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Health disparities among rural individuals with mental health conditions

A systematic literature review

Dados Bibliográficos

ID21833840
AutoresAlyssa M Edwards (0000-0003-2177-5326, University Hospitals of Cleveland), Rina Hung (0000-0003-1187-3491, University Hospitals of Cleveland), Jennifer B Levin (0000-0003-1214-0636, University Hospitals of Cleveland), Larry F Forthun (0000-0003-1232-2413, Youth & Family Services), Martha Sajatovic (0000-0002-3073-668X, Youth & Family Services), Molly McVoy (0000-0003-4967-6055, University Hospitals of Cleveland)
Ano2023
Volume47
Fascículo3
Páginas163-178
Data de publicação2023-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRural Mental Health (JOURNAL)
Identificadores do periódicoISSN: 1935-942X • E-ISSN: 2163-8969
EditoraAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/rmh0000228
PMID37638091
OpenAlexW4376149498
IdiomaEN
Citações recebidas11
Referências citadas17

There is growing concern about the availability of healthcare services for rural patients. This systematic literature review evaluates original research on health disparities among rural and urban populations with mental health conditions in North America. Using PRISMA guidelines, we used four electronic databases (Pubmed, Cochrane, PsychInfo, Web of Science) and hand searches and included original research conducted in the United States or Canada before July 2021 that compared health outcomes of patients with any mental health disorder in rural versus non-rural areas. Both qualitative and quantitative data were extracted including demographics, mental health condition, health disparity measure, rural definition, health outcome measures/main findings, and delivery method. To evaluate study quality, the modified Newcastle Ottawa Scale was used. Our initial search returned 491 studies and 17 studies met final inclusion criteria. Mental health disorders included schizophrenia (4 studies), PTSD (10), mood disorders (9), and anxiety disorders (6). Total sample size was 5,314,818 with the majority being military veterans. Six studies (35.2%) showed no significant rural-urban disparities while eleven (64.7%) identified at least one. Of those, nine reported worse outcomes for rural patients. The most common disparities were diagnostic differences, increased suicide rates and access problems. This review found mixed results regarding outcomes in rural patients with mental health disorders. Disparities were found regarding risk of suicide and access to services. Telehealth in addition to in person outreach to these rural communities may be alternatives to impact these outcomes

Anxiety · Environmental health · Health care · Health equity · Mental health · Mood disorders · Poison control · Psychiatry · Public health · Rural area · Rural health · Suicide prevention · Telehealth · Telemedicine · Global Health Workforce Issues · Health, psychology, and well-being · Medicine · Mental Health Treatment and Access · Nursing · Gerontology

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Obras citantes distintas11
Citações por ano5,5
Intervalo de citações2024 - 2026 (3)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 7
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