Rural Health
Resources by Topic: Frontier and remote areas
Assessing Environmental, Nutritional, and Genetic Factors for Otitis Media-Related Hearing Loss in Rural Alaska Native Children
Highlights a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Norton Sound region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Samantha Kleindienst Robler, Alyssa Platt, Rolvix H Patterson, et al.
Citation: Ear & Hearing, 47(2), 404-416
Date: 03/2026
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Highlights a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Norton Sound region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Samantha Kleindienst Robler, Alyssa Platt, Rolvix H Patterson, et al.
Citation: Ear & Hearing, 47(2), 404-416
Date: 03/2026
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Understanding Risk Factors for Otitis Media in Rural Alaska Native Children: A Cohort Study
Presents a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Bering Strait region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Rolvix H Patterson, Susan D Emmett, Kelli L Scheinman, et al.
Citation: Ear & Hearing, 47(2), 417-428
Date: 03/2026
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Presents a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Bering Strait region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Rolvix H Patterson, Susan D Emmett, Kelli L Scheinman, et al.
Citation: Ear & Hearing, 47(2), 417-428
Date: 03/2026
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Working Across Contexts: Critical Events in Rural Teletherapy in Alaska
Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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A Novel Approach to Incorporate Frontier Areas Into Urban–Rural Geographic Classifications: Integrated Metropolitan-to-Frontier Area Codes
Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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Advocating for Incorporating Public Veterinary Health Care Into Human Health Systems
Explores the human health impacts of a public veterinary health program in rural tribal communities in Alaska. Highlights the health concerns from stray dog populations in tribal communities and remote areas that lack veterinarian services. Details impact on rates of dog bites, rabies, and other zoonotic pathogens.
Author(s): Laurie Meythaler-Mullins, Cheryl Eia, Allyce H. Lobdell, Danielle M. Frey
Citation: Frontiers in Veterinary Science, 12
Date: 10/2025
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Explores the human health impacts of a public veterinary health program in rural tribal communities in Alaska. Highlights the health concerns from stray dog populations in tribal communities and remote areas that lack veterinarian services. Details impact on rates of dog bites, rabies, and other zoonotic pathogens.
Author(s): Laurie Meythaler-Mullins, Cheryl Eia, Allyce H. Lobdell, Danielle M. Frey
Citation: Frontiers in Veterinary Science, 12
Date: 10/2025
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Rural & Safety Net Health Facilities in Arizona
Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers. Highlights FORHP rural area and USDA frontier and remote area definitions.
Date: 10/2025
Sponsoring organization: Arizona Center for Rural Health
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Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers. Highlights FORHP rural area and USDA frontier and remote area definitions.
Date: 10/2025
Sponsoring organization: Arizona Center for Rural Health
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Rural Life, Rural Healthcare, and Telehealth: An Interpretive Phenomenology Study
Explores themes related to healthcare access, telehealth use, and rural life contexts among 16 adults in rural and remote areas of California. Details interviewee perceptions of healthcare availability, geographic and environmental influences on healthcare access, benefits and drawbacks of telehealth use, and more.
Author(s): Meghan Rowe Ferrara, Susan A. Chapman
Citation: Rural Sociology, 90(3), e70016
Date: 08/2025
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Explores themes related to healthcare access, telehealth use, and rural life contexts among 16 adults in rural and remote areas of California. Details interviewee perceptions of healthcare availability, geographic and environmental influences on healthcare access, benefits and drawbacks of telehealth use, and more.
Author(s): Meghan Rowe Ferrara, Susan A. Chapman
Citation: Rural Sociology, 90(3), e70016
Date: 08/2025
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The Current Landscape of Rural, Remote, and Frontier Mental Health in America
Factsheet highlights a number factors in rural and frontier communities that affect mental health access. Discusses population-based considerations, barriers to access, and education and training.
Date: 07/2025
Sponsoring organization: American Psychological Association
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Factsheet highlights a number factors in rural and frontier communities that affect mental health access. Discusses population-based considerations, barriers to access, and education and training.
Date: 07/2025
Sponsoring organization: American Psychological Association
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Care Packages to Promote Universal Suicide Prevention for Remote Alaska Native Communities: What Worked?
Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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Nevada Rural and Frontier Health Data Book - Twelfth Edition
Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Simran Kaur, et al.
Date: 01/2025
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Simran Kaur, et al.
Date: 01/2025
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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