Abstract:
:We compared demographic profiles across two rural-urban classification schemes to determine whether rural-urban disparities in health status persisted among Veterans Administration (VA) users over time. Using demographic and SF-12 survey data collected from 2002 to 2006, we conducted serial cross-sectional analyses of demographic variables and health status for veterans residing in VA- and rural-urban commuting area (RUCA)-defined rural-urban groups. VA and RUCA definitions yielded similar results for the "urban" population; however, VA- and RUCA-defined "rural" categories represent dissimilar populations. Compared to earlier years, the VA user population in 2006 was younger, more educated, wealthier, and more likely to be employed and privately insured. For all years and using both VA and RUCA rural-urban definitions, physical component summary (PCS) scores were lower but mental component summary (MCS) scores were slightly higher for more rural compared to urban veterans. Anticipating and meeting the needs of rural VA users will require accurate identification of those who lack access to services and therefore defining "rural" appropriately.
journal_name
Mil Medjournal_title
Military medicineauthors
Wallace AE,MacKenzie TA,Wright SM,Weeks WBdoi
10.7205/milmed-d-09-00048subject
Has Abstractpub_date
2010-04-01 00:00:00pages
252-8issue
4eissn
0026-4075issn
1930-613Xjournal_volume
175pub_type
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