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Rural Health
Resources by Topic: Health conditions

Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Stress, Health, and Injury Among Illinois Farmers
Highlights a study identifying and looking for correlations between work-related injuries, chronic health conditions, stress, and mental health conditions among agricultural producers in Illinois. Bases findings on a cross-sectional survey and breaks down data by demographics, farm characteristics, and physical and mental health issues, among other measures.
Author(s): Josie M. Rudolphi, Salah Issa, Courtney Cuthbertson, Kaleigh Barnett
Citation: American Journal of Industrial Medicine, 68(9), 761-771
Date: 09/2025
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Effectiveness of Nirsevimab among Infants in their First RSV Season in the United States, October 2023–March 2024: A Test-Negative Design Analysis
Analyzes the impact of the nirsevimab antibody for infants in their first respiratory syncytial virus (RSV) season. Utilizes 2023-2024 electronic health record (EHR) data from 6 healthcare systems to examine RSV-associated emergency department (ED) use and hospitalization according to patient demographics, social determinants of health, health conditions, and location on the rural-urban continuum.
Author(s): Amanda B. Payne, Steph Battan-Wraith, Elizabeth A.K. Rowley, et al.
Citation: The Lancet Regional Health - Americas, 49, 101196
Date: 09/2025
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Combined Prevalence of Chronic Conditions or Obesity for Adults in 2022
Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Precision Public Health Alliances as a Model and Method for Community Engagement
Examines the Precision Public Health Alliance (PPHA) approach of utilizing analytics to map social, demographic, and clinical comorbidity variables onto colorectal cancer (CRC) screening data in rural northeastern Kentucky and southeastern Ohio. Provides data on the relationship among sociodemographic information, clinical outcomes, and CRC screening to assess community needs. Discusses the importance of understanding social determinants of health (SDOH) and community collaboration when addressing population health.
Author(s): Margaret L. McGladrey, Mary Elizabeth Lacy, Kristen McQuerry, et al.
Citation: Frontiers in Public Health, 13
Date: 08/2025
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Community Navigation Intervention for Social Needs in Patients With Abnormal Mammography: A Randomized Controlled Trial Study Protocol
Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate the social need and change the likelihood of cancer patients with unmet social needs to complete their follow-up care. Discusses the importance of follow-up care in the treatment and prevention of cancer and the barriers individuals with unmet social needs face to receive it. Explores rurality as a potential barrier.
Author(s): Kirstin Beck, Mackenzie Mitchell, Andrea S. Wallace, et al.
Citation: BMC Public Health, 25, 2926
Date: 08/2025
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Evaluating the Impact of Altitudinal Variations on COVID-19 Mortality Rates: A Comprehensive Analysis
Examines the effects of high altitude on county-level COVID-19 mortality, fatality rates, and vaccination outcomes, utilizing January 2020-August 2022 New York Times COVID-19 repository and American Community Survey data. Includes data on fatality by level of rurality in the pre- and post-vaccination periods.
Author(s): Emre Karsli, Damla Anbarli Metin, Arda Kocatas, et al.
Citation: BMC Pulmonary Medicine, 25, 413
Date: 08/2025
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The Power of Prevention: "HPV Doesn't Wait – Why Should You?"
Discusses the Nebraska Cancer Coalition's "HPV Doesn't Wait - Why Should You?" public awareness campaign, which focuses on educating healthcare providers and community members throughout Nebraska on the value of human papillomavirus (HPV) vaccination. Details disparities in adolescent HPV vaccination rates in rural Nebraska and highlights the importance of rural outreach.
Author(s): Laura Schabloske, Tamara Robinson
Date: 08/2025
Sponsoring organization: St. Jude Children's Research Hospital
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Improving Access to Specialty Care for Rural Children Using Enhanced Hearing Screening and Specialty Telehealth Follow-Up in Rural Kentucky Schools: Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (Appalachian STAR Trial)
A study protocol for the Appalachian Specialty Telemedicine Access for Referrals (STAR) trial which aims to improve access to specialty hearing care for children living in rural Kentucky. Focuses on school hearing screenings of kindergartners and follow-up referrals to specialty care.
Author(s): Tarika Srinivasan, Samantha Kleindienst Robler, Elizabeth Turner, et al.
Citation: JMIR Research Protocols, 14
Date: 08/2025
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Drug Overdose Deaths in Kentucky, 2019–2024: Are We Back to Pre-COVID-19 Levels?
Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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