Rurality and nursing home quality: results from a national sample of nursing home admissions.


OBJECTIVES:We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. METHODS:We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n=198613) to estimate survival models for 9 quality indicators. RESULTS:For postacute admissions, we observed significant differences in rates of decline for residents in facilities in large towns compared with urban areas, but differences in quality were both negative and positive. Among admissions for long-term or chronic care, rates of decline in 2 of 9 quality areas were lower for residents in isolated areas. CONCLUSIONS:We observed significant differences in a number of quality indicators among different classes of nursing home locations, but differences varied dramatically according to type of admission. These differences did not exhibit the monotonicity that we would have expected had they derived solely from rurality. Also, quality indicators exhibited more similarities than differences across the 4 classes of locales. The results underscore the importance, in some instances, of emphasizing the effects of specific settings rather than some continuum of rurality and of moving beyond the assumption that nursing home residents constitute a homogeneous population.


Am J Public Health


Phillips CD,Holan S,Sherman M,Williams ML,Hawes C




Has Abstract


2004-10-01 00:00:00














  • The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems.

    abstract:OBJECTIVES:The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS:The 1996 General Social Survey provided interview data with a nationally representative sample...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Pescosolido BA,Monahan J,Link BG,Stueve A,Kikuzawa S

    更新日期:1999-09-01 00:00:00

  • Variations in Asian Americans: How Neighborhood Concordance Is Associated With Health Care Access and Utilization.

    abstract::We examined associations of different levels of same-ethnicity neighborhood concordance with health care access and utilization among all Asian American, Chinese, Filipino, and Vietnamese adults (aged 18-64 years) using the 2005, 2007, and 2009 California Health Interview Survey and the 2010 US Census. Although associ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Chang E,Chan KS

    更新日期:2015-01-01 00:00:00

  • Impact and costs of varicella prevention in a university hospital.

    abstract::Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial expo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Weber DJ,Rutala WA,Parham C

    更新日期:1988-01-01 00:00:00

  • International Health Regulations, Ebola, and Emerging Infectious Diseases in Latin America and the Caribbean.

    abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Espinal M,Aldighieri S,St John R,Becerra-Posada F,Etienne C

    更新日期:2016-02-01 00:00:00

  • Community Trace: Rapid Establishment of a Volunteer Contact Tracing Program for COVID-19.

    abstract::Contact tracing was one of the core public health strategies implemented during the first months of the COVID-19 pandemic. In this essay, we describe the rapid establishment of a volunteer contact tracing program in New Haven, Connecticut. We describe successes of the program and challenges that were faced. Going forw...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Niccolai L,Shelby T,Weeks B,Schenck C,Goodwin J,Hennein R,Rossini M,Vazquez J,van Rhijn D,Meek J,Bond M

    更新日期:2021-01-01 00:00:00

  • Links of the Supplemental Nutrition Assistance Program With Food Insecurity, Poverty, and Health: Evidence and Potential.

    abstract::The Supplemental Nutrition Assistance Program (SNAP) is a highly effective program, vital to our nation's health and well-being. SNAP's entitlement funding structure allows it to provide benefits to anyone who meets the program's eligibility requirements, and this structure also enables SNAP to respond quickly when ne...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Keith-Jennings B,Llobrera J,Dean S

    更新日期:2019-12-01 00:00:00

  • Sharing a Playbook: Integrated Care in Community Health Centers in the United States.

    abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Jones EB,Ku L

    更新日期:2015-10-01 00:00:00

  • Conditions for the chemical and physical inactivation of the K. Fu. strain of the agent of Creutzfeldt-Jakob disease.

    abstract::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Walker AS,Inderlied CB,Kingsbury DT

    更新日期:1983-06-01 00:00:00

  • Visits to physicians before and after exposure to urea formaldehyde foam insulation.

    abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: L'Abbé KA,Hoey JR,Hanley J,Wacholder S,Nantel A

    更新日期:1988-11-01 00:00:00

  • Polychlorinated biphenyls (PCBs) and dichlorodiphenyl dichloroethene (DDE) in human milk: effects of maternal factors and previous lactation.

    abstract::The authors measured polychlorinated biphenyls (PCBs) and dichlorodiphenyl dichloroethene (DDE) in maternal serum, cord blood, placenta, and serial samples of breast milk from 868 women. Almost all samples of breast milk showed detectable levels of both chemicals. Overall, values for DDE in this study are within the r...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Rogan WJ,Gladen BC,McKinney JD,Carreras N,Hardy P,Thullen J,Tingelstad J,Tully M

