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Rural/urban differences in self-rated health: Examining the roles of county size and metropolitan adjacency

机译：城乡自测健康的差异：检查县规模和大城市邻接的作用

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摘要

This research explored the roles of 'rurality' - nonmetropolitan county population size and adjacency to metropolitan areas - on self-rated health among a nationally representative sample of US adults. Using seven years of pooled individual level data from the Behavioral Risk Factor Surveillance System and county-level data from the County Characteristics survey, we found that residents of remote rural counties have the greatest odds of reporting bad health and that the significant differences in self-rated health between metropolitan residents and residents of rural areas can be entirely explained by rural structural disadvantage, including higher rates of unemployment and population loss and lower levels of educational attainment.
机译：这项研究探讨了“农村人口”（非大都市县人口规模和邻近大都市地区）对美国成年人代表国家自我评估健康的作用。使用来自行为风险因素监视系统的七年汇总个人数据和来自县特征调查的县级数据，我们发现偏远农村县的居民报告不良健康状况的几率最大，而自我大城市居民与农村居民之间健康状况的良好评价完全可以用农村结构性劣势来解释，包括失业率和人口流失率较高以及受教育程度较低。

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