MedWorm: Rural Health

May you live in interesting times!

Australian Journal of Rural Health — Thu, 08 May 2008 18:04:09 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 119, June 2008. (Source: Australian Journal of Rural Health)

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Partnerships to promote mental health of nsw farmers: the new south wales farmers blueprint for mental health

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:43 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 170-175, June 2008. Abstract Objective: To describe the process and outcome of development of a framework for planning and implementation of a range of interventions aimed at improving the mental health and wellbeing of farmers and farm families in New South Wales (NSW). ... (Source: Australian Journal of Rural Health)

Arnm: give us a voice and you will reap the rewards

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:42 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 185, June 2008. (Source: Australian Journal of Rural Health)

Reducing serious delays in diagnosis of younger onset dementia

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:42 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 183, June 2008. (Source: Australian Journal of Rural Health)

Phc ris: supporting those juggling the dual roles of practitioner and researcher

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:41 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 183-184, June 2008. (Source: Australian Journal of Rural Health)

Using overseas registered nurses to fill employment gaps in rural health services: quick fix or sustainable strategy?

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:41 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 164-169, June 2008. Abstract Objective: This study sought to identify and evaluate approaches used to attract internationally trained nurses from traditional and non-traditional countries and incentives employed to retain them in small rural hospitals in Gippsland, ... (Source: Australian Journal of Rural Health)

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Rural pharmacy in new zealand: effects of a compulsory externship on student perspectives and implications for workforce shortage

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:40 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 150-155, June 2008. Abstract Objective: To explore student perceptions of rural pharmacy practice, factors affecting interest in rural work and effects of an educational intervention designed to raise awareness of rural practice. Design: Qualitative and quantitative ... (Source: Australian Journal of Rural Health)

Extended scope practitioners and clinical specialists: a place in rural health?

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:39 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 120-123, June 2008. Abstract This review identifies two models of allied health advanced practitioner practice that are currently in place in the National Health Service in the United Kingdom (UK). A review of the background to advanced practitioner status is given for UK ... (Source: Australian Journal of Rural Health)

Aboriginal and torres strait islander women's experience when interacting with the edinburgh postnatal depression scale: a brief note

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:38 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 124-131, June 2008. Abstract Background: The Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used screening instruments for maternal perinatal anxiety and depression. It has maintained its robust performance when translated into multiple languages, ... (Source: Australian Journal of Rural Health)

Profile of the rural allied health workforce in northern new south wales and comparison with previous studies

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:36 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 156-163, June 2008. Abstract Objective: To survey allied health professionals in one region of New South Wales. Design: A questionnaire designed to give a profile of the allied health workforce was mailed to 451 practitioners from 12 health professions between July and ... (Source: Australian Journal of Rural Health)

Risk behaviours and blood borne virus exposure for transient workers in rural victoria

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:35 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 143-149, June 2008. Abstract Objective: To investigate risk behaviours associated with the transmission of blood borne viruses (BBVs) and sexually transmitted infections (STIs) among transient rural workers in Victoria. Design: Cross-sectional study using a convenience ... (Source: Australian Journal of Rural Health)

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Geographical location and sunburn in queensland adults

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:34 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 181-182, June 2008. (Source: Australian Journal of Rural Health)

Exploring the barriers and enablers to attendance at rural cardiac rehabilitation programs

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:34 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 137-142, June 2008. Abstract Objective: The objectives of this study were to: (i) identify local barriers and enablers to the uptake of hospital-based cardiac rehabilitation (CR) programs, and (ii) identify preferred alternatives for the delivery of CR. Design: A ... (Source: Australian Journal of Rural Health)

Community perception of childhood drowning and its prevention measures in rural bangladesh: a qualitative study

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:30 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 176-180, June 2008. Abstract Objectives: To gain an in-depth understanding of people's perception of causes and their concepts of prevention of childhood drowning in rural Bangladesh. Design: A qualitative study and focus group discussion (FGD) was adopted. Setting: A ... (Source: Australian Journal of Rural Health)