    更新日期:1986-02-01 00:00:00

  • Getting beyond "Don't ask; don't tell": an evaluation of US Veterans Administration postdeployment mental health screening of veterans returning from Iraq and Afghanistan.

    abstract:OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Seal KH,Bertenthal D,Maguen S,Gima K,Chu A,Marmar CR

    更新日期:2008-04-01 00:00:00

  • Project D.A.R.E. outcome effectiveness revisited.

    abstract:OBJECTIVES:We provide an updated meta-analysis on the effectiveness of Project D.A.R.E. in preventing alcohol, tobacco, and illicit drug use among school-aged youths. METHODS:We used meta-analytic techniques to create an overall effect size for D.A.R.E. outcome evaluations reported in scientific journals. RESULTS:The...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: West SL,O'Neal KK

    更新日期:2004-06-01 00:00:00

  • Is it time to reassess the categorization of disease burdens in low-income countries?

    abstract::The classification of disease burdens is an important topic that receives little attention or debate. One common classification scheme, the broad cause grouping, is based on etiology and health transition theory and is mainly concerned with distinguishing communicable from noncommunicable diseases. This may be of limi...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Setel PW,Saker L,Unwin NC,Hemed Y,Whiting DR,Kitange H

    更新日期:2004-03-01 00:00:00

  • Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: 1997 2002.

    abstract:OBJECTIVES:We assessed differences in HIV prevalence and sexual risk behavior among men who have sex with men (MSM) between 1997 and 2002 in San Francisco. METHODS:We used 2 population-based random-digit-dial telephone surveys of MSM households in San Francisco in 1997 (n=915) and 2002 (n=879). RESULTS:Estimated HIV ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Osmond DH,Pollack LM,Paul JP,Catania JA

    更新日期:2007-09-01 00:00:00

  • Impact of Alabama's immigration law on access to health care among Latina immigrants and children: implications for national reform.

    abstract::We conducted in-depth interviews in May to July 2012 to evaluate the effect of Alabama's 2011 omnibus immigration law on Latina immigrants and their US- and foreign-born children's access to and use of health services. The predominant effect of the law on access was a reduction in service availability. Affordability a...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: White K,Yeager VA,Menachemi N,Scarinci IC

    更新日期:2014-03-01 00:00:00

  • Poison politics: a contentious history of consumer protection against dangerous household chemicals in the United States.

    abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章


    authors: Jones MM,Benrubi ID

    更新日期:2013-05-01 00:00:00

  • Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness.

    abstract:OBJECTIVES:This study assessed seroprevalence rates of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) among individuals with severe mental illness. METHODS:Participants (n = 931) were patients undergoing inpatient or outpatient treatment in Connecticut, Maryland, New Hampshire, or North Carolina. RESULTS:T...

    journal_title:American journal of public health

    pub_type: 杂志文章,多中心研究


    authors: Rosenberg SD,Goodman LA,Osher FC,Swartz MS,Essock SM,Butterfield MI,Constantine NT,Wolford GL,Salyers MP

    更新日期:2001-01-01 00:00:00

  • Cryptosporidiosis and surface water.

    abstract::In the period July through October, 1986, 78 laboratory-confirmed cases of cryptosporidiosis were identified in New Mexico. To determine possible risk factors for development of this disease, we conducted a case-control study; 24 case-patients and 46 neighborhood controls were interviewed. Seventeen (71 per cent) of t...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Gallaher MM,Herndon JL,Nims LJ,Sterling CR,Grabowski DJ,Hull HF

    更新日期:1989-01-01 00:00:00

  • The Circuit Party Men's Health Survey: findings and implications for gay and bisexual men.

    abstract:OBJECTIVES:This study examined characteristics of gay and bisexual men who attend circuit parties, frequency of and motivations for attending parties, drug use and sexual behavior during circuit party weekends, and use of risk reduction materials available at parties. METHODS:A cross-sectional survey was conducted amo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Mansergh G,Colfax GN,Marks G,Rader M,Guzman R,Buchbinder S

    更新日期:2001-06-01 00:00:00

  • The nitrate contamination of private well water in Iowa.

