ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Financial and Health Barriers and Caregiving-Related Difficulties Among Rural and Urban Caregivers.
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 45 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographical inequalities in dementia diagnosis and care: A systematic review.International psychogeriatrics · 2025Pooled it
- Building on and tailoring to: Adapting a cancer caregiver psychoeducational intervention for rural settings.Cancer medicine · 2024Trial
- Healthcare use and out-of-pocket costs for rural family caregivers and care recipients in a randomized controlled trial.Journal of the American Geriatrics Society · 2024Trial
- Implementation Costs of Technology-Enhanced Transitional Palliative Care for Rural Caregivers.The American journal of hospice & palliative care · 2024Trial
- The national standards for cancer survivorship care in action: caregiver experiences across stage, phase, and geography.Journal of cancer survivorship : research and practice · 2026Article
- The national standards for cancer survivorship care in action: caregiver experiences across stage, phase, and geography.Journal of cancer survivorship : research and practice · 2026Article
- Advancing the measurement of caregiver impact: Data collection priorities aligned with caregiver, health technology assessment, and policy stakeholders.Journal of managed care & specialty pharmacy · 2026Review
- Urban Versus Rural Differences in Services Requested, Received, and Interest Expressed Among Informal Caregivers of Older U.S. Veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Climate change and mental health burden among caregivers in California.The Gerontologist · 2026Article
- Factors of caregiver support under integrated care for older adults in rural areas: a scoping review.Frontiers in public health · 2026Article
- A descriptive study of cancer care experiences and burden of rural South Dakotans.Palliative care and social practice · 2026Article
- Examining Gender Differences and Their Associations Among Psychosocial Distress, Social Support, and Financial Well-Being of Informal Caregivers of Older Adults in the Rural Northcentral United States.Healthcare (Basel, Switzerland) · 2025Article
- Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study.JMIR research protocols · 2025Article
- Morphemes of Dignity in Dementia Care: Quantitative Text Analysis of Family Perspectives Across Periods After Diagnosis.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- Financial health and well-being of rural female caregivers of older adults with chronic illnesses.BMC geriatrics · 2025Article
- Geographic disparities in unpaid caregiving.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Caregivers' Experience of Supporting Deaf Adults with Mental Health Disorders in Ghana.International journal of environmental research and public health · 2025Article
- Patient and Caregiver Perceptions of Caregiving Contributions During Cancer Clinical Trials: A Mixed-Methods Study.Cancer medicine · 2025Article
- "It's a slightly different vibe". New pathways in condition-specific rehabilitation for people with new or existing joint pain.PloS one · 2025Article
- Factors Associated with Caregiver Burden in Families of Patients with Palliative and Chronic Illness: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTo assess whether financial or health-related barriers were more common among rural caregivers and whether rural caregivers experienced more caregiving-related difficulties than their urban peers.
methodsWe used data from 7,436 respondents to the Caregiver Module in 10 states from the 2011-2013 Behavioral Risk Factor Surveillance System. Respondents were classified as caregivers if they reported providing care to a family member or friend because of a long-term illness or disability. We classified respondents as living in a rural area if they lived outside of a Metropolitan Statistical Area (MSA). We defined a financial barrier as having an annual household income <$25,000 or not being able see a doctor when needed in the past year because of cost. We defined a health barrier as having multiple chronic health conditions, a disability, or fair or poor self-rated health.
findingsRural caregivers more frequently had financial barriers than urban caregivers (38.1% vs 31.0%, P = .0001), but the prevalence of health barriers was similar (43.3% vs 40.6%, P = .18). After adjusting for demographic differences, financial barriers remained more common among rural caregivers. Rural caregivers were less likely than their urban peers to report that caregiving created any difficulty in both unadjusted and adjusted models (adjusted prevalence ratio = 0.90; P < .001).
conclusionsInformal caregivers, particularly in rural areas, face financial barriers. Rural caregivers were less likely than urban caregivers to report caregiving-related difficulties. Rural caregivers' coping strategies or skills in identifying informal supports may explain this difference, but additional research is needed to explore this hypothesis.
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