Effects of a 12-month exercise program on cardiorespiratory health indicators of vietnam war veterans resident in the tropics

Australian Journal of Rural Health — Thu, 08 May 2008 04:47:29 +0100

Australian Journal of Rural Health, Volume 16, Issue 3, Page 132-136, June 2008. Abstract Objective: To measure the effect of a combined aerobic and resistance exercise program on key cardiovascular disease risk factors (i.e. body composition or anthropometry and cardiorespiratory function) of Australian male, Vietnam War veterans ... (Source: Australian Journal of Rural Health)

Mental health issues for rural and remote australia

Australian Journal of Rural Health — Fri, 25 Apr 2008 18:06:07 +0100

Australian Journal of Rural Health, Volume 16, Issue v2, Page 254-258, April 2008. ABSTRACT: The burden of mental health problems and disorders is high and rising both in Australia and globally. In response, the Commonwealth Government has moved to implement a national mental health strategy as the basis for a coordinated national ... (Source: Australian Journal of Rural Health)

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Health care information technology in rural america: electronic medical record adoption status in meeting the national agenda

The Journal of Rural Health — Fri, 04 Apr 2008 18:34:02 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 101-105, Spring 2008. ABSTRACT: Continuing is a national political drive for investments in health care information technology (HIT) that will allow the transformation of health care for quality improvement and cost reduction. Despite several initiatives by the federal ... (Source: The Journal of Rural Health)

Understanding smoking cessation in rural communities

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:28 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 116-124, Spring 2008. ABSTRACT: Context: Rural communities are adversely impacted by increased rates of tobacco use. Rural residents may be exposed to unique communal norms and other factors that influence smoking cessation. Purpose: This study explored facilitating factors ... (Source: The Journal of Rural Health)

Rural residence and prescription medication use by community-dwelling older adults: a review of the literature

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:21 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 203-209, Spring 2008. ABSTRACT: Context: Due to various barriers to health care access in the rural setting, there is concern that rural older adults might have lower access to prescribed medications than their urban counterparts. Purpose: To review published research ... (Source: The Journal of Rural Health)

The importance of location for tobacco cessation: rural–urban disparities in quit success in underserved west virginia counties

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:15 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 106-115, Spring 2008. ABSTRACT: Context: Adults who live in rural areas of the United States have among the highest smoking rates in the country. Rural populations, including Appalachian adults, have been historically underserved by tobacco control programs and policies and ... (Source: The Journal of Rural Health)

The occupational mix adjustment to the medicare hospital wage index: why the rural impact is less than expected

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:13 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 148-154, Spring 2008. ABSTRACT: Context: Rural hospitals are heavily dependent on Medicare for their long-term financial solvency. A recent change to Medicare prospective payment system reimbursement—the occupational mix adjustment (OMA) to the wage index—has attracted a ... (Source: The Journal of Rural Health)

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Determinants of rural women's health: a qualitative study in southwest ontario

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:09 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 210-218, Spring 2008. ABSTRACT: Context: The influences of gender and geography are increasingly being acknowledged as central to a comprehensive understanding of health. Since little research on rural women's health has been conducted, an in-depth qualitative approach is ... (Source: The Journal of Rural Health)

Kansas primary care weighs in: a pilot randomized trial of a chronic care model program for obesity in 3 rural kansas primary care practices

The Journal of Rural Health — Fri, 04 Apr 2008 14:36:01 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 125-132, Spring 2008. ABSTRACT: Context: Obesity is a chronic disease of epidemic proportions in the United States. Primary care providers are critical to timely diagnosis and treatment of obesity, and need better tools to deliver effective obesity care. Purpose: To conduct ... (Source: The Journal of Rural Health)

Uninsured hospitalizations: rural and urban differences

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:47 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 194-202, Spring 2008. ABSTRACT: Context: Few studies have examined hospitalization patterns among the uninsured, especially from the perspective of rural and urban differences. Purpose: To examine whether the patterns of uninsured hospitalizations differ in rural and urban ... (Source: The Journal of Rural Health)

Vital signs screening for alcohol misuse in a rural primary care clinic: a feasibility study

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:42 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 133-135, Spring 2008. ABSTRACT: Context: Alcohol misuse is more common in rural areas, and rural problem drinkers are less likely to seek alcohol treatment services. Rural clinics face unique challenges to implementing routine alcohol screening and intervention. Purpose: To ... (Source: The Journal of Rural Health)

Reason for visit: is migrant health care that different?

