Evidence map›Paper›PMID 27677973›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018

Current State of Child Health in Rural America: How Context Shapes Children's Health.

Janice C Probst, Judith C Barker, Alexandra Enders, Paula Gardiner

Abstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed.

  1. Trial
  2. Article
  3. Addressing Access Barriers in Rural America: A Mixed-Methods Study of Wisconsin's Family Resource Centers.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  4. Impact of School Rurality on Fruit and Vegetable Selection Differs by Sex and Eating Duration for Arizona Schools.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  5. Article
  6. Observational
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  8. Adverse childhood experiences and preventive health care among rural US children: A cross-sectional examination of 2022 National Health Interview Survey data.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  9. "Sacred ground for kids": Institutional perspectives on rural school-based health centers as patient-centered medical homes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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  16. Barriers to seeing a health care provider among rural adolescents with poorly controlled asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Article
  17. Article
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  19. A descriptive examination of rurality in the Environmental influences on Child Health Outcomes Cohort: Implications, illustrations, and future directions.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Janice C ProbstSouth Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Judith C BarkerDepartment of Anthropology, History & Social Medicine, University of California, San Francisco, California.
Alexandra EndersRural Institute on Disabilities, University of Montana, Missoula, Montana.
Paula GardinerProgram for Integrative Medicine & Health Care Disparities, Department of Family Medicine, Boston, Massachusetts.

Funding

Statistics and Data Coordinating CenterU54DE019285 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GANSKY, STUART A · 2008 to 2014
$24.9M
NIDCR NIH HHS U54 DE019285
6 · The paper itself

Abstract

purposeChildren's health is influenced by the context in which they live. We provide a descriptive essay on the status of children in rural America to highlight features of the rural environment that may affect health. DESCRIPTION: We compiled information concerning components of the rural environment that may contribute to health outcomes. Areas addressed include the economic characteristics, provider availability, uniquely rural health risks, health services use, and health outcomes among rural children. ASSESSMENT: Nearly 12 million children live in the rural United States. Rural counties are economically disadvantaged, leading to higher rates of poverty among rural versus urban children. Rural and urban children are approximately equally likely to be insured, but Medicaid insures a higher proportion of children in rural areas. While generally similar in health, rural children are more likely to be overweight or obese than urban children. Rural parents are less likely to report that their children received preventive medical or oral health visits than urban parents. Rural children are more likely to die than their urban peers, largely due to unintentional injury.

conclusionImproving rural children's health will require both increased public health surveillance and research that creates solutions appropriate for rural environments, where health care professionals may be in short supply. Most importantly, solutions must be multisectoral, engaging education, economic development, and other community perspectives as well as health care.

Indexed as

ChildChild Health ServicesChild, PreschoolFemaleHumansInfantMaleQuality of Health CareRural PopulationSocial Determinants of HealthSocioeconomic FactorsUnited Stateschildren's healthepidemiologyhealth disparitiesruralsocial determinants of health

Identifiers

PMID27677973
PMCPMC5373918

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.