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Rural Health
Resources by Topic: Children and youth

Factors Associated with Not Receiving HPV Vaccine among Adolescents by Metropolitan Statistical Area Status, United States, National Immunization Survey–Teen, 2016–2017
Examines 2016 and 2017 data from the National Immunization Survey - Teen (NIS-Teen) to better understand the sociodemographic factors for adolescents not initiating the human papillomavirus (HPV) vaccine series, including by metropolitan statistical area (MSA) status. Table 1 shares data on several sociodemographic and healthcare access factors by MSA for teens aged 13-17 that did not receive an HPV vaccine, including age, sex, immigration status, region of the U.S., parental information, vaccination facility type, and more.
Author(s): Charnetta L. Williams, Tanja Y. Walker, Laurie D. Elam-Evans, et al.
Citation: Human Vaccines & Immunotherapeutics, 16(3), 562-572
Date: 2020
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A Portrait of Louisiana 2020: Human Development in an Age of Uncertainty
Assesses well-being and access to opportunities among Louisiana residents by examining health disparities, access to healthy food, social determinants of health, racial inequality, and other topics. Provides human development index (HDI) scores for Louisiana state by sex, race, ethnicity, and parish.
Author(s): Kristen Lewis
Date: 2020
Sponsoring organization: Measure of America
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2020 Navajo Nation Maternal and Child Health Needs Assessment
Report documenting a Maternal and Child Health (MCH) Needs Assessment for the Navajo Nation reservation. Describes health status, healthcare system strengths and weaknesses, and uses a Navajo-specific cultural framework to discuss health outcomes in relation to environmental, community, family, and individual health. Offers data on demographics, environmental health, women's health, maternal health, perinatal and infant health, child health, and adolescent health.
Date: 2020
Sponsoring organizations: Arizona Department of Health Services, Navajo Nation Department of Health, Navajo Native American Research Centers for Health
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Sexual Health Among American Indian Youth in New Mexico
Fact sheet describing data from the 2017 New Mexico Youth Risk and Resiliency Survey on sexual health among Native American middle and high school students. Presents data on risk behaviors, chlamydia and gonorrhea rates, and condom use.
Date: 2020
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Development of a National Childhood Obesogenic Environment Index in the United States: Differences by Region and Rurality
Details the formation of a childhood obesogenic environment index (COEI), which was used to identify rural, urban, and other geographic differences in environmental factors associated with obesity. Variables used to calculate COEI scores include availability of fast-food restaurants, farmers markets, grocery stores, and other related facilities; access to exercise opportunities; violent crime; walkability; and more. Includes county-level data on COEI scores across the U.S.
Author(s): Andrew Kaczynski, Jan Eberth, Ellen Stowe, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 17(83)
Date: 2020
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The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue
Report highlights the opioid crisis in Hispanic/Latino populations. Details rates of illicit opioid use and prescription drug misuse, as well as overdose and death rates. Discusses measures taken in to provide treatment and prevention in Latino communities, including in rural and border areas.
Date: 2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Access to Autism Spectrum Disorder Services for Rural Appalachian Citizens
Summarizes the challenges of accessibility and affordability faced by residents of rural southwest Virginia as they seek services for Autism Spectrum Disorder (ASD). Highlights the effects of extreme poverty and the need for cultural sensitivity among service providers. Offers suggestions for policymakers and features demographic statistics on caregivers and providers.
Author(s): Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya
Citation: Journal of Appalachian Health, 2(1), 25-40
Date: 2020
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A Healthy Attitude: Rural Leaders in TN County Organize to Address Well-Being in Appalachia
Describes ways in which local leaders in Grundy County, Tennessee implemented programs to promote physical activity, support children and families, increase access to philanthropic resources, and establish a working relationship with a nearby university.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 60-64
Date: 2020
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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