ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025
Rural-urban differences in health care access for postpartum parent and infant dyads.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
2 citing papers in PubMed.
- Rural-urban differences in health care access for postpartum parent and infant dyads.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Assessing Crisis Pregnancy Centers' Capacity for Supporting Perinatal Clients with Social Complexity in Rural Maternal Health Care Shortage Areas.Women's health reports (New Rochelle, N.Y.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeTo examine differences in perinatal health between rural and urban postpartum parents and infants and within postpartum parent-infant dyads.
methodsCross-sectional analysis of the National Health Interview Survey (NHIS) data. Accounting for the complex survey design, we calculated weighted proportions of measures of self-rated health, health care utilization, and barriers to care and used chi-squared tests to assess rural-urban differences between postpartum parents and between infants, and repeated measures to test postpartum parent-infant differences within households in rural and urban counties.
findingsThe study included 2019 rural postpartum parents, 2191 rural infants, 12,112 urban postpartum parents and 13,088 urban infants. Compared to urban postpartum parents, those living in rural areas were less likely to see an obstetrician-gynecologist (p = 0.002) had more emergency department (ED) visits (p = 0.030), reported more hospitalizations (p = 0.041), more frequently experienced uninsurance (p = 0.006), and lost Medicaid coverage after pregnancy (p = 0.006). While a higher proportion of urban infants were hospitalized than their rural counterparts (p = 0.019), other measures were similar. Accounting for dyad correlations, compared to infants, postpartum parents generally reported worse health (fair or poor self-rated health), and were more likely to experience ED visits, hospitalizations, loss of health care coverage, and barriers to care.
conclusionsRural postpartum parents experience worse health than their urban counterparts and compared to their infants. Rural-urban differences in access were less common among infants, thus leveraging infant care systems for services to both the infant and postpartum parent may improve household health in all communities.
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