Rural Health
Resources by State: California
Paying Family Caregivers: Self-direction in Medicaid Personal Care
Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Poor Mental Health Days and Depression by Farming Occupation and Sociodemographic Factors: BRFSS 2019 Data from 13 States
Analyzes 2019 Behavioral Risk Factor Surveillance Survey sociodemographic data from 13 states to compare poor mental health days and depression diagnosis between farmers and non-farmers. Discusses study findings in light of disproportionate suicide rates for people in farming occupations.
Author(s): Jeanne M. Ward, John R. Blosnich
Citation: Journal of Agromedicine, 2025
Date: 11/2025
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Analyzes 2019 Behavioral Risk Factor Surveillance Survey sociodemographic data from 13 states to compare poor mental health days and depression diagnosis between farmers and non-farmers. Discusses study findings in light of disproportionate suicide rates for people in farming occupations.
Author(s): Jeanne M. Ward, John R. Blosnich
Citation: Journal of Agromedicine, 2025
Date: 11/2025
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Rural Health Transformation Program: Themes Emerging From Stakeholder Input
Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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Modeling the Impact of Changing Drug Markets and Structural Determinants on HCV and/or HIV Transmission Among People Who Inject Drugs in the United States: A Rural and Urban Comparison
Details a study exploring the impact of changing patterns of drug use in rural and urban areas are affecting the rates of hepatitis C virus (HCV) and HIV incidence among people who inject drugs (PWID). Compares rates of infection and drug use in San Diego, CA and rural Central and Northern, WI.
Author(s): Natasha K. Martin, Daniela Abramovitz, William H. Eger, et al.
Citation: International Journal of Drug Policy, 143, 104925
Date: 09/2025
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Details a study exploring the impact of changing patterns of drug use in rural and urban areas are affecting the rates of hepatitis C virus (HCV) and HIV incidence among people who inject drugs (PWID). Compares rates of infection and drug use in San Diego, CA and rural Central and Northern, WI.
Author(s): Natasha K. Martin, Daniela Abramovitz, William H. Eger, et al.
Citation: International Journal of Drug Policy, 143, 104925
Date: 09/2025
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Rural Life, Rural Healthcare, and Telehealth: An Interpretive Phenomenology Study
Explores themes related to healthcare access, telehealth use, and rural life contexts among 16 adults in rural and remote areas of California. Details interviewee perceptions of healthcare availability, geographic and environmental influences on healthcare access, benefits and drawbacks of telehealth use, and more.
Author(s): Meghan Rowe Ferrara, Susan A. Chapman
Citation: Rural Sociology, 90(3), e70016
Date: 08/2025
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Explores themes related to healthcare access, telehealth use, and rural life contexts among 16 adults in rural and remote areas of California. Details interviewee perceptions of healthcare availability, geographic and environmental influences on healthcare access, benefits and drawbacks of telehealth use, and more.
Author(s): Meghan Rowe Ferrara, Susan A. Chapman
Citation: Rural Sociology, 90(3), e70016
Date: 08/2025
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California Tobacco Facts and Figures 2025
Reports data on current use and trends in tobacco use and tobacco-related behaviors in California. Includes demographic breakdowns, including rural-urban comparisons, in addition to county-level data for select topics.
Date: 08/2025
Sponsoring organization: California Department of Public Health
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Reports data on current use and trends in tobacco use and tobacco-related behaviors in California. Includes demographic breakdowns, including rural-urban comparisons, in addition to county-level data for select topics.
Date: 08/2025
Sponsoring organization: California Department of Public Health
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The Feasibility and Impact of Implementing Brief Educator Development Sessions in Underresourced Residency Training Sites
Evaluates the effectiveness of web-based educator development sessions in developing the teaching and assessment skills of residency program directors and other physician educators in rural and underserved Oregon and California communities. Provides data on program participant demographics, feasibility of implementation, and utility for participants.
Author(s): Adrienne Silver, Patricia A. Carney, Robynn Church, et al.
Citation: Journal of Graduate Medical Education, 17(4), 515-522
Date: 08/2025
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Evaluates the effectiveness of web-based educator development sessions in developing the teaching and assessment skills of residency program directors and other physician educators in rural and underserved Oregon and California communities. Provides data on program participant demographics, feasibility of implementation, and utility for participants.
Author(s): Adrienne Silver, Patricia A. Carney, Robynn Church, et al.
Citation: Journal of Graduate Medical Education, 17(4), 515-522
Date: 08/2025
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Tobacco Retailer Density and Rurality Across Four US States: California, Connecticut, North Carolina, and Ohio
Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Estimating County-Level Dental Care Utilization among Adults in California Using Multilevel Modeling with Raking Approach
Analyzes the accuracy and suitability of a small area estimation method combining multilevel modeling and raking for estimating county-level dental care utilization for adults in California, utilizing 2018 Behavioral Risk Factor Surveillance System and American Community Survey data. Highlights the value of small area estimation methods for geographic areas with small sample sizes.
Author(s): Yilan Huang, Honghu Liu
Citation: Archives of Public Health, 83, 183
Date: 07/2025
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Analyzes the accuracy and suitability of a small area estimation method combining multilevel modeling and raking for estimating county-level dental care utilization for adults in California, utilizing 2018 Behavioral Risk Factor Surveillance System and American Community Survey data. Highlights the value of small area estimation methods for geographic areas with small sample sizes.
Author(s): Yilan Huang, Honghu Liu
Citation: Archives of Public Health, 83, 183
Date: 07/2025
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Selected Rural Healthcare Facilities in California
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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