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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Partnering with Schools to Increase HPV Vaccine Coverage in Rural Communities along the U.S.-Mexico Border
Describes a human papillomavirus (HPV) vaccination program which coordinated on-campus, no-cost vaccination events for students at middle schools in rural, underserved communities in Texas's Lower Rio Grande Valley. Describes barriers to access experienced by families in the U.S.-Mexico border region.
Author(s): Jane Montealegre
Date: 10/2023
Sponsoring organization: St. Jude Children's Research Hospital
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Formative Evaluation of Colorectal Cancer Screening Practices at Two Hawaiʻi Rural Community Health Centers and One Urban Hospital
Reports on colorectal cancer screening (CRCS) practices in 2 rural community health centers and 1 urban hospital in Hawaii. Covers types of intervention provided, barriers and facilitators of CRCS, and recommendations for increasing CRCS. Identifies challenges related to rural access to care.
Author(s): David A. Stupplebeen, Whitney Watts
Date: 10/2023
Sponsoring organization: University of Hawaii and Mānoa Office of Public Health Studies
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Human Immunodeficiency Virus Diagnosis and Care among Adults with Intellectual and Developmental Disabilities Who Are Publicly Insured
Evaluates human immunodeficiency virus (HIV) testing, diagnosis, and care among adults with intellectual and developmental disabilities, utilizing 2012 Medicare-Medicaid data. Identifies disparities related to ethnicity, geography, and more, including regional and rural/nonrural comparisons.
Author(s): T.G. James, M.S. Argenyi, A. Gravino, T.W. Benevides
Citation: Journal of Intellectual Disability Research, 68(2), 150-163
Date: 10/2023
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2023 Survey of Rural Families and Summer Meal Service
Provides feedback from rural families regarding their use of summer meal services based on accessibility, transportation options, and location of meal site. Includes survey data focused on food access, grocery costs, congregate or non-congregate meal preference, factors related to meal pickup preferences, and travel concerns.
Additional links: Microreport, Slides
Date: 10/2023
Sponsoring organization: No Kid Hungry
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Evaluation of Employment Coaching for TANF and Related Populations: The Potential of Home-Based Employment Coaching to Support Economic Stability
Provides an overview of how home-based employment coaching has similar benefits to other home-based services, such as those related to parenting and child well-being. Discusses the Building Nebraska Families (BNF) program which took place in rural areas. Includes feedback on the importance of access in rural and remote communities.
Author(s): Emily Sama-Miller, Pamela Holcomb
Date: 10/2023
Sponsoring organization: Administration for Children and Families
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Bringing the Doctor to the Patients: Cardiology Outreach to Rural Areas
Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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North Carolina State Health Improvement Plan 2023
Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Breast and Colorectal Cancer Screening Utilization after Hurricane María and the COVID-19 Pandemic in Puerto Rico
Explores breast and colorectal cancer screening utilization rates in Puerto Rico after Hurricane Maria and the COVID-19 pandemic. Bases findings on Puerto Rico's Medicaid population and breaks down screening data by year from 2016-2021.
Author(s): Vivian Colón-López, Héctor M. Contreras-Mora, Cynthia M. Pérez
Citation: International Journal of Environmental Research and Public Health, 20(19), 6870
Date: 10/2023
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Key Informant Perspectives on Rural Housing and Health
Summarizes findings from interviews with key informants from 27 national organizations and federal agencies regarding rural-specific barriers to housing and identifies three themes: availability, age and quality of housing stock, and affordability. Describes impacts of rural housing challenges on health. Discusses policy recommendations for addressing housing-related issues to improve rural health.
Author(s): Megan Lahr, Katie Rydberg, Madeleine Pick, Mariana Tuttle, Carrie Henning-Smith
Date: 10/2023
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Health: Addressing Barriers to Care
An infographic that presents data on rural versus urban health disparities and barriers to healthcare in rural America. Includes interactive data on percentage of rural residents by state, rural life expectancy and chronic health conditions, hospital closures and lack of access to healthcare, rural workforce shortages, and more. Provides strategies to improve rural access to healthcare.
Author(s): Carrie Cochran-McClain
Date: 10/2023
Sponsoring organizations: National Institute for Health Care Management, National Rural Health Association
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