ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2023
Examining the association between rurality and positive childhood experiences among a national sample.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- The Impact of Positive Childhood Experiences: A Systematic Review Focused on Children and Adolescents.Trauma, violence & abuse · 2026Pooled it
- The Utility of Psychological Capital Theory in Rural Adolescent Mental Health Research.Clinical child psychology and psychiatry · 2026Article
- The forgotten voice of fathers in supporting children with avoidant restrictive food intake disorder: a scoping review.BMC public health · 2026Article
- Socio-cultural context as a protective factor: regional disparities in adolescent mental health in Mexico during the COVID-19 pandemic.Frontiers in child and adolescent psychiatry · 2026Article
- Childhood predictors of health limitations in life across 22 countries: a cross-national and cross-sectional analysis.BMC global and public health · 2025Article
- Regional Differences in Dementia Incidence Among US Veterans.JAMA neurology · 2025Article
- Prevalence of Positive Childhood Experiences and Associations with Current Anxiety, Depression, and Behavioral or Conduct Problems among U.S. Children Aged 6-17 Years.Adversity and resilience science · 2024Article
- Examining the association between rurality and positive childhood experiences among a national sample.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe present study examines the association between rurality and positive childhood experiences (PCEs) among children and adolescents across all 50 states and the District of Columbia. Recent work has quantified the prevalence of PCEs at the national level, but these studies have been based on public use data files, which lack rurality information for 19 states.
methodsData for this cross-sectional analysis were drawn from 2016 to 2018 National Survey of Children's Health (NSCH), using the full data set with restricted geographic data (n = 63,000). Descriptive statistics and bivariate analyses were used to calculate proportions and unadjusted associations. Multivariable regression models were used to examine the association between residence and the PCEs that were significant in the bivariate analyses.
findingsRural children were more likely than urban children to be reported as having PCEs: volunteering in their community (aOR 1.29; 95% CI 1.18-1.42), having a guiding mentor (aOR 1.75; 95% CI 1.45-2.10), residing in a safe neighborhood (aOR 1.97; 95% CI 1.54-2.53), and residing in a supportive neighborhood (aOR 1.10; 95% CI 1.01-1.20) than urban children.
conclusionsThe assessment of rural-urban differences in PCEs using the full NSCH is a unique opportunity to quantify exposure to PCEs. Given the higher baseline rate of PCEs in rural than urban children, programs to increase opportunities for PCEs in urban communities are warranted. Future research should delve further into whether these PCEs translate to better mental health outcomes in rural children.
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