ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2016
Rural-Urban Differences in Chronic Disease and Drug Utilization in Older Oregonians.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Comparative analysis of Pharmaceutical Care practice in rural and urban community pharmacies in Valencia, Spain: a quasi-experimental study.BMC health services research · 2026Article
- Development of chronic pain and high-impact chronic pain across the US rural-urban continuum, 2019-2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Magnitude of health expenditure induced removable poverty in India: Some reflections of Ayushman Bharat.Heliyon · 2024Article
- Sexual minorities are not a homogeneous population: health disparity differences based on residence in rural versus urban settings.Rural and remote health · 2023Article
- Rural-urban difference in meeting the need for healthcare and food among older adults: evidence from India.BMC public health · 2023Article
- Insulin resistance by the triglyceride-glucose index in a rural Brazilian population.Archives of endocrinology and metabolism · 2022Article
- A combination of moderate and vigorous physical activities reduces the burden of multimorbidity: findings from Longitudinal Ageing Study in India.Journal of health, population, and nutrition · 2022Article
- eHealth Interventions Targeting Poor Diet, Alcohol Use, Tobacco Smoking, and Vaping Among Disadvantaged Youth: Protocol for a Systematic Review.JMIR research protocols · 2022Article
- The Evolutionary Stage of Cognitive Frailty and Its Changing Characteristics in Old Adults.The journal of nutrition, health & aging · 2021Article
- All-cause mortality rate in China: do residents in economically developed regions have better health?International journal for equity in health · 2020Article
- Sex and genetic differences in postoperative cognitive dysfunction: a longitudinal cohort analysis.Biology of sex differences · 2019Article
- Article
- Rural Residence and Chronic Obstructive Pulmonary Disease Exacerbations. Analysis of the SPIROMICS Cohort.Annals of the American Thoracic Society · 2018Article
- Article
- Estimating Long-Term Care Costs among Thai Elderly: A Phichit Province Case Study.Journal of aging research · 2018Article
- Rural older people had lower mortality after accidental falls than non-rural older people.Clinical interventions in aging · 2017Article
- Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs.Journal of health care for the poor and underserved · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeTo characterize disease burden and medication usage in rural and urban adults aged ≥85 years.
methodsThis is a secondary analysis of 5 years of longitudinal data starting in the year 2000 from 3 brain-aging studies. Cohorts consisted of community-dwelling adults: 1 rural cohort, the Klamath Exceptional Aging Project (KEAP), was compared to 2 urban cohorts, the Oregon Brain Aging Study (OBAS) and the Dementia Prevention study (DPS). In this analysis, 121 participants were included from OBAS/DPS and 175 participants were included from KEAP. Eligibility was determined based on age ≥85 years and having at least 2 follow-up visits after the year 2000. Disease burden was measured by the Modified Cumulative Illness Rating Scale (MCIRS), with higher values representing more disease. Medication usage was measured by the estimated mean number of medications used by each cohort.
findingsRural participants had significantly higher disease burden as measured by MCIRS, 23.0 (95% CI: 22.3-23.6), than urban participants, 21.0 (95% CI: 20.2-21.7), at baseline. The rate of disease accumulation was a 0.2 increase in MCIRS per year (95% CI: 0.05-0.34) in the rural population. Rural participants used a higher mean number of medications, 5.5 (95% CI: 4.8-6.1), than urban participants, 3.7 (95% CI: 3.1-4.2), at baseline (P < .0001).
conclusionsThese data suggest that rural and urban Oregonians aged ≥85 years may differ by disease burden and medication usage. Future research should identify opportunities to improve health care for older adults.
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