Rural Health
Resources by Topic: Health disparities
Supporting the Development of Young Children in American Indian and Alaska Native Communities Who Are Affected by Alcohol and Substance Exposure
Policy statement providing recommendations that promote the early development of American Indian and Alaska Native (AI/AN) children who have been exposed to alcohol and substance abuse during pregnancy or early childhood. Discusses best practices and reviews promising strategies that tribal early childhood programs can use to support children's development and wellness. Also points out health disparities that exist between tribes and the general U.S. population, and uses case studies to show where success has been achieved in reducing the destructive effects of substance abuse.
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Policy statement providing recommendations that promote the early development of American Indian and Alaska Native (AI/AN) children who have been exposed to alcohol and substance abuse during pregnancy or early childhood. Discusses best practices and reviews promising strategies that tribal early childhood programs can use to support children's development and wellness. Also points out health disparities that exist between tribes and the general U.S. population, and uses case studies to show where success has been achieved in reducing the destructive effects of substance abuse.
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Program
Uses Medicare data to examine the relationship between social risk factors and the performance of value-based purchasing programs. Discusses policy considerations that could help ensure value-based purchasing programs achieve their intended results, especially among high social risk populations. Categorizes rurality as a community risk factor and discusses whether beneficiaries with social risk factors such as rurality have worse outcomes due to their social risk profile, or because of the providers they see. Also provides rural-specific statistics and recommendations for using value-based purchasing to improve health outcomes among high social risk populations. Appendices summarize and provide additional details for each of the 9 programs evaluated. See the second report.
Additional links: Appendices
Date: 12/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Uses Medicare data to examine the relationship between social risk factors and the performance of value-based purchasing programs. Discusses policy considerations that could help ensure value-based purchasing programs achieve their intended results, especially among high social risk populations. Categorizes rurality as a community risk factor and discusses whether beneficiaries with social risk factors such as rurality have worse outcomes due to their social risk profile, or because of the providers they see. Also provides rural-specific statistics and recommendations for using value-based purchasing to improve health outcomes among high social risk populations. Appendices summarize and provide additional details for each of the 9 programs evaluated. See the second report.
Additional links: Appendices
Date: 12/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Exploring High Infant and Maternal Mortality Rates in the Rural U.S. with Dr. Ali Mokdad
An interview with Dr. Ali Mokdad discusses the reasons behind the United States' high infant and maternal mortality rates, with a focus on rural areas.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 10/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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An interview with Dr. Ali Mokdad discusses the reasons behind the United States' high infant and maternal mortality rates, with a focus on rural areas.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 10/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Emergent Public Health Issues in the US-Mexico Border Region
Features articles on public health issues and disparities in the U.S.-Mexico border region. Covers mental health disorders, maternal and child health, diseases, accidents, access to care, and more.
Date: 10/2016
Type: Document
Sponsoring organization: Arizona Office of Border Health
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Features articles on public health issues and disparities in the U.S.-Mexico border region. Covers mental health disorders, maternal and child health, diseases, accidents, access to care, and more.
Date: 10/2016
Type: Document
Sponsoring organization: Arizona Office of Border Health
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Challenges and Promise of Health Equity for Native Hawaiians
Illustrates the status of health equity for Native Hawaiians by describing their population characteristics, and health and social disparities. Identifies effective programs developed to address health disparities, and offers recommendations to improve health equity.
Author(s): Noreen Mokuau, Patrick H. DeLeon, Joseph Keawe'aimoku Kaholokula, et al.
Date: 10/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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Illustrates the status of health equity for Native Hawaiians by describing their population characteristics, and health and social disparities. Identifies effective programs developed to address health disparities, and offers recommendations to improve health equity.
Author(s): Noreen Mokuau, Patrick H. DeLeon, Joseph Keawe'aimoku Kaholokula, et al.
Date: 10/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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Listening to the Patient: Women Veterans' Insights About Health Care Needs, Access, and Quality in Rural Areas
Presents a study on rural women veterans' experiences accessing quality healthcare. Focus group results highlight issues pertaining to access to oral and mental healthcare, community-based supports services, and gender-specific care in rural communities.
Author(s): Elizabeth Brooks, Nancy K. Dailey, Byron D. Bair, Jay H. Shore
Citation: Military Medicine, 181(9), 976-981
Date: 09/2016
Type: Document
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Presents a study on rural women veterans' experiences accessing quality healthcare. Focus group results highlight issues pertaining to access to oral and mental healthcare, community-based supports services, and gender-specific care in rural communities.
Author(s): Elizabeth Brooks, Nancy K. Dailey, Byron D. Bair, Jay H. Shore
Citation: Military Medicine, 181(9), 976-981
Date: 09/2016
Type: Document
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Chronic Disease Disparities by County Economic Status and Metropolitan Classification, Behavioral Risk Factor Surveillance System, 2013
Examines health disparities in the U.S. using county economic data for unemployment, poverty, and per capita market income to compare metropolitan and nonmetropolitan counties' economic status with the prevalence of hypertension, arthritis, and self-rated health.
Author(s): Kate M. Shaw, Kristina A. Theis, Shannon Self-Brown, Douglas W. Roblin, Lawrence Barker
Citation: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Examines health disparities in the U.S. using county economic data for unemployment, poverty, and per capita market income to compare metropolitan and nonmetropolitan counties' economic status with the prevalence of hypertension, arthritis, and self-rated health.
Author(s): Kate M. Shaw, Kristina A. Theis, Shannon Self-Brown, Douglas W. Roblin, Lawrence Barker
Citation: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Analysis of Domestic Violence Services in Rural Pennsylvania
A study of domestic violence services, such as shelter needs, community partnerships, and coalition building in rural Pennsylvania. Specific focus on barriers to services that impact rural areas.
Author(s): Gayatri Devi, Tara Mitchell, Nicole Burkholder-Mosco, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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A study of domestic violence services, such as shelter needs, community partnerships, and coalition building in rural Pennsylvania. Specific focus on barriers to services that impact rural areas.
Author(s): Gayatri Devi, Tara Mitchell, Nicole Burkholder-Mosco, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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The Health Status of Northeast Texas
Describes health status of residents of a largely rural 35-county area, including mortality rates, prevalence of cigarette smoking, healthcare access, and percentage of people with health insurance. Features county-level statistics with breakdowns by population size, level of rurality, median income, and age-adjusted mortality rate.
Author(s): Eileen Nehme
Date: 08/2016
Type: Document
Sponsoring organization: Texas Health and Human Services
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Describes health status of residents of a largely rural 35-county area, including mortality rates, prevalence of cigarette smoking, healthcare access, and percentage of people with health insurance. Features county-level statistics with breakdowns by population size, level of rurality, median income, and age-adjusted mortality rate.
Author(s): Eileen Nehme
Date: 08/2016
Type: Document
Sponsoring organization: Texas Health and Human Services
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The Validity of Race and Hispanic-origin Reporting on Death Certificates in the United States: An Update
Results of an evaluation study showing a high rate of misclassification of race and ethnicity on death certificates for the American Indian or Alaska Native population from 1999 to 2011, but not for the Hispanic or Asian and Pacific Islander populations. Features statistics with breakdowns by race and ethnicity, geographic region, and urban or rural status.
Author(s): Elizabeth Arias, Melonie Heron
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Results of an evaluation study showing a high rate of misclassification of race and ethnicity on death certificates for the American Indian or Alaska Native population from 1999 to 2011, but not for the Hispanic or Asian and Pacific Islander populations. Features statistics with breakdowns by race and ethnicity, geographic region, and urban or rural status.
Author(s): Elizabeth Arias, Melonie Heron
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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