Children and adolescents
Research Products & Journal Articles
Browse the full list of research publications on this topic completed by the Rural Health Research Centers.
Products – Freely accessible products include policy briefs, fact sheets, full reports, chartbooks, and interactive data websites.
Journal Articles – Articles in peer-reviewed journals may require a subscription or affiliation with a subscribing library. For these publications, Gateway lists the article citation, a brief summary, a link to additional information and access to the full-text of the article, if available.
2024
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Identifying Rural Health Clinics Within the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files
Policy Brief
Maine Rural Health Research Center
Date: 03/2024
This brief describes a methodology for identifying Rural Health Clinic encounters within the Medicaid claims data using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files.
2022
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Examining the Association Between Rurality and Positive Childhood Experiences Among a National Sample
Journal Article
University of South Carolina Rural Health Research Center
Date: 08/2022
Using the full National Survey of Children's Health with all 50 states and the District of Columbia, this study examined rural-urban differences in positive childhood experiences. -
County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy Brief
Center for Economic Analysis of Rural Health
Date: 07/2022
This policy brief draws out demographic and economic differences between counties with obstetric care facilities and those without. It provides descriptive data on the economic changes underway in counties that lost obstetric care facilities between 2012 and 2019. -
Disparities in Prenatal Immunization Rates in Rural and Urban U.S. Areas by Indicators of Access to Care
Journal Article
Southwest Rural Health Research Center
Date: 02/2022
This study evaluates variations in immunization rates among pregnant women across the urban-rural continuum. Results indicate pregnant women in rural areas more commonly rely on Medicaid to fund prenatal care but are less likely to have full or expanded access to Medicaid. This finding may contribute to immunization uptake disparities.
2021
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Implementation of Telehealth Services in Rural Schools: A Qualitative Assessment
Journal Article
Rural Telehealth Research Center
Date: 11/2021
This study explores facilitators and barriers to implementation of telehealth programs in rural schools and identifies strategies for successful implementation to inform future school-based telehealth initiatives. Researchers conducted semi-structured interviews with 50 key personnel involved in the School-Based Telehealth Network Grant Program. -
Estimates of Childhood Overweight and Obesity at the Region, State, and County Levels: A Multilevel Small Area Estimation Approach
Journal Article
University of South Carolina Rural Health Research Center
Date: 06/2021
The goal of this study is to create a map of county-level obesity rates at the regional, county, and state levels.
2020
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Substance Use Among Rural and Urban Youth and Young Adults
Policy Brief
Maine Rural Health Research Center
Date: 11/2020
This study uses national data to examine rural-urban differences in the rates of substance use among youth and young adults. Findings can help inform rural-specific prevention strategies and research targeting rural communities. -
Development of a National Childhood Obesogenic Environment Index in the United States: Differences by Region and Rurality
Journal Article
University of South Carolina Rural Health Research Center
Date: 07/2020
This study developed a novel childhood obesogenic environment index and highlighted important regional and rurality differences across U.S. counties. -
Process of Identifying Measures and Data Elements for the HRSA School-Based Telehealth Network Grant Program
Policy Brief
Rural Telehealth Research Center
Date: 06/2020
This brief details work to identify measures and develop data elements appropriate to school-based telehealth, create an Excel-based tool, and systematically collect data from grantees in the Health Resources and Services Administration's School-Based Telehealth Network Grant Program. -
Spatial Clustering Patterns and Regional Variations for Food and Physical Activity Environments Across the United States
Journal Article
University of South Carolina Rural Health Research Center
Date: 01/2020
This study examined spatial patterns of obesogenic environments for U.S. counties. We mapped the geographic dispersion of food and physical activity (PA) environments, assessed spatial clustering, and identified differences across regions and rurality categories. This study highlights geographic clustering and disparities in food and PA access.
2019
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Pediatric Tele-Emergency Care: A Study of Two Delivery Models
Journal Article
Rural Telehealth Research Center
Date: 04/2019
This study describes two tele-emergency programs that provide care to pediatric populations. Qualitative descriptions of the two tele-emergency department (ED) models and key characteristics of the patient populations served by tele-ED are presented. The study informs others about evaluative measures and how tele-ED works in practice. -
Rural-Urban Differences in the Decline of Adolescent Cigarette Smoking
Journal Article
Maine Rural Health Research Center
Date: 03/2019
Comparing survey data from 2008-2010 with 2014-2016, we examined change over time in cigarette smoking among rural and urban adolescents. We found that both rural and urban rates declined, but the decrease was smaller in rural counties, which widened the rural-urban gap in adolescent smoking rates.
