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Rural Health Information Hub

Rural Health
Resources by State: California

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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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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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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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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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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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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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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Effectiveness of a Respiratory Therapist-Led, Community-Based Asthma Program in an Under Resourced Rural Border Town in California
Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through rural health clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Addressing Toxic Stress and Health Care Access in California Farmworker Communities: ACCESS Pilot Project Evaluation
Analyzes feedback from the farmworker community in California on the impact of toxic stress in their lives. Utilizes 482 responses from the farmworker community health survey to investigate issues such as toxic stress, public health outreach and education, healthcare access in rural areas, barriers to insurance coverage, and ways to address toxic stress in farmworker communities.
Author(s): Ingrid Estrada-Darley, Alejandro Roa Contreras, Cristina Alvarez, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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Human Cases of Highly Pathogenic Avian Influenza A(H5N1) — California, September–December 2024
Reports on increased risk for infection from highly pathogenic avian influenza (HPAI) A(H5N1) among people who work closely with dairy cows, poultry, or other animals with suspected or confirmed infection. Includes data on investigations that led to identification of 38 people who tested positive for HPAI A(H5N1) viruses in California, including 37 dairy farm workers with exposure to sick cows, and one child with an undetermined exposure.
Author(s): Sophie Zhu, Kathleen Harriman, Caterina Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(8), 127–133
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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