{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:03:02Z","timestamp":1789995782336,"version":"4.0.1"},"reference-count":54,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Rural older adults with chronic disease face greater health care access and quality barriers than non\u2010rural older adults which may result in poorer health\u2010related quality of life (HRQoL). Few studies have explored if rural health disparities are related to geographic mobility, specifically, how long an individual has lived in a particular area. This study explored the relationship between residence tenure (aging\u2010in\u2010place vs. in\u2010migrants), HRQoL and preference for health care decision\u2010making among a nationally representative sample of Medicare beneficiaries living with a chronic disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using National Health and Aging Trends (NHATS) data, we examined 1012 older Medicare beneficiaries living with a chronic disease who participated in a supplemental chronic disease self\u2010management (CDSM) module.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Of the rural residents (\n                      <jats:italic>n<\/jats:italic>\n                      = 218) in the sample, 76% were aging\u2010in\u2010place (\n                      <jats:italic>n<\/jats:italic>\n                      = 166) and 24% were in\u2010migrants (\n                      <jats:italic>n<\/jats:italic>\n                      = 52). Aging\u2010in\u2010place older adults reported lower self\u2010rated health (\n                      <jats:italic>M<\/jats:italic>\n                      = 3.12,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) than in\u2010migrants (\n                      <jats:italic>M<\/jats:italic>\n                      = 3.31) and non\u2010rural residents (\n                      <jats:italic>M<\/jats:italic>\n                      = 3.35) and reported higher anxiety (\n                      <jats:italic>M<\/jats:italic>\n                      = 0.99,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) than in\u2010migrants (\n                      <jats:italic>M<\/jats:italic>\n                      = 0.54) and non\u2010rural residents (\n                      <jats:italic>M<\/jats:italic>\n                      = 0.73).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results showed that rural older adults were not more likely to prefer independent health care decision\u2010making, contrasting some previous studies. Implications of this research point to needed improvements in delivering person\u2010centered care in clinical settings and in Medicare mental health coverage. The role of residence tenure in health outcomes is an important topic for ongoing examination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70136","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:59:22Z","timestamp":1774601962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of residence tenure on rural Medicare beneficiaries\u2019 health outcomes"],"prefix":"10.1111","volume":"42","author":[{"given":"Kaleigh","family":"Ligus","sequence":"first","affiliation":[{"name":"Department of Human Development and Family Sciences University of Connecticut  Storrs Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Bellizzi","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Sciences University of Connecticut  Storrs Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Robison","sequence":"additional","affiliation":[{"name":"Center on Aging UCONN Health  Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"National Center for Health Statistics.Table 45. 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