentive group, 35% of SAQs were returned, which was significantly higher than the 27% returned in the non-incentive group (p<0.001). No significant differences in completion rates based on demographic characteristics were seen, except in divorced women. The final cost per completed SAQ was $12.51 in the incentive group compared to $7.57 for the non-incentive group.

Conclusions: Adding a $2 bill as an incentive significantly increased response rates of hard-to-reach rural women completing mailed questionnaires about pregnancy information. Future research should focus on different incentive amounts and types and how they influence response rates.

目的:国家儿童研究(NCS)是一项纵向观察研究,将检查遗传和环境对美国儿童健康和发展的影响。NCS处于先导阶段,因此确定不同数据收集方法的可行性、可接受性和成本是很重要的。本研究的目的是确定人口统计学特征在自我管理问卷(SAQ)完成率方面是否存在差异,并检查邮寄问卷中包含2美元奖励时的回复率。方法:研究对象(约500人)由当地呼叫中心跟踪并邮寄saq。没有完成最后一次电话活动的女性符合条件。女性被随机分成两组,每组大约有250名女性获得2美元的奖励。结果:大约450名女性组成了最终的样本。激励组的问卷回复率为35%,显著高于非激励组的27% (p结论:增加2美元钞票作为激励,显著提高了难以接触到的农村妇女完成邮寄的怀孕信息问卷的回复率。未来的研究应侧重于不同的激励金额和类型,以及它们如何影响回复率。
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引用次数: 2
期刊
Online journal of rural research and policy
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