Explaining rural/non-rural disparities in physical health-related quality of life: a study of United Methodist clergy in North Carolina.

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Miles, Andrew

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Proescholdbell, Rae Jean

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Puffer, Eve

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Netherlands

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2013-01-31T16:23:51Z

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2011-08

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PURPOSE: Researchers have documented lower health-related quality of life (HRQL) in rural areas. This study seeks to identify factors that can explain this disparity. METHODS: United Methodist clergy in North Carolina (N = 1,513) completed the SF-12 measure of HRQL and items on chronic disease diagnoses, health behaviors, and health care access from the Behavioral Risk Factor Surveillance Survey (BRFSS). Differences in HRQL between rural (N = 571) and non-rural clergy (N = 942) were examined using multiple regression analyses. RESULTS: Physical HRQL was significantly lower for rural clergy (-2.0; 95% CI: -2.9 to -1.1; P < 0.001). Income, body mass index, and joint disease partially accounted for the rural/non-rural difference, though a sizable disparity remained after controlling for these mediators (-1.02; 95% CI: -1.89 to -.15; P = 0.022). Mental HRQL did not differ significantly between rural and non-rural respondents (1.0, 95% CI: -0.1 to 2.1; P = 0.067). CONCLUSIONS: Rural/non-rural disparities in physical HRQL are partially explained by differences in income, obesity, and joint disease in rural areas. More research into the causes and prevention of these factors is needed. Researchers also should seek to identify variables that can explain the difference that remains after accounting for these variables.

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http://www.ncbi.nlm.nih.gov/pubmed/21161410

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1573-2649

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https://hdl.handle.net/10161/6213

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eng

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Springer Science and Business Media LLC

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Qual Life Res

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10.1007/s11136-010-9817-z

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Quality of Life Research

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Adult

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Aged

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Clergy

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Female

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Health Behavior

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Health Status Disparities

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Health Status Indicators

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Humans

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Joint Diseases

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Male

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Middle Aged

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North Carolina

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Obesity

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Quality of Life

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Rural Population

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Explaining rural/non-rural disparities in physical health-related quality of life: a study of United Methodist clergy in North Carolina.

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Journal article

duke.contributor.orcid

Puffer, Eve|0000-0003-2281-821X

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6

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20

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http://www.ncbi.nlm.nih.gov/pubmed/21161410

pubs.begin-page

807

pubs.end-page

815

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6

pubs.organisational-group

Center for Child and Family Policy

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Duke

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Duke Science & Society

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Global Health Institute

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Initiatives

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Institutes and Provost's Academic Units

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Psychology and Neuroscience

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Sanford School of Public Policy

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Trinity College of Arts & Sciences

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University Institutes and Centers

pubs.publication-status

Published

pubs.volume

20

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