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Examining the association between rurality and positive childhood experiences among a national sample
Journal article   Open access   Peer reviewed

Examining the association between rurality and positive childhood experiences among a national sample

Elizabeth Crouch, Janice C. Probst, Sylvia Shi, Alexander McLain, Jan M. Eberth, Monique J. Brown, Melinda Merrell and Kevin J. Bennett
The Journal of rural health, v 39(1), pp 105-112
2023
PMID: 36029275
url
https://doi.org/10.1111/jrh.12708View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

mental health positive childhood experiences resilience rural trauma
Purpose The present study examines the association between rurality and positive childhood experiences (PCEs) among children and adolescents across all 50 states and the District of Columbia. Recent work has quantified the prevalence of PCEs at the national level, but these studies have been based on public use data files, which lack rurality information for 19 states. Methods Data for this cross‐sectional analysis were drawn from 2016 to 2018 National Survey of Children's Health (NSCH), using the full data set with restricted geographic data (n = 63,000). Descriptive statistics and bivariate analyses were used to calculate proportions and unadjusted associations. Multivariable regression models were used to examine the association between residence and the PCEs that were significant in the bivariate analyses. Findings Rural children were more likely than urban children to be reported as having PCEs: volunteering in their community (aOR 1.29; 95% CI 1.18‐1.42), having a guiding mentor (aOR 1.75; 95% CI 1.45‐2.10), residing in a safe neighborhood (aOR 1.97; 95% CI 1.54‐2.53), and residing in a supportive neighborhood (aOR 1.10; 95% CI 1.01‐1.20) than urban children. Conclusions The assessment of rural‐urban differences in PCEs using the full NSCH is a unique opportunity to quantify exposure to PCEs. Given the higher baseline rate of PCEs in rural than urban children, programs to increase opportunities for PCEs in urban communities are warranted. Future research should delve further into whether these PCEs translate to better mental health outcomes in rural children.

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#3 Good Health and Well-Being
#5 Gender Equality

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Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
Public, Environmental & Occupational Health
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