2017
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The Role of Public Versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children
Policy Brief
Maine Rural Health Research Center
Date: 01/2017
Medicaid and CHIP have played a critical role in ensuring access to health coverage among children –particularly rural children. This study examines rural-urban differences in children's access to care, and their families' perceived affordability of that care among those enrolled in Medicaid or CHIP, and those with private insurance plans.
2016
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Current State of Child Health in Rural America: How Context Shapes Children's Health
Journal Article
University of South Carolina Rural Health Research Center
Date: 09/2016
Provides an essay on the status of children in rural America that focuses on the rural environment that may affect health. -
Adverse Childhood Experiences in Rural and Urban Contexts
Policy Brief
Maine Rural Health Research Center
Date: 04/2016
This study was designed to address the gap in the literature examining rural-urban differences in adults' exposure to adverse childhood experiences (ACEs) and to inform health system initiatives geared toward mitigating the impacts of ACEs on rural populations.
2015
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Rural Area Deprivation and Hospitalizations Among Children for Ambulatory Care Sensitive Conditions
Journal Article
University of South Carolina Rural Health Research Center
Date: 10/2015
Evaluates inpatient hospitalizations among children in nine states to determine the effect of rurality and social/economic advantage on health outcomes and health disparities.
2014
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Health Insurance Coverage of Low-Income Rural Children Increases and Is More Continuous Following CHIP Implementation
Policy Brief
Maine Rural Health Research Center
Date: 03/2014
This study found that following the Children's Health Insurance Program's (CHIP) implementation, health insurance coverage and continuity increased among low-income children, particularly for those living in rural areas. By CHIP's maturity, coverage for rural children improved so much that their uninsured rate dropped below that of urban children.
2013
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Inadequate Prenatal Care in the Rural United States, 2005
WWAMI Rural Health Research Center
Date: 10/2013
This policy brief finds that the states with levels of rural inadequate prenatal care (less than 50% of expected visits) in the "worst" or "worse than mid-range" categories were largely in southern and southwestern areas of the United States. -
Low Birth Weight Rates in the Rural United States, 2005
WWAMI Rural Health Research Center
Date: 10/2013
This brief shares that the rural U.S. low birth weight rate in 2005 was significantly higher than the urban U.S. low birth weight rate. -
Patterns of Care for Rural and Urban Children With Mental Health Problems
Maine Rural Health Research Center
Date: 06/2013
This study reports that rural children are significantly less likely to be diagnosed and treated for non-ADHD mental health problems than urban children and are less likely to receive mental health counseling.
2012
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Childhood Asthma in Rural-Urban Areas
Policy Brief
West Virginia Rural Health Research Center
Date: 06/2012
This policy brief examines how asthma may be related to rural areas adjacent or non-adjacent to larger population centers, to variation in measures of air quality, to varying levels of agricultural and animal production, and to other characteristics such as obesity, race/ethnicity, or health insurance. -
Childhood Asthma in Rural-Urban Areas (Final Report)
West Virginia Rural Health Research Center
Date: 05/2012
This report examines how asthma may be related to rural areas adjacent or non-adjacent to larger population centers, to variation in measures of air quality, to varying levels of agricultural and animal production, and to other characteristics such as obesity, race/ethnicity, or health insurance.
2010
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Access to Mental Health Services and Family Impact of Rural Children With Mental Health Problems
Maine Rural Health Research Center
Date: 10/2010
Rural children are more likely to have mental health problems, to have behavioral difficulties, and to be usually or always affected by their conditions than urban children. Rural children also are more likely to go without access to all parent-reported needed mental health services, and their families spend more time coordinating their care. -
Mental Health Problems Have Considerable Impact on Rural Children and Their Families
Policy Brief
Maine Rural Health Research Center
Date: 10/2010
This policy brief provides information on the prevalence of children's mental health needs and associated access to care and family impact across rural and urban areas. Analyses are based on the 2005-06 National Survey of Children with Special Health Care Needs.
2009
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Differences in Prescribing Patterns of Psychotropic Medication for Children and Adolescents Between Rural and Urban Prescribers
WICHE Center for Rural Mental Health Research
Date: 10/2009
This study reports that prescriptions of all psychotropic drug categories increased for urban and rural populations during the 10-year study period. Urban youth were more likely to be prescribed psychotropic medications by psychiatrists. In contrast, rural youth were more likely to have psychotropics prescribed by generalists or other prescribers. -
Rural Children Don't Receive the Mental Health Care They Need
Policy Brief
Maine Rural Health Research Center
Date: 01/2009
Controlling for other characteristics that affect access to care, rural children are 20% less likely to have a mental health visit than urban children. Having Medicaid or SCHIP increases the likelihood that a child will receive services, and this is pronounced in rural areas.
