ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021
COVID-19 risk mitigation behaviors among rural and urban community-dwelling older adults in summer, 2020.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- When Usability Isn't Enough: Understanding Rural Challenges in Respiratory Virus Test Interpretation.Diagnostics (Basel, Switzerland) · 2026Article
- Heterogeneous estimations of non-pharmaceutical mitigation behavior during the COVID-19 pandemic.Scientific data · 2026Article
- Impact of COVID Pandemic on Financial Burdens in Metro and Non-Metro Regions: Findings from a Cross-Sectional Survey.Research square · 2025Article
- Assessing the impact of COVID-19 on middle-aged and older females in China: a comparative study of urban-rural disparities.BMC public health · 2025Article
- Spatiotemporal Ecologic Analysis of COVID-19 Vaccination Coverage and Outcomes, Oklahoma, USA, February 2020-December 2021.Emerging infectious diseases · 2024Article
- Understanding COVID: Collaborative Government Campaign for Citizen Digital Health Literacy in the COVID-19 Pandemic.Life (Basel, Switzerland) · 2023Article
- Article
- The implications of long COVID for rural communities.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Rural-urban and within-rural differences in COVID-19 vaccination rates.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Rural and urban differences in perceptions, behaviors, and health care disruptions during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Perceptions of COVID-19 Mitigation Strategies between Rural and Non-Rural Adults in the US: How Public Health Nurses Can Fill the Gap.Nursing reports (Pavia, Italy) · 2022Article
- COVID-19 pandemic experiences of older adults with dementia in community and residential care settings: Results from a US national survey.Alzheimer's & dementia (Amsterdam, Netherlands) · 2022Article
- Assessing the Intention, Attitudes, and Social Influences on COVID-19 Preventive Behaviors Among Non-rural Black and Rural Appalachian White Populations: A Faith-Based Community Study.Journal of Appalachian health · 2022Article
- Implementation of a Rural Community Diagnostic Testing Strategy for SARS-CoV-2 in Upstate South Carolina.Frontiers in public health · 2022Article
- COVID-19 risk mitigation behaviors among rural and urban community-dwelling older adults in summer, 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Mining the Data: Exploring Rural Patients' Attitudes about the Use of Their Personal Information in Research.AJOB empirical bioethicsArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRisk mitigation behaviors are important for older adults, who experience increased mortality risk from COVID-19. We examined these reported behaviors among rural and urban community-dwelling adults aged 65 and older.
methodsWe analyzed public use files from the National Health and Aging Trends Study, which fielded a COVID survey from June to October, 2020, restricted to community-dwelling adults (n = 2,982). Eight behaviors were studied: handwashing, avoid touching face, mask wearing, limiting shopping, avoiding restaurants or bars, limiting gatherings, avoiding contact with those outside the household, and distancing. Residence was defined as urban (metropolitan county) or rural (nonmetropolitan county). Difference testing used Chi Square tests, with an alpha level of P = .05. Multivariable logistic regression was used to calculate adjusted odds ratios.
resultsRural residents constituted 18.8% (± Standard Error 3.6%) of the study population. In bivariate comparisons, rural older adults were less likely to report 5 of 8 studied behaviors: keep 6-foot distance (rural: 88.3% ±1.0%, urban 93.2% ±.08%), limit gatherings (rural 87.5% ±1.8%; urban 91.6% ±0.8%), avoid restaurants/bars (rural 85.3% ±1.9%, urban 89.6% ±0.8%), avoid touching face (rural 83.1% ±2.3%, urban 88.6%, 0.8%), and avoid contact with those outside the household (rural 80.4% ±2.4%, urban 86.2% ±1.0%). After adjusting for demographic characteristics, only maintaining a 6-foot distance remained lower among rural older adults (AOR 0.58, 95% CI: 0.42-0.81).
conclusionsWithin older adults, reported compliance with recommended behaviors to limit the spread of COVID-19 was high. Nonetheless, consistent rural shortfalls were noted. Findings highlight the need for rural-specific messaging strategies for future public health emergencies.
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