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Rural Health
Resources by Topic: Employment and unemployment

Self-Employed Workers Were Covered More Widely Across Health Insurance Sources, but Many Remained Uninsured
Bar chart comparing health insurance coverage type in 2018 for adults 26-64 who are self-employed and those employed by private firms or government. Includes metropolitan and nonmetro data for those covered by employer-based insurance, direct-purchase insurance, public insurance, and those without health insurance.
Date: 08/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Lack of Health Insurance Coverage Among Employed Individuals Increased As the COVID-19 Pandemic Intensified
Line chart showing the percent of workers who lacked health insurance from April 23, 2020 through December 21, 2020, with data for metropolitan and nonmetropolitan self-employed individuals and those otherwise employed.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Rural/Urban Differences in Access to Paid Sick Leave Among Full-time Workers
Features a study on the accessibility of paid sick leave for full-time workers in rural and urban areas. Discusses the negative health outcomes of lacking paid sick leave. Highlights correlative factors, such as educational attainment, age, race, and chronic conditions, among others.
Author(s): Carrie Henning-Smith, Janette Dill, Arianne Baldomero, Katy Backes Kozhimannil
Citation: Journal of Rural Health
Date: 07/2022
Type: Document
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Counties With High Levels of Self-Employed Workers Dominate the Great Plains and Upper Mountain West
Map showing metro and nonmetro counties with a proportion of self-employed workers in the top 25% for 2014-2018.
Date: 07/2022
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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Availability of Medical Doctors Favors Metropolitan Areas with Low Rates of Self-Employment
Line chart tracking the number of Medical Doctors (MDs) per 10,000 residents between 1960 and 2017, comparing metro and nonmetro areas of high self-employment and low self-employment. Uses data from the HRSA Bureau of Health Workforce, 2018-19 Area Health Resources File and American Community Survey 2018 5-year data.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rural Illinois in Numbers: Content-Valid Indicators for Governance
Reports on quality of life (QOL) measures in Illinois such as economic conditions, access to healthcare, educational attainment, crime rates, and more. Includes metro versus nonmetro comparisons using data spanning from 2000 to 2020.
Author(s): Adee Athiyaman
Date: 06/2022
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Rural–Urban Disparities in Health Access Factors Over Time: Implications for Cancer Prevention and Health Equity in the Midwest
Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382–389.
Date: 05/2022
Type: Document
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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Food Insecurity in Southwest Virginia
Policy brief exploring the intersectionality between food insecurity and socioeconomic status as well as COVID-19 impacts in Southwest Virginia (SWVA), a primarily-rural area with the highest food insecurity and lowest socioeconomic status in Virginia. Highlights the seriousness and complexity of food insecurity in SWVA and the need for future research. Features statistics comparing food insecurity rates and median household income in Grayson County and Loudoun County, and the relationship between labor force and unemployment rate between 2016-2022.
Author(s): Sety Abooali
Date: 05/2022
Type: Document
Sponsoring organization: Virginia State Office of Rural Health
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