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Rural Health
Resources by Topic: Children and youth

Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Small Area Income and Poverty Estimates: Release Highlights of 2022
Provides a U.S. map of 2022 median household income by county. Includes related visualizations such as percent change of median household income from 2021 to 2022, poverty rate by county, percent of school-age children in poverty, and more.
Date: 12/2023
Type: Website
Sponsoring organization: U.S. Census Bureau
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Effects of Rurality and Distance to Care on Perinatal Outcomes over a 1-Year Period During the COVID-19 Pandemic
Examines how rurality and/or distance to care impacts perinatal outcomes such as pre-eclampsia, preterm labor, neonatal intensive care, birth weight, and more. Analyzes outcomes from 2,497 patients during the COVID-19 pandemic period of May 1, 2020 to April 30, 2021, with results broken down by distance to care and metropolitan, micropolitan, or rural location.
Author(s): Pratyusha V. Bujimalla, Kimberly A. Kenne, Haley A. Steffen, et al.
Citation: Journal of Rural Health
Date: 12/2023
Type: Document
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Urban and Rural Healthcare Providers' Perspectives on HPV Vaccination in Minnesota
Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
Type: Document
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Poverty Rate of the Population Under 18 by County: 2022
Map of the United States displaying the poverty rate for people under age 18 by county using estimated data produced by statistical model-based methods using sample survey, decennial census, and other administrative data sources from the Small Area Income and Poverty Estimates (SAIPE) Program.
Date: 12/2023
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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Engaging Families and Providers When Aligning Early Childhood and Medicaid Systems: State Lessons
Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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The 2023 Annual Homeless Assessment Report (AHAR) to Congress
Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January 2023. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Author(s): Tanya de Sousa, Alyssa Andrichik, Ed Prestera,et al.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Emergency Department Care for Children During the 2022 Viral Respiratory Illness Surge
Analyzed over 2.7 million pediatric viral and respiratory emergency department visits in Michigan in 2021 and 2022 to describe wait times, length of stay, and revisits in both surge and non-surge periods. Includes rural and urban comparisons.
Author(s): Alexander T. Janke, Courtney W. Mangus, Christopher M. Fung, et al.
Citation: JAMA Network Open, 6(12)
Date: 12/2023
Type: Document
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Nevada Resident Births by Medicaid Enrollment, State of Nevada and Nevada Medicaid Including Nevada Check Up
Offers data comparing Nevada births for Medicaid enrollees to the state of Nevada between 2018 and 2022. Includes rural-specific data.
Date: 12/2023
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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