The extent to which observed disparities in access to primary pediatric care are mirrored in student access to school nursing services is unknown. Using school employment records, we linked 1,346 nurses to school districts serving 1,141,495 students in Washington state. The percentage of students who are Black is negatively associated with the…

This multiple case study explored Career and Technical Education (CTE) programs that were identified as having a focus on sustainability. Using the Association for the Advancement of Sustainability in Higher Education, Sustainability Tracking, Assessment, and Rating System (AASHE STARS) as a conceptual framework, the researchers interpreted…

Research has shown that boys display higher levels of childhood conduct problems than girls, and Black children display higher levels than White children, but few studies have tested for scalar equivalence of conduct problems across gender and race. The authors conducted a 2-parameter item response theory (IRT) model to examine item…

Purpose: To describe the use of chiropractic care by urban and rural residents in Washington state with musculoskeletal diagnoses, all of whom have insurance coverage for this care. The analyses investigate whether restricting the analyses to insured individuals attenuates previously reported differences in the prevalence of chiropractic use…

States in the U.S. are required to provide transition services to young people in special education to increase the likelihood of positive post-school outcomes (Individuals with Disabilities Education Act of 1990, IDEA, amended 1997). Fourteen years later the Individuals with Disabilities Education Improvement Act of 2004 strengthened transition…

Context: Ensuring an adequate mental health provider supply in rural and urban areas requires accessible methods of identifying provider types, practice locations, and practice productivity. Purpose: To identify mental health shortage areas using existing licensing and survey data. Methods: The 1998-1999 Washington State Department of Health files…

Of 671 Washington companies responding to a survey, 64 companies employed a total of 166 handicapped individuals. The proportion of urban and rural employers hiring handicapped people did not differ significantly, but proportionally more large employers had handicapped employees. Proportionally, more public administration, transportation, and…

Context: Patients in rural areas may use less medical care than those living in urban areas. This could be due to differences in travel distance and time and a utilization of a different mix of generalists and specialists for their care. Purpose: To compare the travel times, distances, and physician specialty mix of all Medicare patients living in…

Discusses the problems and impact of national trends on small towns and how small towns in eastern Washington have adapted to social and economic change. Illustrates how small towns try to address contemporary concerns such as computerization, the environment, and the expanding needs of their communities while continuing to hold on to their…

Survey of 185 Washington rural mental health center professionals reveals moderately high levels of job/lifestyle satisfaction and higher levels of readiness for rural life/work among those taking rural courses/practicum during their educational experience. Study supports concept of anticipatory socialization correlating with higher levels of…

A survey of 93 speech-language pathologists in Washington state found significant differences between rural and urban settings for amounts and types of continuing education, contact with peers, and plans for changing job settings, but found similarities for time spent in direct services, number of students served, contact with supervisors, and job…

Washington statewide data indicate that attrition rates did not differ between rural and urban special educators, but were twice as high for rural special educators as general educators. Interviews with special educators focus on soaring rural special education enrollments and difficulties in rural teacher recruitment. Contains 23 references. (SV)

Uses path analysis and data from 2,829 Washington State residents aged 55 and over to study effects of rural or urban residence on social integration/loneliness. Finds rural residents not more highly integrated into social networks than urban counterparts and not lonelier. Discusses implications for existing social relations stereotypes of the…

Describes similarities and differences in teaching of elementary mathematics in 135 elementary schools in districts of varying size in Washington state. Finds more similarities than differences and that differences relate to selection of student learning objectives and instructional materials, measurement of student progress, student achievement,…