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:40 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 219-220, Spring 2008. ABSTRACT: Purpose: The purpose of this pilot study was to determine the reasons for which migrant agricultural workers in Pennsylvania seek health care. Methods: Participants were individuals 14 years of age and over, actively involved in agricultural ... (Source: The Journal of Rural Health)

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Physical activity, metabolic syndrome, and overweight in rural youth

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:36 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 136-142, Spring 2008. ABSTRACT: Background: Research suggests significant health differences between rural dwelling youth and their urban counterparts with relation to cardiovascular risk factors. This study was conducted to (1) determine relationships between physical ... (Source: The Journal of Rural Health)

Stroke knowledge among urban and frontier first responders and emergency medical technicians in montana

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:32 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 189-193, Spring 2008. ABSTRACT: Purpose: To assess stroke knowledge and practice among frontier and urban emergency medical services (EMS) providers and to evaluate the need for additional prehospital stroke training opportunities in Montana. Methods: In 2006, a telephone ... (Source: The Journal of Rural Health)

Mental health professional shortage areas in rural appalachia

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:12 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 179-182, Spring 2008. ABSTRACT: Context: Research on health disparities in Appalachia has rarely compared Appalachia to other geographic areas in such a way as to isolate possible Appalachian effects. Purpose: This study tests hypotheses that nonmetropolitan Appalachia will ... (Source: The Journal of Rural Health)

Nonemergency medicine-trained physician coverage in rural emergency departments

The Journal of Rural Health — Fri, 04 Apr 2008 14:35:07 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 183-188, Spring 2008. ABSTRACT: Context: Rural areas have fewer physicians compared to urban areas, and rural emergency departments often rely on community or contracted providers for staffing. The emergency department workforce is composed of a variety of physician ... (Source: The Journal of Rural Health)

Expanding the role of nurse practitioners: effects on rural access to care for injured workers

The Journal of Rural Health — Fri, 04 Apr 2008 14:34:45 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 171-178, Spring 2008. ABSTRACT: Context: A 3-year pilot program to expand the role of nurse practitioners (NPs) in the Washington State workers' compensation system was implemented in 2004 (SHB 1691), amid concern about disparities in access to health care for injured ... (Source: The Journal of Rural Health)

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Medicare hospital charges in the last year of life: distribution by quarter for rural and urban nursing home decedents with cognitive impairment

The Journal of Rural Health — Fri, 04 Apr 2008 14:34:13 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 154-160, Spring 2008. ABSTRACT: Background: Medicare beneficiaries incur 27%-30% of lifetime charges in the last year of life; most charges occur in the last quarter. Factors associated with high end-of-life Medicare charges include less advanced age, non-white race, absence ... (Source: The Journal of Rural Health)

Alcohol consumption and injury among canadian adolescents: variations by urban–rural geographic status

The Journal of Rural Health — Fri, 04 Apr 2008 14:34:05 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 143-147, Spring 2008. ABSTRACT: Context: The impact of alcohol consumption on risks for injury among rural adolescents is an important and understudied public health issue. Little is known about whether relationships between alcohol consumption and injury vary between rural ... (Source: The Journal of Rural Health)

Rural–urban differences in primary care physicians' practice patterns, characteristics, and incomes

The Journal of Rural Health — Fri, 04 Apr 2008 14:33:56 +0100

The Journal of Rural Health, Volume 24, Issue 2, Page 161-170, Spring 2008. ABSTRACT: Context: Low salaries and difficult work conditions are perceived as a major barrier to the recruitment of primary care physicians to rural settings. Purpose: To examine rural–urban differences in physician work effort, physician ... (Source: The Journal of Rural Health)

Rural parents' perspectives about information on child immunization.