    abstract::The State-Wide Rural Well-Water Survey was conducted between April 1988 and June 1989. About 18% of Iowa's private, rural drinking-water wells contain nitrate above the recommended health advisory level (levels of NO3-N greater than 10 mg/L); 37% of the wells have levels greater than 3 mg/L, typically considered indic...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Kross BC,Hallberg GR,Bruner DR,Cherryholmes K,Johnson JK

    更新日期:1993-02-01 00:00:00

  • Effects of Racial Prejudice on the Health of Communities: A Multilevel Survival Analysis.

    abstract:OBJECTIVES:We examined whether and how racial prejudice at both the individual and community levels contributes to mortality risk among majority as well as minority group members. METHODS:We used data on racial attitudes from the General Social Survey (1993-2002) prospectively linked to mortality data from the Nationa...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Lee Y,Muennig P,Kawachi I,Hatzenbuehler ML

    更新日期:2015-11-01 00:00:00

  • Pediatric counseling and subsequent use of smoke detectors.

    abstract::Effects of a brief educational and purchase program concerning home fires and smoke detectors by two pediatricians were compared to "routine" counseling without such a program using two groups each of 120 patients of well children. Inspection performed four to six weeks after the office visits showed that of 55 experi...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Miller RE,Reisinger KS,Blatter MM,Wucher F

    更新日期:1982-04-01 00:00:00

  • Better Prepare Than React: Reordering Public Health Priorities 100 Years After the Spanish Flu Epidemic.

    abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章


    authors: Greenberger M

    更新日期:2018-11-01 00:00:00

  • A dosage response curve for the one rad range: adult risks from diagnostic radiation.

    abstract::Most exposure to low-level ionizing radiation, both diagnostic x-rays and nuclear radiation, occur in the range between 100 milirads and 10 rads--the "one rad range". In the past, the estimates of hazards in this range have been obtained by linear extrapolation from data on persons who were exposed to much higher dosa...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Bross ID,Ball M,Falen S

    更新日期:1979-02-01 00:00:00

  • Past pregnancy outcomes among women living in the vicinity of a lead smelter in Kosovo, Yugoslavia.

    abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Murphy MJ,Graziano JH,Popovac D,Kline JK,Mehmeti A,Factor-Litvak P,Ahmedi G,Shrout P,Rajovic B,Nenezic DU

    更新日期:1990-01-01 00:00:00

  • Chronic neurological sequelae to organophosphate pesticide poisoning.

    abstract:OBJECTIVES:This work was undertaken to determine whether there are any chronic neurological sequelae to acute organophosphate pesticide poisoning. METHODS:California surveillance data were used in a study of neurological function among 128 men poisoned by organophosphate pesticides in California from 1982 to 1990 and ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Steenland K,Jenkins B,Ames RG,O'Malley M,Chrislip D,Russo J

    更新日期:1994-05-01 00:00:00

  • The role of the built environment in the disablement process.

    abstract::The Disablement Process model explicates the transition from health conditions to disability and specifically emphasizes the role of intervening factors that speed up or slow down the pathway between pathology and disability. We used hierarchical Poisson regression analyses with data on older adults from central North...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Clarke P,George LK

    更新日期:2005-11-01 00:00:00

  • Health care for the homeless in a national health program.

    abstract::To assess the impact of adoption of a national health program on homeless care in the United States, care for this group in Britain's National Health Service (NHS) was evaluated. Although hospital and medication charges are eliminated, primary care for the homeless lacks central government directive, suffers from over...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Reuler JB

    更新日期:1989-08-01 00:00:00

  • Excess Medical Care Spending: The Categories, Magnitude, and Opportunity Costs of Wasteful Spending in the United States.

    abstract::Landmark reports from reputable sources have concluded that the United States wastes hundreds of billions of dollars every year on medical care that does not improve health outcomes. While there is widespread agreement over how wasteful medical care spending is defined, there is no consensus on its magnitude or catego...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Speer M,McCullough JM,Fielding JE,Faustino E,Teutsch SM

    更新日期:2020-12-01 00:00:00

  • The onset of depression during the great recession: foreclosure and older adult mental health.

    abstract:OBJECTIVES:We examined neighborhood-level foreclosure rates and their association with onset of depressive symptoms in older adults. METHODS:We linked data from the National Social Life, Health, and Aging Project (2005-2006 and 2010-2011 waves), a longitudinal, nationally representative survey, to data on zip code-lev...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Cagney KA,Browning CR,Iveniuk J,English N

    更新日期:2014-03-01 00:00:00