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Rural Health
Resources by Topic: Health disparities

Social Medicine in Practice: Realizing the American Indian and Alaska Native Right to Health
Explores the health disparities facing American Indian and Alaska Native populations and the social determinants of health specific to Native nations. Features a case study of the Maniilaq Social Medicine Program (SMP) in Alaska, which aims to address Native health disparities.
Author(s): Lucas Trout, Corina Kramer, Lois Fischer
Citation: Health and Human Rights Journal, 20(2), 19–30
Date: 12/2018
Type: Document
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Disparities in Social Determinants of Health Outcomes and Behaviours Between Older Adults in Alaska and the Contiguous US: Evidence from a National Survey
Examines sociodemographic factors, rural versus urban residence, health outcomes, and behaviors among adults aged 65 years and older living in Alaska to those living in the contiguous 48 states. Assesses if residence, living in Alaska versus the lower 48 states, is associated with the social determinants of health and health outcomes.
Author(s): Steven A. Cohen, Ana X. Talamas, Natalie J. Sabik
Citation: International Journal of Circumpolar Health, 78(1)
Date: 12/2018
Type: Document
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Broken Promises: Continuing Federal Funding Shortfall for Native Americans
Updates the 2003 report, A Quiet Crisis: Federal Funding and Unmet Needs in Indian Country, evaluating federal spending on Native American programs, including those related to healthcare, housing, education, infrastructure, criminal justice, and economic development. Provides policy recommendations addressing funding, tribal sovereignty, and data collection.
Date: 12/2018
Type: Document
Sponsoring organization: U.S. Commission on Civil Rights
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Health Insurance Coverage for Women of Reproductive Age, 2013-16
Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Type: Document
Sponsoring organization: Urban Institute
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How Far Americans Live from the Closest Hospital Differs by Community Type
Features an examination of the differences in the distance traveled between home and the nearest hospital for communities across the nation. Compares the travel time in rural, urban, and suburban areas, as well as by census region.
Date: 12/2018
Type: Document
Sponsoring organization: Pew Research Center
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South Carolina State Health Improvement Plan 2018-2023
Describes a plan for public health improvement in South Carolina, including discussion of priorities, strategies, and metrics. Highlights topics including child welfare, chronic conditions, and behavioral health. Discusses the South Carolina Rural Health Action Plan, including discussion of rural healthcare access and determinants of health on pages 51-65.
Additional links: South Carolina Rural Health Action Plan
Date: 11/2018
Type: Document
Sponsoring organization: Alliance for a Healthier South Carolina (AHSC)
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Emergency Department Utilization by Native American Children
Examines pediatric emergency department (ED) utilization in Native American (NA) populations in urban and rural areas. Analyzes 8,294 visits by 5,275 NA patients and 44,503 visits by 33,945 White patients across 6 EDs between 2011-2012 to observe health disparities in different areas and populations. Includes data breakdowns of ED patient demographics and characteristics according to rural, mid-size urban, and large urban location.
Author(s): Heather G. Zook, Anupam B. Kharbanda, Susan E. Puumala, et al.
Citation: Pediatric Emergency Care, 34(11), 802-809
Date: 11/2018
Type: Document
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Rates of Obesity and Obesogenic Behaviors of Rural Appalachian Adolescents: How Do They Compare to Other Adolescents or Recommendations?
Evaluates data from a sample of Appalachian adolescents in Ohio to compare obesity and related behaviors to that of the national adolescent population. Includes comparisons for body mass index (BMI), mean body fat percentage, daily physical activity behaviors, and sugar-sweetened beverage consumption.
Author(s): Laureen H. Smith, Devin Laurent, Erica Baumker, Rick L. Petosa
Citation: Journal of Physical Activity and Health, 15(11), 874-881
Date: 11/2018
Type: Document
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Rural-Urban Differences in Cancer Incidence and Trends in the United States
Examines the North American Association of Central Cancer Registries' public use dataset to compare rural and urban population-based cancer incidence rates from 2009-2013 and trends from 1995-2013. Explores factors associated with rural cancer disparities, including demographic, geographic, and socioeconomic characteristics as well as exposure to carcinogens, like tobacco and HPV.
Author(s): Whitney E. Zahnd, Aimee S. James, Wiley D. Jenkins, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1265-1274
Date: 11/2018
Type: Document
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Utility and Generalizability of Multi-State, Population-Based Cancer Registry Data for Rural Cancer Surveillance Research in the United States
Analyzes various cancer registries to determine the usability of these sources in rural cancer surveillance research. Includes data from 2009-2013 on rural and urban cancer incidence rates by cancer site and race/ethnicity.
Author(s): Whitney Zahnd, Wiley Jenkins, Aimee James, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1252-1260
Date: 11/2018
Type: Document
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