{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:23:48Z","timestamp":1781814228176,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T00:00:00Z","timestamp":1489536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U48DP005018"],"award-info":[{"award-number":["U48DP005018"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG051681"],"award-info":[{"award-number":["K23AG051681"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001086"],"award-info":[{"award-number":["UL1TR001086"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To ascertain whether rural status impacts self\u2010reported health and whether the effect of rural status on self\u2010reported health differs by obesity status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified 22,307 subjects aged \u226560 from the Medical Expenditure Panel Survey 2004\u20102013. Body mass index (BMI) was categorized as underweight, normal, overweight, or obese. Physical and mental component scores of the Short Form\u201012 assessed self\u2010reported health status. Rural\/urban status was defined using metropolitan statistical area. Weighted regression models ascertained the relative contribution of predictors (including rural and BMI) on each subscale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Mean age was 70.7 years. Rural settings had higher proportions classified as obese (30.7 vs 27.6%; <jats:italic>P<\/jats:italic> &lt; .001), and rural residents had lower physical health status (41.7 \u00b1 0.3) than urban (43.4 \u00b1 0.1; <jats:italic>P<\/jats:italic> &lt; .001). Obese or underweight persons had lower physical health status (39.5 \u00b1 0.20 and 37.0 \u00b1 0.82, respectively) than normal (44.7 \u00b1 0.18) or overweight (44.6 \u00b1 0.16) persons (<jats:italic>P<\/jats:italic> &lt; .001). BMI category stratification was associated with differences in physical health between rural\/urban by BMI. Individuals classified as underweight or obese had lower physical health compared to normal, while the differences were less pronounced for mental health. No differences in mental health existed between rural\/urban status. A BMI <jats:sup>*<\/jats:sup> rural interaction was significant for physical but not mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Rural residents report lower self\u2010reported physical health status compared to urban residents, particularly older adults who are obese or underweight. No interaction was observed between BMI and rural status.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12237","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T13:06:52Z","timestamp":1489583212000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Body Mass Index and Rural Status on Self\u2010Reported Health in Older Adults: 2004\u20102013 Medicare Expenditure Panel Survey"],"prefix":"10.1111","volume":"34","author":[{"given":"John A.","family":"Batsis","sequence":"first","affiliation":[{"name":"Section of General Internal Medicine Dartmouth\u2010Hitchcock Medical Center  Lebanon New Hampshire"},{"name":"Department of Medicine Geisel School of Medicine at Dartmouth  Hanover New Hampshire"},{"name":"The Dartmouth Institute for Health Policy &amp; Clinical Practice Geisel School of Medicine at Dartmouth  Lebanon New Hampshire"},{"name":"Dartmouth Centers for Health and Aging  Lebanon 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