RTC:Rural’s previous research has found that people who live in rural areas begin to experience disability from mobility, cognitive and sensory impairment as much as 10 years before people in urban areas. There are also higher rates of disability in rural areas across all age groups. We have also found that racial and ethnic minorities experience the highest disability rates as well as the greatest urban/rural differences.
While some people are born with a disability, most disability is acquired. This can happen suddenly by injury or slowly by chronic disease. Healing, disease course and medical treatment, underlying causes of disability, often fluctuate. This means people do not always report disability consistently over time.
In order to understand urban/rural differences, RTC:Rural is conducting research to understand how disability evolves in rural and urban areas.
Bryce Ward, RTC:Rural Statistician, explains the project and its goals, and gives a quick progress update.
RTC:Rural researchers Andrew Myers, Dr. Bryce Ward, Dr. Jennifer Wong, and Dr. Craig Ravesloot recently published a paper in the journal Social Science & Medicine titled “Health status changes with transitory disability over time.” Myers is a RTC:Rural Project Director, Dr. Bryce Ward is the RTC:Rural Statistician, and Dr. Ravesloot is RTC:Rural Research Director. Dr. Wong is a former RTC:Rural Research Associate and University of Washington research fellow.
The passage of the Patient Protection and Affordable Care
Act (ACA) and adoption of Medicaid expansion was associated with substantial
increases in insurance coverage across the United States (see Changes
in coverage and access, MACPAC 2019). However, RTC:Rural
researchers wanted to know how ACA policy changes and Medicaid expansion impacted
people with disabilities, particularly those who live in rural areas.
To explore this question, RTC:Rural researchers analyzed
microdata from the 2008-2013 American Community Survey
Using these data, they were able to compare how insurance coverage has changed
over time for people with and without disabilities in rural and urban places,
and in expansion and non-expansion states.
First page of the article “Transitory and Enduring Disability Among Urban and Rural People” in the Journal of Rural Health.
RTC:Rural researchers Dr. Rayna Sage, Dr. Bryce Ward, Andrew Myers, and Dr. Craig Ravesloot recently published an article in the Journal of Rural Health titled “Transitory and Enduring Disability Among Urban and Rural People.” Dr. Sage and Myers are RTC:Rural Project Directors, Dr. Ward is the RTC:Rural Statistician, and Dr. Ravesloot is RTC:Rural Director and Research Advisor.
Part of RTC:Rural’s continued research on the geography and ecology of rural disability (see Ecology of Rural Disability and Geography and Rural Disability), this article examines how disability rates vary by age, gender, and race between rural and urban places. While there has been some recent research on the intersection of disability and rurality, there is a lack of research on disability across the life span in rural places, and few studies include a measure of how people move in and out of disability over time. Continue reading →
In attendance were RTC:Rural Director Dr. Catherine Ipsen, Director and Research Advisor Dr. Craig Ravesloot, Knowledge Broker Dr. Meg Ann Traci, and Project Directors Dr. Rayna Sage and Andrew Myers attended. Dr. Traci, Dr. Sage, and Myers gave a combined six presentations on Rural Institute and RTC:Rural research. Continue reading →
Researchers with RTC:Rural have shown that the standardized disability questions used by the U.S. Department of Health and Human Services identify two distinct groups of people with disabilities: those with permanent disability and those with temporary disability. Their findings were published today in the American Journal of Public Health: click here to read the full journal article.
Researchers at RTC:Rural have shown that the standardized disability questions used by the U.S. Department of Health and Human Services identify two distinct groups of people with disabilities: those with permanent disability and those with temporary disability.
The findings contradict the long-standing assumption by researchers and policymakers who use HHS disability data that it represents only people with long-term disabilities. The RTC:Rural study clarifies the survey collects information from two important subgroups: those with permanent disability, and those experiencing a temporary disability at the time of the survey.
The title of the paper is “Disability Items from the Current Population Survey (2008-2015) and Permanent Versus Temporary Disability Status.” Coauthors on the study include Bryce Ward, associate director of the Bureau of Business and Economic Research at UM; RTC:Rural research associates Andrew Myers and Jennifer Wong; and Craig Ravesloot, RTC:Rural director.
“Our findings suggest that the current understanding of the entire population of people with disabilities based on HHS data is incomplete, because we have not yet accurately described the characteristics and status of these two subgroups,” said Ravesloot. “This can potentially have huge implications in public health policies.”
RTC:Rural collaborator Bryce Ward, Ph.D., presenting at the National Academies of Sciences, Engineering and Medicine December 12, 2016 housing workshop.
RTC staff brought back some important takeaways from the recent national accessible housing workshop in Washington, DC.
RTC:Rural Director Craig Ravesloot, Ph.D. and project collaborator Bryce Ward, Ph.D., Associate Director of the Bureau of Business and Economic Research at the University of Montana, recently returned from participating in this event that continued the dialog about the importance of housing for the health and quality of life of people who are aging and people with disabilities.
Housing influences community participation, independent living, and overall health and wellbeing, especially for vulnerable populations. In the United States, the demand for accessible and affordable housing for people with disabilities and older adults greatly exceeds the supply. This imbalance will continue to grow over the coming years as the population shifts to include a greater number of older adults and people living with disabilities.
Dr. Ravesloot was approached by the NAS to be on the planning committee to represent the perspective of research in rural communities. “I am pleased that the organizers want to highlight rural, and especially that accessibility, not just affordability, is a main focus,” he said. In addition to providing planning assistance and nominating Dr. Ward to present, Dr. Ravesloot is also moderating one of the panels. Continue reading →