Rural Remote Health — Tue, 01 Apr 2008 04:00:00 +0100

Rural parents' perspectives about information on child immunization.

Rural Remote Health. 2008 Apr-Jun;8(2):863

Authors: Miller NK, Verhoef M, Cardwell K

INTRODUCTION: Historically, health professionals have used information developed for parents to promote child immunization. Few studies have specifically examined the effectiveness of this information in meeting parents' needs. While the literature emphasizes the importance of clear, thorough, and unbiased information about child immunization, limited attention has been given to what this means from a parent's perspective. The aim of this study was to gain insight in parents' information needs regarding child immunization in order to improve and/or optimize information shared by rural health professionals. We explored: (1) whether any immunization information contributed to parents' decisions; and, if so, how (2) what types of information and content parents required; (3) the sources of information parents considered helpful and trustworthy; and (4) parents' suggestions on how information could be conveyed to them more effectively. METHODS: This was a descriptive qualitative study, using semi-structured interviews with legal-aged mothers responsible for decisions about immunizing their infant in the past year. The mothers were from the local rural communities south of Calgary, Alberta, Canada, within the boundaries of the Calgary Health Region. Public health nurses working in this area assisted with recruitment. Thirty-nine mothers expressed interest in the study. The investigator contacted respondents to answer questions they may have had as well as to gather more socio-demographic information. This assisted in drawing a sample that reflected a variety of ages, education levels, and decisions made about immunization. Interviews were conducted by the principal investigator. Data collection and analysis took place simultaneously. Data collection continued until saturation was reached. All three investigators were involved in data analysis and data interpretation to ensure quality of the results. RESULTS: Eleven interviews were conducted. Participants were all mothers, most of whom lived in a stable relationship. Five mothers made the decision to fully immunize their child. The other mothers were varied in their decisions which included waiting to immunize the child until s/he was older, choosing vaccines selectively, being undecided about immunizing, and not immunizing. There were three mothers who had made a different decision about immunization with previous children. Three mothers were first-time parents. Five major themes were identified: (1) factors influencing mothers' decisions; (2) mothers' worries in making their decision; (3) mothers' perceptions about 'good' information; (4) mothers' information needs; and (5) mothers' recommendations to health professionals who convey immunization information to parents. CONCLUSION: The study had some limitations. Only mothers responded to the request for participation and the geographical area of the study was limited to the rural area where those particular public health nurses worked. Participants provided insightful perspectives on the subject of information on child immunization and how that information is conveyed to them. Feedback from the nurses also indicated the results were useful and thought-provoking. Future research in this area, using larger and more diverse populations, would benefit health professionals developing and conveying immunization information to parents. Key words: Canada, decision-making, immunization, infancy and childhood, information needs.

PMID: 18384249 [PubMed - in process]

(Source: Rural Remote Health)

Rural and remote public health in australia: an introduction to the special issue

Australian Journal of Rural Health — Wed, 05 Mar 2008 19:03:17 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 51, April 2008. (Source: Australian Journal of Rural Health)

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Health workforce crisis: how to achieve a work–life balance

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:59 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 117, April 2008. (Source: Australian Journal of Rural Health)

Rural and remote public health in australia: building on our strengths

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:57 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 52-55, April 2008. (Source: Australian Journal of Rural Health)

Physical activity behaviours of adults in the greater green triangle region of rural australia

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:56 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 92-99, April 2008. Abstract Objective: To assess physical activity (PA) behaviours of adults in rural Australia. Design and setting: Three cross-sectional surveys in the Greater Green Triangle area covering the south-east of South Australia (Limestone Coast), and south-... (Source: Australian Journal of Rural Health)

