Health Services and Outcomes Research Methodology

, Volume 10, Issue 1, pp 33–66

The effects of rurality on mental and physical health

  • Steven Stern
  • Elizabeth Merwin
  • Emily Hauenstein
  • Ivora Hinton
  • Virginia Rovnyak
  • Melvin Wilson
  • Ishan Williams
  • Irma Mahone
Article

DOI: 10.1007/s10742-010-0062-2

Cite this article as:
Stern, S., Merwin, E., Hauenstein, E. et al. Health Serv Outcomes Res Method (2010) 10: 33. doi:10.1007/s10742-010-0062-2

Abstract

The effects of rurality on physical and mental health are examined in analyses of a national dataset, the Community Tracking Survey, 2000–2001, that includes individual level observations from household interviews. We merge it with county level data reflecting community resources and use econometric methods to analyze this multi-level data. The statistical analysis of the impact of the choice of definition on outcomes and on the estimates and significance of explanatory variables in the model is presented using modern econometric methods, and differences in results for mental health and physical health are evaluated.

Keywords

RuralWald testsMental healthPhysical healthProvidersHealth outcomes

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Steven Stern
    • 1
  • Elizabeth Merwin
    • 2
  • Emily Hauenstein
    • 2
  • Ivora Hinton
    • 2
  • Virginia Rovnyak
    • 2
  • Melvin Wilson
    • 3
  • Ishan Williams
    • 2
  • Irma Mahone
    • 2
  1. 1.Department of EconomicsUniversity of VirginiaCharlottesvilleUSA
  2. 2.School of NursingUniversity of VirginiaCharlottesvilleUSA
  3. 3.Department of PsychologyUniversity of VirginiaCharlottesvilleUSA