Trial reportInternational journal of environmental research and public health2022
Urban-Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial.
Trial report in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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
11 citing papers in PubMed.
- Associations of racialized economic segregation with the prevalence of unhealthy behaviors and poor mental health in the United States.Preventive medicine reports · 2026Article
- Prevalence and regional disparities in probable mental health conditions among persons aged 10 years and older in Uganda: Evidence from the 2024 National Population and Housing Census.Global mental health (Cambridge, England) · 2026Article
- Article
- Role of gender, age and rurality in benzodiazepine consumption in Catalonia, 2018-2022: a retrospective longitudinal drug utilisation study.BMJ public health · 2026Article
- Associated factors of depression, anxiety, and suicide behavior among men in Switzerland: findings from the Swiss health survey 2022.Frontiers in psychology · 2026Article
- Effect of noise and green space exposure on depression, anxiety and stress among the Lebanese population.PloS one · 2026Article
- The prevalence and associated factors of perceived physical and mental fatigability among older adults in regional China.BMC geriatrics · 2025Article
- Exploring Risk Factors Related to Low Calf Circumference in Older Adults With Multimorbidity: Cross-Sectional Latent Class Analysis.JMIR aging · 2025Article
- Chronic diseases and self-rated health disparity between urban and rural residents in China.PloS one · 2025Article
- Decomposing the rural-urban differences in depression among multimorbid older patients in India: evidence from a cross-sectional study.BMC psychiatry · 2024Article
- The association between living alone and depressive symptoms in older adults population: evidence from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRural health disparities are largely attributable to access to healthcare, socioeconomic status, and health behaviors. Little is known about the persistence of these disparities when differences in access to care are eliminated. We sought to investigate urban-rural differences in physical and mental health in primary care patients with demonstrated access to primary care.
methodsWe obtained cross-sectional survey responses from a multicenter randomized controlled trial on 2726 adult primary care patients with multiple chronic medical or behavioral conditions from 42 primary care practices in 13 states. Study outcomes include measures of mental health including: The Patient-Reported Outcomes Measurement Information System (PROMIS-29
resultsAfter adjustment for demographic and neighborhood characteristics, urban residents had significantly worse generalized anxiety disorder (GAD-7) (ß = 0.7; 95% CI = 0.1, 1.3;
conclusionsAmong adults with demonstrated access to care and multiple diagnosed chronic conditions, rural residents had better mental health and functional capacity than their urban counterparts. This finding is not consistent with prior research documenting rural health disparities and should be confirmed.
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