Rural Health
Resources by Topic: Dementia
People Living with Dementia in Rural Areas Are Most Likely to Report Unmet Service Needs in Home- and Community-based Services in the United States
Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Rural and Non‐Rural U.S. Veterans Receiving Virtual Geriatric Mental Health Services in the Clinical Resource Hubs
Explores how the use of telehealth geriatric mental health services varies among rural and non-rural veterans within the Veterans Health Administration Clinical Resource Hub system, using 2021-2023 electronic health record data of 2,013 veterans aged 50 or older.
Author(s): Christine E. Gould, Chalise Carlson, Susan K. Schultz, et al.
Citation: Psychiatric Research and Clinical Practice
Date: 10/2026
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Explores how the use of telehealth geriatric mental health services varies among rural and non-rural veterans within the Veterans Health Administration Clinical Resource Hub system, using 2021-2023 electronic health record data of 2,013 veterans aged 50 or older.
Author(s): Christine E. Gould, Chalise Carlson, Susan K. Schultz, et al.
Citation: Psychiatric Research and Clinical Practice
Date: 10/2026
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Increasing Cardiovascular Disease Risk Predicts Faster Cognitive Decline: A Bayesian Analysis of a Cohort of Adults in Rural West Texas
Analyzes associations between atherosclerotic cardiovascular disease risk and cognitive decline over time using longitudinal cohort data of 383 rural-dwelling adults aged 40+ in West Texas.
Author(s): Chathurika S. Dhanasekara, Chanaka N. Kahathuduwa, Volker Neugebauer
Citation: The Journal of Prevention of Alzheimer's Disease, 13(9)
Date: 08/2026
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Analyzes associations between atherosclerotic cardiovascular disease risk and cognitive decline over time using longitudinal cohort data of 383 rural-dwelling adults aged 40+ in West Texas.
Author(s): Chathurika S. Dhanasekara, Chanaka N. Kahathuduwa, Volker Neugebauer
Citation: The Journal of Prevention of Alzheimer's Disease, 13(9)
Date: 08/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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When Policy Exists but Practice Fails: Rethinking Cognitive Screening as a Public Health Delivery Problem
An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Alabama Vital Statistics, 2023
Statistics on births, deaths, marriage, and population in Alabama in 2023. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 04/2026
Sponsoring organization: Alabama Public Health
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Statistics on births, deaths, marriage, and population in Alabama in 2023. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 04/2026
Sponsoring organization: Alabama Public Health
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Agricultural Injuries With Dementia: Double Whammy?
Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Citation: American Journal of Industrial Medicine, 69(7), 585-582
Date: 04/2026
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Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Citation: American Journal of Industrial Medicine, 69(7), 585-582
Date: 04/2026
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Rural-Urban Differences in Homebound Status by Health and Functional Limitations
Results of a study describing how rates of being homebound differ between rural and urban older adults by specific health indicators. Features statistics with breakdowns by chronic condition and rural or urban residence.
Author(s): Carrie Henning-Smith, Dionne Bailey, Megan Lahr, Katie Rydberg
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study describing how rates of being homebound differ between rural and urban older adults by specific health indicators. Features statistics with breakdowns by chronic condition and rural or urban residence.
Author(s): Carrie Henning-Smith, Dionne Bailey, Megan Lahr, Katie Rydberg
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Health Care Policy Solutions for California's Older Adults
Describes healthcare disparities for rural older adults in California and offers policy recommendations to address those disparities. Discusses the healthcare workforce, workforce training, navigating complex systems, age-friendly care, care coordination, transportation, digital health, and community-based support and resources.
Author(s): Pauline DeLange Martinez, Elizabeth Bogumil, Helen Miltiades, et al.
Date: 11/2025
Sponsoring organizations: The SCAN Foundation, UC Davis Health
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Describes healthcare disparities for rural older adults in California and offers policy recommendations to address those disparities. Discusses the healthcare workforce, workforce training, navigating complex systems, age-friendly care, care coordination, transportation, digital health, and community-based support and resources.
Author(s): Pauline DeLange Martinez, Elizabeth Bogumil, Helen Miltiades, et al.
Date: 11/2025
Sponsoring organizations: The SCAN Foundation, UC Davis Health
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