2008
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Poor Birth Outcome in the Rural United States: 1985-1987 to 1995-1997 (Final Report)
WWAMI Rural Health Research Center
Date: 02/2008
Rates of low birthweight, poor outcomes, and inadequate prenatal care among urban and rural areas were evaluated and compared from 1985-1997 using data from the Linked Birth-Death Data Set. -
Poor Birth Outcome in the Rural United States: 1985-1987 to 1995-1997 (Project Summary)
WWAMI Rural Health Research Center
Date: 02/2008
Rates of low birthweight, poor outcomes, and inadequate prenatal care among urban and rural areas were evaluated and compared from 1985-1997 using data from the Linked Birth-Death Data Set.
2007
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Ambulatory Care Sensitive Condition Hospitalizations Among Rural Children (Brief)
Upper Midwest Rural Health Research Center
Date: 06/2007
This brief reports results from a study examining children's inpatient hospitalizations for ambulatory care sensitive conditions, rural residence, poverty, health insurance, and physician supply. Admission rates were examined for asthma, diabetes short-term complications, gastroenteritis, urinary tract infection, and perforated appendix. -
Substance Abuse Among Rural Youth: A Little Meth and a Lot of Booze
Maine Rural Health Research Center
Date: 06/2007
This research and policy brief examines substance abuse among rural youth, with rural-urban comparisons of methamphetamine, Oxycontin, and alcohol abuse. -
Rural/Urban Differences in Barriers to and Burden of Care for Children With Special Health Care Needs
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 2007
Examines the barriers and difficulties experienced by rural families of children with special healthcare needs in caring for their children. Covers rural-urban differences in types of providers used, reasons for unmet healthcare needs, insurance and financial difficulties encountered, and the family burden of providing the child's medical care.
2006
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The Effect of Rural Residence On Dental Unmet Need for Children With Special Health Care Needs
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 2006
Unmet need for dental care is the most prevalent unmet healthcare need among children with special healthcare needs (CSHCN). The combination of rural residence and special healthcare needs may leave rural CSHCN particularly vulnerable to high levels of unmet dental needs.
2005
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The Effects of Rural Residence and Other Social Vulnerabilities on Subjective Measures of Unmet Need
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 2005
Are self-reports of unmet need a biased measure of access to healthcare? We examined the relationship between rural residence and perceived need for physician services and the likelihood of reporting a need for routine preventive care and/or specialty care using data from the National Survey of Children with Special Health Care Needs. -
Factors Associated With Incidence of Inappropriate Ambulance Transport in Rural Areas in Cases of Moderate to Severe Head Injury in Children
Journal Article
Upper Midwest Rural Health Research Center
Date: 2005
An analysis was conducted to identify a set of significant predictors of cases of inappropriate deliveries to acute care facilities with no trauma-center designation of any level. Greater distance to the nearest trauma center and shorter distance traveled by the ambulance squad to the receiving corresponded to higher probabilities of mistriage.
2001
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Patterns of Health Insurance Coverage Among Rural and Urban Children
Maine Rural Health Research Center
Date: 11/2001
This study assesses differences in the patterns of insurance coverage and uninsured spells among rural and urban children in 20 states. It also examines the implications of those differences for the design and implementation of public insurance programs.
1999
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Implementation of the State Children's Health Insurance Program: Outreach, Enrollment, and Provider Participation in Rural Areas (Full Report)
Report
NORC Walsh Center for Rural Health Analysis
Date: 11/1999
The State Children's Health Insurance Program (CHIP) provides states with an important source of funding to help low-income, uninsured children overcome financial barriers to medical care. CHIP may be especially important in covering children living in rural areas. This study qualitatively assesses CHIP outreach, enrollment, and provider issues. -
Implementation of the State Children's Health Insurance Program: Outreach, Enrollment, and Provider Participation in Rural Areas (Policy Brief)
Policy Brief
NORC Walsh Center for Rural Health Analysis
Date: 11/1999
The State Children's Health Insurance Program (CHIP) provides states with an important source of funding to help low-income, uninsured children overcome financial barriers to medical care. This policy analysis brief assesses CHIP outreach, enrollment, and provider issues in Colorado, Kansas, Oklahoma, Pennsylvania, and West Virginia.
1998
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Anticipating the 1997 State Children's Health Insurance Program: What's Current in Five Rural States?
NORC Walsh Center for Rural Health Analysis
Date: 01/1998
This study examines aspects of existing children's health insurance or health services for low-income, uninsured children.
1997
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Access to Maternity Care in Rural Washington: Its Effect on Neonatal Outcomes and Resource Use
Journal Article
Upper Midwest Rural Health Research Center
Date: 01/1997
Compares birth outcomes for areas with poor healthcare access to those with adequate healthcare access in rural Washington state.