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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Diabetes Disparities In Illinois
Examines inequalities between access to Chronic Disease Self-Management Program (CDSMP) locations in urban areas and those in underresourced or rural areas. Includes a county-level map showing Illinois Health Care Centers and CDSMP locations with breakdowns by county diabetes prevalence.
Author(s): Taylor Jansen, Liliana Aguayo, James Whitacre, et al.
Citation: Preventing Chronic Disease, 16
Date: 02/2019
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Putting Patients First: Today's Disparities Research Leading to Health Equity Tomorrow
Editorial describing efforts of the Centers for Medicare & Medicaid Services to promote health equity in urban and rural areas, through increasing awareness of disparities, developing solutions, and implementing actions. Summarizes articles included in a special Health Services Research issue devoted to health disparities research.
Author(s): Cara V. James
Citation: Health Services Research, 54(1), Part II, 203-205
Date: 02/2019
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TIP 61: Behavioral Health Services for American Indians and Alaska Natives
Presents guidelines from the Substance Abuse and Mental Health Services Administration (SAMHSA) for behavioral health providers serving American Indians and Alaska Natives. Features a discussion of the behavioral health disparities facing tribal communities and provides guidance for the development and implementation of culturally competent treatment practices. Includes an executive summary and literature review.
Date: 02/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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National Racial/Ethnic and Geographic Disparities in Experiences with Health Care Among Adult Medicaid Beneficiaries
Investigates whether experiences of adult Medicaid beneficiaries differ by race or ethnicity and rural or urban status, using data from 270,243 respondents to the 2014‐2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems Survey. Features statistics with breakdowns by large urban, small urban, or small town locations.
Author(s): Steven C. Martino, Megan Mathews, Denis Agniel, Nate Orr, Shondelle Wilson-Frederick, et al.
Citation: Health Services Research, 54(1), Part II, 287-296
Date: 02/2019
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Adults With Diabetes Residing in "Food Swamps" Have Higher Hospitalization Rates
Measures the ratio of fast food outlets to grocers in 784 locations across 15 states, and estimates the association of food swamp severity and hospitalization rates. Includes statistics with breakdowns by mostly urban, mostly rural, and completely rural locations.
Author(s): Aryn Z. Phillips, Hector P. Rodriguez
Citation: Health Services Research, 54(1), Part II, 217-225
Date: 02/2019
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Neighborhood Disadvantage and Chronic Disease Management
Assesses the relationship between neighborhood disadvantage and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage population. Features demographic statistics with breakdowns by 6 levels of population density.
Author(s): Shayla N.M. Durfey, Amy J.H. Kind, William R. Buckingham, Eva H. DuGoff, Amal N. Trivedi
Citation: Health Services Research, 54(1), Part II, 206-216
Date: 02/2019
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Health Services Research Special Issue - Putting Patients First: Today's Disparity Research Leading to Health Equity Tomorrow
Special issue including articles on chronic disease in rural areas compared with urban areas, the connection between all-cause hospitalizations and residence in rural food swamps, patient experience across racial and ethnic groups and geographic areas, access to healthcare, and the impact on rural areas where Medicaid was not expanded under the Affordable Care Act. Features statistics with breakdowns by urban and rural locations.
Citation: Health Services Research, 54(1), Part II
Date: 02/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Practicing Medicine in Rural America: Listening to Primary Care Physicians
Reports on focus group research and interviews with primary care physicians regarding the challenges of serving rural, low-income patients. Highlights issues related to poverty, healthy food access, mental health, substance abuse, specialty care access, and transportation. Third post in the series "Listening to Primary Care Physicians for Low-Income Patients."
Author(s): Shanoor Seervai
Date: 02/2019
Sponsoring organization: Commonwealth Fund
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The Association of Socioeconomic Status with Receipt of Neoadjuvant Chemotherapy
Results of a study of women diagnosed with breast cancer at 8 institutions in 2013-2014, examining whether use of neoadjuvant chemotherapy instead of adjuvant chemotherapy varies by nonclinical factors such as patient socioeconomic status or rural residence. Features demographic statistics with breakdown by rural residence.
Author(s): Joan M. Neuner, Amanda Kong, Ann Blaes, et al.
Citation: Breast Cancer Research and Treatment, 173(1), 179-188
Date: 01/2019
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Growth and Persistence of Place-Based Mortality in the United States: The Rural Mortality Penalty
Examines CDC online epidemiologic research data from 1970 to 2016 for urban and rural county mortality trends. Uses U.S. Census data and Bureau of Economic Analysis data to investigate the effects of rurality and other demographic factors on mortality.
Author(s): Arthur G. Cosby, M. Maya McDoom-Echebiri, Wesley James, et al.
Citation: American Journal of Public Health, 109(1), 155–162
Date: 01/2019
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