T. A. Pearson|Carol Lewis
Rural Epidemiology: Insights from a Rural Population Laboratory
University of Rochester|Bassett Medical Center|University of Rochester|Bassett Medical Center
study epidemiology rural populations context contemporary issues public health population laboratory health census 89 established otsego county new york research institute mi bassett hospital affiliated columbia university school public health laboratory needed apparent lag positive health indices rural populations across united states resulting rates chronic diseases coronary heart disease rural areas exceed urban ones confirmed otsego county survey health census 89 foundation rural population laboratory residents enumerated characterized prevalent diseases health behaviors use preventive services environmental exposures heart disease cancer diabetes mellitus rates found exceed average rates us urban areas data preventive health behaviors suggest population late adopters survey conducted 1989 866 response rate enumerated 17147 households 44406 persons authors discuss adults aged 1764 years 58 percent total census n25614 sharp gradients disease prevalence risk factors utilization preventive services observed across educational strata data health census 89 used basis successful community intervention program targeted identified high risk groups rural populations excellent settings community interventions offering laboratories new strategies risk reduction provision preventive services might tested