ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022
Rural and urban differences in perceptions, behaviors, and health care disruptions during the COVID-19 pandemic.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Article
- Care delay during the COVID-19 pandemic in Germany - a cross-sectional online survey in the NAKO study.BMC public health · 2026Article
- Not all areas are alike: willingness to comply with pandemic containment measures across residential contexts in China.Frontiers in public health · 2026Article
- COVID-19 Pandemic Experiences and Hazardous Alcohol Use: Findings of Higher and Lower Risk in a Heavy-Drinking Midwestern State.International journal of environmental research and public health · 2025Article
- Impact of COVID Pandemic on Financial Burdens in Metro and Non-Metro Regions: Findings from a Cross-Sectional Survey.Research square · 2025Article
- Metropolitan/nonmetropolitan differences of the impact of COVID-19 on cancer survivors' care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Patient satisfaction with ambulatory care services delivery and respect for patient rights: findings from 2022 national survey in Rwanda.BMC health services research · 2025Article
- The impact of the COVID-19 pandemic on urban-rural outpatient primary care utilisation in Malaysia: a retrospective time series and spatiotemporal analysis.International journal for equity in health · 2025Article
- Article
- Unlocking the potential for the quality of life in older adults from Kazakhstan during the COVID-19 pandemic: modeling study on gender and place of residency and associated factors.Frontiers in medicine · 2025Article
- Pregnancy-Associated Mortality During the Pandemic: Disparities by Rurality.American journal of preventive medicine · 2025Article
- Article
- The impact of public health shocks on fertility intentions: evidence from the COVID-19 pandemic in China.Frontiers in public health · 2025Article
- Rural-urban differences in the perceived impact of COVID-19 on mental health by European women.Archives of women's mental health · 2024Article
- Perceptions of the determinants of health across income and urbanicity levels in eight countries.Communications medicine · 2024Article
- Older women's well-being during the COVID-19 pandemic: individual, community, and contextual factors.Frontiers in global women's health · 2024Article
- Well-being and stress vulnerability in ovarian cancer survivors during the COVID-19 pandemic.Journal of psychosocial oncology · 2024Article
- A Survey of Cancer Risk Behaviors, Beliefs, and Social Drivers of Health in New Hampshire and Vermont.Cancer research communications · 2023Article
- Changes in the Prevalences of Obesity, Abdominal Obesity, and Non-Alcoholic Fatty Liver Disease among Korean Children during the COVID-19 Outbreak.Yonsei medical journal · 2023Article
- Geoepidemiological perspective on COVID-19 pandemic review, an insight into the global impact.Frontiers in public health · 2023Review
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Authors and funding
7 authors.
Funding
Abstract
purposeThe objective of this study was to assess perceptions, health behaviors, and disruptions related to the COVID-19 pandemic in a largely rural, Midwestern state, and to examine differences between rural and urban respondents.
methodsA questionnaire was mailed August 2020 to a sample of 10,009 registered voters in Iowa ages 18-100 years, with oversampling from 6 select rural counties. Previously validated and tested items assessed COVID-19 precautions, health care disruptions, emotional reactions, health behavior changes, telehealth and experiences with the internet, and demographic characteristics.
findingsThere were 4,048 respondents (40% response rate); 65% were rural and 35% were urban residents. The average age of respondents was 58.3 years and 45% of respondents identified as female. Rural respondents reported less concern about COVID-19 in their community (29% vs 40%, P<.001) and lower perceived importance of social distancing (51% vs 64%, P<.001). Urban respondents more often reported experiencing disruption to daily living, stronger negative emotional reactions, and displayed more pronounced behavior change compared to their rural counterparts. For example, urban respondents reported more pandemic-related job losses (6% vs 4%, P = .05), disruptions to daily activities (48% vs 35%, P<.001), and use of telehealth services during the pandemic (24% vs 16%, P<.001).
conclusionsThe majority of respondents reported disruptions to normal activities, medical appointment cancellations, and emotional distress during the first 6 months of the pandemic. The impact of the pandemic on urban residents appeared to be greater than for rural respondents. Timing of pandemic spread and varying beliefs are potential explanations.
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