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Rural Health
Resources by Topic: Health disparities

Prepregnancy Health Care Engagement Among American Indian and Alaska Native People Before and After the Affordable Care Act
Examines the impact of the Affordable Care Act (ACA) on healthcare engagement and disparities in American Indian and Alaska Native (AI/AN) populations as compared to White populations. Utilizes 2009-2015 Pregnancy Risk Assessment Monitoring System data to examine Medicaid coverage, healthcare interaction and screening, family history discussions, prenatal vitamin use, and teeth cleaning in rural versus urban populations, before and after ACA implementation.
Author(s): Danielle R. Gartner, Katlyn Hettinger, Heather Howard-Bobiwash, Claire E. Margerison
Citation: Health Equity, 8(1)
Date: 05/2024
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A Comparison Between Farm-Related Stress, Mental Health, and Social Support Between Men and Women Farmers
Highlights a study on the differences in farm-related stress, mental health, and social support for men and women farmers. Discusses the survey-based screening of farmers in Illinois for mental health conditions of men and women farmers and compares rates to each other and to the general population.
Author(s): Josie M. Rudolphi, Courtney Cuthbertson, Amandeep Kaur, Jesus Sarol
Citation: International Journal of Environmental Research and Public Health, 21(6), 684
Date: 05/2024
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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Place-Based Strengths and Vulnerabilities for Mental Wellness Among Rural Minority Older Adults: An Intervention Development Study Protocol
Presents a study on access to mental healthcare for older minorities in rural areas. Explores some of the barriers specific to racial and ethnic minorities in rural areas. Uses data as the basis for an intervention focused on place-based disparities in depression.
Author(s): Elise Trott Jaramillo
Citation: BMJ Open, 14(6), e088348
Date: 05/2024
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Pandemic-Era Trends in Telehealth Use among Americans with Private Health Insurance
Brief analyzing telehealth use between 2019 and 2021 for people younger than 65 with private health insurance. Discusses the impact of COVID-19 on telehealth use. Analyzes data by various factors such as age, rurality, access, broadband availability, and more. Discusses policy implications related to broadband access, mental healthcare provider shortages, costs, access, and equity. Includes both nationwide and state-by-state rural and urban comparisons.
Author(s): Beth Carter, Olivia Dean, Alex Hartzman, Luis Arzaluz, Aiden Wynia
Date: 05/2024
Sponsoring organization: AARP Public Policy Institute
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Stand up and Be Counted: Representing More Rural Veterans in Research
Describes the National Institute of Health's (NIH) All of Us Research Program and efforts to increase the representation of rural veterans in the program. Discusses the rural health related goals of the program.
Author(s): Angela Lutz
Date: 05/2024
Sponsoring organization: National Rural Health Association
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Cohort Profile: The Assessing Imperial Valley Respiratory Health and the Environment (AIRE) Study
Details a prospective cohort study focused on examining the respiratory health effects of childhood exposures to wind-blown particulate matter (PM) in a rural area of California. Utilizes 2017-2019 data to observe asthmatic symptoms and other health indicators across sociodemographic categories. Discusses the impact of PM on childhood health and the potential for geographic disparities.
Author(s): Shohreh F. Farzan, Elizabeth Kamai, Dayane Duenas Barahona, et al.
Citation: Paediatric and Perinatal Epidemiology, 38(4), 359-369
Date: 05/2024
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School-Based Health Centers as an Approach to Address Health Disparities among Rural Youth: A Study Protocol for a Multilevel Research Framework
Describes a study protocol to evaluate the impact of school-based health centers (SBHCs) on healthcare utilization, health outcomes, and education in rural, disadvantaged New York counties. Discusses risk factor identification and data collection at the individual, school district, and community levels.
Author(s): Xue Zhang, Mildred E. Warner, Sharon Tennyson, et al.
Citation: PLoS ONE, 19(5), e0303660
Date: 05/2024
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Task Force on Maternal Mental Health: National Strategy to Improve Maternal Mental Health Care
Offers 5 recommendations for improving maternal mental health and associated substance use disorders using a whole-government approach by building infrastructure to improve care. Recommendations discuss federal collaboration, accessibility of care, data gathering, prevention strategies, and engaging those with lived experience. Discusses rural throughout.
Date: 05/2024
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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