Rural Health
Resources by State: Maryland
Appalachian Diseases of Despair: Final Report
Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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The Appalachian Region: A Data Overview from the 2019-2023 American Community Survey Chartbook
State- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 06/2025
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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State- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 06/2025
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Maryland Hunger Profiles
Provides state- and county-level data on age of population, median household income, childhood and older adult poverty levels, and food program usage in Maryland. Discusses strategies to end hunger in the state.
Date: 05/2025
Sponsoring organization: Maryland Hunger Solutions
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Provides state- and county-level data on age of population, median household income, childhood and older adult poverty levels, and food program usage in Maryland. Discusses strategies to end hunger in the state.
Date: 05/2025
Sponsoring organization: Maryland Hunger Solutions
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Resilient, Engaged and Connected (REC) Study: Protocol for a Type 2 Cluster-Randomised Trial of the Chicago Parent Program in Prekindergarten in Low-Income Urban and Rural Communities
Provides an overview of a intervention that aims to improve social, emotional, and behavioral (SEB) readiness in pre-kindergarten (PreK) children by supporting and engaging low-income parents. Utilizes a mixed methods study design to examine PreK readiness in rural and urban children in Maryland when implementing an evidence-based SEB parenting program.
Author(s): Deborah Gross, Susan M. Breitenstein, Lieny Jeon, et al.
Citation: BMJ Open, 15(4)
Date: 04/2025
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Provides an overview of a intervention that aims to improve social, emotional, and behavioral (SEB) readiness in pre-kindergarten (PreK) children by supporting and engaging low-income parents. Utilizes a mixed methods study design to examine PreK readiness in rural and urban children in Maryland when implementing an evidence-based SEB parenting program.
Author(s): Deborah Gross, Susan M. Breitenstein, Lieny Jeon, et al.
Citation: BMJ Open, 15(4)
Date: 04/2025
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2025-2030 Maryland Rural Health Strategic Plan
Recommends priorities for organizations and programs to consider as they provide health services across rural Maryland. Features a county-level map showing distribution of rural regions in Maryland and includes statistics on Maryland's rural population, with breakdowns by region and rural designation.
Additional links: Summary
Date: 2025
Sponsoring organization: Maryland Department of Health
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Recommends priorities for organizations and programs to consider as they provide health services across rural Maryland. Features a county-level map showing distribution of rural regions in Maryland and includes statistics on Maryland's rural population, with breakdowns by region and rural designation.
Additional links: Summary
Date: 2025
Sponsoring organization: Maryland Department of Health
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Assessing SNAP Participants' Fitness for Work: Final Report
Examines how assessments are made and implemented regarding Supplemental Nutrition Assistance Program (SNAP) work requirements. Discusses variations of work requirements for able-bodied adults without dependents (ABAWDs) across 4 case study states: Georgia, Maryland, Texas, and Wisconsin. Includes SNAP applicant characteristics and determinations for work requirements by demographic information and urbanicity of metropolitan, micropolitan, or rural. Provides feedback from rural SNAP staff regarding difficulties assessing SNAP participants' fitness for work.
Additional links: Appendices, Summary
Author(s): Chrissy Steigelman, Irma Castañeda, Jackie Kauff, Katherine Allison-Clark, Johnny Willing
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
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Examines how assessments are made and implemented regarding Supplemental Nutrition Assistance Program (SNAP) work requirements. Discusses variations of work requirements for able-bodied adults without dependents (ABAWDs) across 4 case study states: Georgia, Maryland, Texas, and Wisconsin. Includes SNAP applicant characteristics and determinations for work requirements by demographic information and urbanicity of metropolitan, micropolitan, or rural. Provides feedback from rural SNAP staff regarding difficulties assessing SNAP participants' fitness for work.
Additional links: Appendices, Summary
Author(s): Chrissy Steigelman, Irma Castañeda, Jackie Kauff, Katherine Allison-Clark, Johnny Willing
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
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Patient Perspectives on Cancer Care during COVID-19: A Qualitative Study
Analyzes the COVID-19 pandemic's impact on cancer patients' care experiences and mental health. Utilizes interview data from 15 rural Maryland patients who received a cancer diagnosis or treatment between January 2020 and October 2022. Discusses access to care, consistency of care, telehealth use, social isolation, patient advocacy, COVID-19 precautions, and more.
Author(s): Krista Y. Chen, Olivia Stanford, Jennifer A. Wenzel, Robert L. Joyner, Adrian S. Dobs
Citation: PLoS ONE, 19(7), e0306035
Date: 07/2024
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Analyzes the COVID-19 pandemic's impact on cancer patients' care experiences and mental health. Utilizes interview data from 15 rural Maryland patients who received a cancer diagnosis or treatment between January 2020 and October 2022. Discusses access to care, consistency of care, telehealth use, social isolation, patient advocacy, COVID-19 precautions, and more.
Author(s): Krista Y. Chen, Olivia Stanford, Jennifer A. Wenzel, Robert L. Joyner, Adrian S. Dobs
Citation: PLoS ONE, 19(7), e0306035
Date: 07/2024
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Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
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Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
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Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Evaluating the Connection Between Rural Travel Time and Health: A Cross-Sectional Analysis of Older Adults Living in the Northeast United States
Presents a study that explores the travel time to receive healthcare, use of preventive care, and overall health outcomes for rural adults over 50 in the Northeastern U.S. Bases findings on a survey rural adults living in 7 states in the Northeast and breaks down data by age and household income, among other measures.
Author(s): Madison Hearn, Casey Pinto, Jennifer L. Moss
Citation: Journal of Primary Care and Community Health, 15, 21501319241266114
Date: 01/2024
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Presents a study that explores the travel time to receive healthcare, use of preventive care, and overall health outcomes for rural adults over 50 in the Northeastern U.S. Bases findings on a survey rural adults living in 7 states in the Northeast and breaks down data by age and household income, among other measures.
Author(s): Madison Hearn, Casey Pinto, Jennifer L. Moss
Citation: Journal of Primary Care and Community Health, 15, 21501319241266114
Date: 01/2024
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