West Virginia Rural Health Research Center

Products

Listed by publication date. You can also view these publications alphabetically.

For a complete list of publications from the Center, which may include older publications and publications funded by other sources, please see the Center's website.

2013

2012

  • Childhood Asthma in Rural-Urban Areas
    Policy Brief
    West Virginia Rural Health Research Center
    Date: 06/2012
    This policy brief examines how asthma may be related to rural areas adjacent or non-adjacent to larger population centers, to variation in measures of air quality, to varying levels of agricultural and animal production, and to other characteristics such as obesity, race/ethnicity, or health insurance.
  • Childhood Asthma in Rural-Urban Areas (Final Report)
    West Virginia Rural Health Research Center
    Date: 05/2012
    This report examines how asthma may be related to rural areas adjacent or non-adjacent to larger population centers, to variation in measures of air quality, to varying levels of agricultural and animal production, and to other characteristics such as obesity, race/ethnicity, or health insurance.
  • Water Fluoridation and Dental Health Indicators in Rural and Urban Areas of the United States
    Policy Brief
    West Virginia Rural Health Research Center
    Date: 01/2012
    This policy brief investigates the availability of fluoridated water across urban and rural settings.

2011

2010

  • Key Environmental Health Competencies for Rural Primary Care Providers
    Policy Brief
    West Virginia Rural Health Research Center
    Date: 05/2010

    Providing health care that considers environmental determinants of health, environmental impact on health, and outcomes attributed to environmental issues is complex due to the need for providers to be competent not only in social and health sciences, but also in environmental health concepts.

  • Key Environmental Health Competencies for Rural Primary Care Providers (Final Report)
    West Virginia Rural Health Research Center
    Date: 03/2010
    The purpose of this study was to develop a set of basic environmental health competencies that are needed by all rural primary care providers to direct health care and education policy.
  • Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States
    Policy Brief
    West Virginia Rural Health Research Center
    Date: 02/2010

    Rural counties contain more than 65,000 EPA-recognized point pollution sources. A greater density of water and air pollution sources in rural counties is associated with higher cancer mortality rates adjusting for other risks. Rural areas also experience mortality risks in association with coal mining activity.

  • Pollution Sources and Mortality Rates across Rural-Urban Areas in the United States (Final Report)
    West Virginia Rural Health Research Center
    Date: 02/2010
    Rural counties contain more than 65,000 EPA-recognized point pollution sources. A greater density of water and air pollution sources in rural counties is associated with higher cancer mortality rates adjusting for other risks. Rural areas also experience mortality risks in association with coal mining activity.

  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States
    Policy Brief
    West Virginia Rural Health Research Center

    Examined whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates for both rural and urban populations.

  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States (Final Report)
    West Virginia Rural Health Research Center
    The current study examines whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates and birth outcomes for both rural and urban populations. We also examined whether rural and urban areas characterized by poor socioeconomic status or higher percentages of racial minorities had greater TRI releases. Health outcomes included age-adjusted CDC mortality rates for cancer, respiratory, cardiovascular, and total causes, and NCHS birth outcomes including low birth weight, preterm births and birth defects. Rural counties are defined as non-metropolitan based on rural-urban continuum codes. The results show significantly higher adjusted total mortality rates associated with greater air and water releases in both rural and urban counties, after controlling for the effects of other risk variables. Effects were found in rural areas for total, cardiovascular, and (marginally) cancer mortality outcomes. We found that counties with higher percentages of African American populations had more non-zero releases, but did not find this for populations characterized by greater Native American populations, lower income levels or higher poverty. We did not find consistent evidence for higher TRI releases being related to poorer birth outcomes. Suggestions for reducing emissions, further research to understand human health impacts, and improving rural health care are presented.