Rural Health
Resources by Topic: Health disparities
Rural Health Disparities in Hawai'i
Highlights rural health disparities in Hawaii related to overall health perception, physical health, and mental health. Includes discussion of disparities within rural areas for people with disabilities and people with incomes below the poverty line. Offers rural and urban comparisons, sociodemographic characteristics of surveyed individuals, and policy implications for study findings.
Author(s): Daniela Bond-Smith, Steven Bond-Smith, Ruben Juarez
Date: 08/2024
Sponsoring organizations: The Economic Research Organization at the University of Hawai'i, UH Rural Health Research and Policy Center
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Highlights rural health disparities in Hawaii related to overall health perception, physical health, and mental health. Includes discussion of disparities within rural areas for people with disabilities and people with incomes below the poverty line. Offers rural and urban comparisons, sociodemographic characteristics of surveyed individuals, and policy implications for study findings.
Author(s): Daniela Bond-Smith, Steven Bond-Smith, Ruben Juarez
Date: 08/2024
Sponsoring organizations: The Economic Research Organization at the University of Hawai'i, UH Rural Health Research and Policy Center
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Examining Rurality and Social Determinants of Health among Women with GDM: A 15-Year Comprehensive Population Analysis
Examines maternal demographic characteristics, including rurality, and risk of gestational diabetes mellitus (GDM) development over time. Utilizes birth record vital statistics of 589,605 women with live births in Kansas from 2005 to 2019. Compares rural and urban trends in maternal overweight, obesity, and GDM.
Author(s): Umama Ali, Laila Cure, Rhonda K. Lewis, et al.
Citation: BMC Women's Health, 24, 467
Date: 08/2024
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Examines maternal demographic characteristics, including rurality, and risk of gestational diabetes mellitus (GDM) development over time. Utilizes birth record vital statistics of 589,605 women with live births in Kansas from 2005 to 2019. Compares rural and urban trends in maternal overweight, obesity, and GDM.
Author(s): Umama Ali, Laila Cure, Rhonda K. Lewis, et al.
Citation: BMC Women's Health, 24, 467
Date: 08/2024
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Hawai'i Strategic Framework Partnerships for Success: Community Health Assessment
Examines substance use in Hawai'i, including discussion of trends, risks, and protective factors. Utilizes 2021 Hawai'i State Epidemiologic Report and County Profiles data. Identifies use and treatment disparities experienced by Native Hawaiians, rural populations, and other underserved groups.
Date: 08/2024
Sponsoring organization: State of Hawaii Department of Health (DOH) Alcohol and Drug Abuse Division (ADAD)
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Examines substance use in Hawai'i, including discussion of trends, risks, and protective factors. Utilizes 2021 Hawai'i State Epidemiologic Report and County Profiles data. Identifies use and treatment disparities experienced by Native Hawaiians, rural populations, and other underserved groups.
Date: 08/2024
Sponsoring organization: State of Hawaii Department of Health (DOH) Alcohol and Drug Abuse Division (ADAD)
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Advancing Health Equity through Primary Care Policy: Priorities and Recommendations for California
Provides policy recommendations to improve access to primary care and improve health equity in California, summarizing perspectives and conclusions from policy, primary care, and health equity experts who participated in the 2023 Summit on Primary Care Policy to Advance Health Equity. Covers topics including engagement with community organizations, workforce development, access to care, data sharing, payment, and accountability. Discusses people who live in rural areas and other underserved populations throughout.
Author(s): Diane Rittenhouse, Rebeckah Muratore, Alexandra Ament, Deliya Wesley, Katie Morrison Lee
Date: 08/2024
Sponsoring organization: California Health Care Foundation
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Provides policy recommendations to improve access to primary care and improve health equity in California, summarizing perspectives and conclusions from policy, primary care, and health equity experts who participated in the 2023 Summit on Primary Care Policy to Advance Health Equity. Covers topics including engagement with community organizations, workforce development, access to care, data sharing, payment, and accountability. Discusses people who live in rural areas and other underserved populations throughout.
Author(s): Diane Rittenhouse, Rebeckah Muratore, Alexandra Ament, Deliya Wesley, Katie Morrison Lee
Date: 08/2024
Sponsoring organization: California Health Care Foundation
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Discharge Disposition for Home Health Care Patients with Alzheimer's Disease and Related Dementia: The Role of Living Arrangements and Rural Living
Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health, 41(1)
Date: 08/2024
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Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health, 41(1)
Date: 08/2024
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Disparities Impact Statement
Guidance for healthcare providers and other healthcare focused organizations to identify and address health disparities among various people groups including rural and tribal communities. Offers a 5 step process for developing an action plan by identifying disparities, defining health equity goals, establishing a health equity strategy, determining organizational needs, and tracking progress.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guidance for healthcare providers and other healthcare focused organizations to identify and address health disparities among various people groups including rural and tribal communities. Offers a 5 step process for developing an action plan by identifying disparities, defining health equity goals, establishing a health equity strategy, determining organizational needs, and tracking progress.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trends in Pancreatic Cancer Mortality in the United States 1999–2020: A CDC Database Population-Based Study
Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
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Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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The Rural Mortality Penalty in U.S. Hospital Patients with COVID-19
Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
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Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
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Exposure to Climate Events and Mental Health: Risk and Protective Factors from the California Health Interview Survey
Examines the association between personal characteristics and negative mental health effects following exposure to extreme weather, utilizing data from the 2021 California Health Interview survey. Analyzes characteristics including age, race, sex, education, housing stability, neighborhood safety, level of rurality, and more.
Author(s): Daniel Zhao, Elissa Epel, Elaine Allen, Alison R. Hwong
Citation: PLoS Climate, 3(8), e0000387
Date: 08/2024
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Examines the association between personal characteristics and negative mental health effects following exposure to extreme weather, utilizing data from the 2021 California Health Interview survey. Analyzes characteristics including age, race, sex, education, housing stability, neighborhood safety, level of rurality, and more.
Author(s): Daniel Zhao, Elissa Epel, Elaine Allen, Alison R. Hwong
Citation: PLoS Climate, 3(8), e0000387
Date: 08/2024
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