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Rural Health Information Hub

Rural Health
Resources by Topic: Health conditions

Bridging the Urban-Rural Divide in Chronic Disease Through Community Engagement in Health Program Delivery
Discusses health disparities in rural versus urban communities in North Carolina and possible solutions for community-centered change. Includes charts and maps that detail rural-urban differences in mortality, heart disease, and housing problems.
Author(s): Lori Carter-Edwards, Monica M. Taylor
Citation: North Carolina Medical Journal, 83(2), 103-106
Date: 03/2022
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Midwest Rural-Urban Disparities in Use of Patient Online Services for Covid-19
Examines patient portal messaging utilization in a Midwest health system based on data from over 1 million messages generated between February 2020 and August 2020 by rural and urban users. Includes breakdown of user data along rural versus urban and demographic lines. Discusses rural disparities related to virtual care, such as using portal messaging for COVID-19 diagnosis and treatment versus pandemic isolation and anxiety.
Author(s): Ming Huang, Andrew Wen, Huan He, et al.
Citation: Journal of Rural Health, 38(4), 908-915
Date: 03/2022
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Health Status of New Mexico 2020
Slide deck providing regional and rural-urban comparisons of income, education level, healthcare coverage, health status, health behaviors, chronic conditions, substance use, mental health, and more based on various New Mexico Department of Health datasets.
Date: 03/2022
Sponsoring organization: New Mexico Department of Health
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Data Elements for Research on the Role of Social Determinants of Health in Coronavirus Disease 2019 Infection and Outcomes in the U.S.
Reviews 27 studies published between December 2019 and August 2021 to explore how social determinants of health (SDOH) are related to outcomes of COVID-19. Focuses on modifiable SDOH such as income, housing, health insurance status, and food insecurity, among others. Examines rural and urban settings in data analysis as possible predictors of COVID-19 outcomes.
Author(s): Katherine K. Kim, Hibah K. Qudsi, Heather M. Halter, et al.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Assessment of Structural Barriers and Racial Group Disparities of COVID-19 Mortality With Spatial Analysis
Explores social determinants of health such as minority status, income inequality, and lack of health insurance, among others, and their relationship to COVID-19 mortality rates. Analyzes data from rural, suburban, and urban counties across all 50 states from January 2020 to February 2021. Includes demographic data such as age, race and ethnicity, socioeconomic advantage index, and more.
Author(s): Qinyun Lin, Susan Paykin, Dylan Halpern
Citation: JAMA Network Open, 5(3)
Date: 03/2022
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Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties — United States, December 14, 2020–January 31, 2022
Examines COVID-19 vaccination disparities between urban and rural people 5 years of age and older. Discusses factors that may have contributed to vaccination disparities, including healthcare access, views about COVID-19 specifically, and vaccine hesitancy more generally. Provides data based on a 6-level urban-rural classification and a 2-level urban-rural classification, with vaccination coverage by sex, age group, and state. Also includes data on vaccine series completion and receipt of a booster or additional dose.
Author(s): Ryan Saelee, Elizabeth Zell, Bhavini Patel Murthy, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(9), 335-340
Date: 03/2022
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 and Alabama's Black Belt
Issue brief examining COVID-19 impacts on the Black Belt region of Alabama and rural Alabama in general, highlighting health outcome disparities. Addresses chronic diseases affecting residents of the Black Belt, access to primary care physicians, and policy recommendations to support healthcare in the region.
Author(s): Emily Grace Corley, Garrett Till, Sean O'Brien, Stephen G. Katsinas, Nathaniel J. Bray
Date: 03/2022
Sponsoring organization: The University of Alabama Education Policy Center
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Hawaii 2021 Community Health Needs Assessment
Reports on Hawaii's triennial community health needs assessment. Addresses access to healthcare, transportation challenges, healthy food access, cultural competency, social determinants of health, current health status, and more. Discusses impact of COVID-19 on the community. Includes discussions of rural-specific challenges and perspectives from Native Hawaiians.
Additional links: Addendum to the 2021 Community Health Needs Assessment: Additional Tracking of Secondary Data
Date: 03/2022
Sponsoring organization: Healthcare Association of Hawaii
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Healthy Alaskans 2030: State Health Improvement Plan
Provides an overview of the statewide health improvement plan and details the 30 health objectives to be met by 2030. Highlights objectives related to mental health, chronic disease incidence, healthcare access, disparities, and social determinants of health, among others.
Date: 02/2022
Sponsoring organizations: Alaska Department of Health, Alaska Native Tribal Health Consortium
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Assessing the Health Outcomes of the Food Access Pilot Project: An Evaluation of a Medically Supportive Food Support Program for People Living with HIV in Rural California Counties
Examines the effect of the Food Access Pilot Project (FAPP), which provided prepared meals or meal kits to food-insecure HIV-positive people, on HIV viral load, CD4 count, and food security among 158 participants in California's Humboldt, Napa, and San Joaquin counties.
Author(s): Linda Yu, Amee Madura, Claudia Gil, Paul Hepfer, Kartika Palar
Citation: AIDS and Behavior, 26, 2613-2622
Date: 02/2022
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