Rural obesity, healthy weight and perceptions of risk: struggles, strategies and motivation for change

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:53 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 86-91, April 2008. Abstract Objective: To explore risk logics, embodiment (the interplay between the physical, social and subjective body) and issues related to adult obesity in remote New South Wales. Design: Qualitative multiple-method design using semistructured ... (Source: Australian Journal of Rural Health)

Feeling safe in one's neighbourhood: variation by location among older australians

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:31 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 115-116, April 2008. (Source: Australian Journal of Rural Health)

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Addressing the health disadvantage of rural populations: how does epidemiological evidence inform rural health policies and research?

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:31 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 56-66, April 2008. Abstract We reviewed evidence of any apparently significant ‘rural-urban’ health status differentials in developed countries, to determine whether such differentials are generic or nation-specific, and to explore the nature and policy implications of ... (Source: Australian Journal of Rural Health)

Nrf: mental health support for rural practitioners

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:21 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 118, April 2008. (Source: Australian Journal of Rural Health)

Implementing a chronic disease strategy in two remote indigenous australian settings: a multi-method pilot evaluation

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:21 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 67-74, April 2008. Abstract Objective: To test an evaluation framework designed to evaluate implementation of the North Queensland Indigenous communities between August and December 2005. Setting: Both communities are located in Cape York, North Queensland. Community A ... (Source: Australian Journal of Rural Health)

Lukumbat marawana: a changing pattern of drug use by youth in a remote aboriginal community

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:12:01 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 75-79, April 2008. Abstract Objective: To examine marijuana use by youth in a remote Aboriginal community in Northern Australia over a 5-year period. Design: Participant observation, structured and unstructured interviews. Setting: Remote Indigenous Australian ... (Source: Australian Journal of Rural Health)

An evaluation of a community pharmacy-based rural asthma management service

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:11:45 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 100-108, April 2008. Abstract Objective: To compare the effect of a pharmacist-delivered rural asthma management service (RAMS) on health outcomes for people with asthma in a rural/regional area with ‘standard care’ delivered through community pharmacies. Design: A ... (Source: Australian Journal of Rural Health)

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Mobilising a rural community to lose weight: impact evaluation of the wellingtonne challenge

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:11:43 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 80-85, April 2008. Abstract Objective: To evaluate the impact of the WellingTonne Challenge. Design: Before–after study. Setting: The National Action Agenda for the prevention and control of obesity in Australia identified community action and development as a key ... (Source: Australian Journal of Rural Health)

Evaluation of iodine levels in the riverina population

Australian Journal of Rural Health — Tue, 04 Mar 2008 23:11:42 +0100

Australian Journal of Rural Health, Volume 16, Issue 2, Page 109-114, April 2008. Abstract Objective: To assess the iodine status in a random group of adults in a rural region. Design: A cross-sectional study; urinary iodine concentrations (UIC) were correlated with results of a questionnaire that collected demographic information. ... (Source: Australian Journal of Rural Health)

Uninsured rural families

The Journal of Rural Health — Sat, 02 Feb 2008 20:09:08 +0100

The Journal of Rural Health, Volume 24, Issue 1, Page 1-11, Winter 2008. ABSTRACT: Context: Although research shows higher uninsured rates among rural versus urban individuals, prior studies are limited because they do not examine coverage across entire rural families. Purpose: This study uses the Medical Expenditure Panel ... (Source: The Journal of Rural Health)

Body mass index in rural first grade schoolchildren: progressive increase in boys

The Journal of Rural Health — Sat, 02 Feb 2008 04:36:26 +0100

The Journal of Rural Health, Volume 24, Issue 1, Page 40-48, Winter 2008. ABSTRACT: Context: Childhood overweight is a global health problem. Monitoring of childhood body mass index (BMI) may help identify critical time periods during which excess body weight is accumulated. Purpose: To examine changes in mean BMI and the ... (Source: The Journal of Rural Health)