OBJECTIVE To study whether traditionally vulnerable populations have worse geographic access to trauma centers. DESIGN A cross-sectional analysis using data from the American Hospital Association Annual Survey from 2005 linked with zip code-level data from the US Census. We used a multinomial logit model to examine the odds of having difficult as opposed to easy access to trauma centers for a...

BACKGROUND Health care is generally considered to be more highly valued in urban areas than in rural areas. However, studies have reported that there is no difference in the health care values of urban and rural areas in the Kingdom of Thailand, with some studies even indicating that these values are stronger in rural areas. We, therefore, conducted interviews and implemented a qualitative inve...

We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal and child health services, but poorly in addressing non-communicable diseases. For example, coverage of ho...

background: this study aimed to assess the frequency of consuming different types of snacks among iranian students according to socio-economic status (ses) of their living region. methods: data were obtained from the fourth national school-based surveillance survey entitled caspian-iv study. overall, 14880 school students, aged 6-18 years, were selected through multistage, cluster sampling from...

BACKGROUND With the influx of rural migrants into urban areas, the spread of HIV has increased significantly in Shaanxi Province (China). Migrant workers are at high risk of HIV infection due to social conditions and hardships (isolation, separation, marginalization, barriers to services, etc.). OBJECTIVE We explored the efficacy of a HIV/AIDS prevention and control program for rural migrants...

OBJECTIVES This formative study is intended to generate questions and hypotheses regarding the relationship between health and outmigration from Alaska's rural communities. This study is the first to provide perspectives of rural Alaskans in the context of health concerns and health care delivery as determinants of outmigration. STUDY DESIGN The study collected secondary data through a compre...

PURPOSE African Americans are at increased risk for diabetes mellitus and hypertension, and rural residents have historically had decreased access to care. It is unclear whether living in a rural area and being African American confers added risks for diagnosis and control of diabetes and hypertension. The purpose of this study was to examine the prevalence of diagnosed diabetes and hypertensio...

BACKGROUND Diabetes is a major global public health problem driven by a high prevalence of metabolic risk factors. OBJECTIVE To describe the differences of metabolic risk factors of type 2 diabetes, as well as glycemic control and complicated diabetic complications between rural and urban Uygur residents in Xinjiang Uygur Autonomous Region of China. METHODS This comparative cross-sectional ...

SETTING The influence of undergraduate and postgraduate training on health professionals' career choices in favour of rural and underserved communities has not been clearly demonstrated in resource-constrained settings. OBJECTIVES This study aimed to evaluate the influence of educational factors on the choice of rural or urban sites of practice of health professionals in South Africa. METHO...

INTRODUCTION The purpose of this study was to describe rural and urban disparities in quality of life and health-related behaviors among chronically ill patients. Additionally, effects of health status and health-related behaviors on healthcare utilization were investigated. METHODS The study included 1239 chronically ill patients from primary care centers in rural areas (eligible patients; r...