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Rural Health
Resources by Topic: Health disparities

A Population-Based Assessment of Metastatic Hepatoblastoma in Texas Reveals Ethnic Disparities
Presents the results of a population-based study to advance knowledge of the epidemiology of hepatoblastoma, a common liver disease in children particularly Latino children, and to identify the high-risk factors of the disease to improve health outcomes. Study evaluated population data based on sex, race or ethnicity, age, urban-rural status, and residence in the Texas-Mexico border region.
Author(s): Andres F. Espinoza, Michael E. Scheurer, Tiffany M. Chambers, Sanjeev A. Vasudevan, Philip J. Lupo
Citation: Frontiers in Public Health, 11
Date: 02/2023
Type: Document
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Prioritizing Rural Populations in State Comprehensive Cancer Control Plans: A Qualitative Assessment
Discusses the development of comprehensive cancer control (CCC) plans at the state level to address rural health disparities. Reports on interviews with cancer control leaders about barriers and facilitators in creating CCC plans and the strategies to create effective partnerships and networks in rural areas.
Author(s): Rachel Hirschey, Catherine Rohweder, Whitney E. Zahnd, et al.
Citation: Cancer Causes & Control
Date: 02/2023
Type: Document
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The Effect of Geographic Origin and Destination on Congenital Heart Disease Outcomes: A Retrospective Cohort Study
Examines surgical outcomes related to rural versus urban residence, distance to tertiary care, and reporting characteristics of associated surgical centers for Department of Defense (DoD) health insurance beneficiaries with congenital heart disease (CHD). Analyzes outcomes by cost, length of stay, readmission within 90 days, and patient mortality, further broken down by patient demographics, including rural-urban commuting area (RUCA).
Author(s): Spencer M. Millen, Cara H. Olsen, Ryan P. Flanagan, John S. Scott, Craig P. Dobson
Citation: BMC Cardiovascular Disorders, 23, 99
Date: 02/2023
Type: Document
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
Type: Document
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Rural Health Safety Net Under Renewed Pressure as Pandemic Fades
Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Health Equity in Rural America, Part 2: The Two Georgias Initiative, with Lisa Medellin, Arlene Parker Goldson, and Tara Gardner
An episode of the Exploring Rural Health podcast focused on rural health equity and the work of the Two Georgias Initiative. Features Lisa Medellin, Director of Programs for the Healthcare Georgia Foundation, Arlene Parker Goldson, health consultant for the Partnership for Southern Equity, and Tara Gardner, project coordinator for the Two Georgias coalition in Clay County, Georgia.
Date: 02/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Cancer Disproportionately Impacts Adults Living in Rural Areas
Analyzes cancer disparities in metro and nonmetro areas across the U.S. as well as select states that did not expand Medicaid coverage: Georgia, South Carolina, Tennessee, and Texas. Utilizes multiple data sources to examine cancer incidence, mortality, and survival rates in metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: The National Grange
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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NACRHHS Update: Emergency Medical Services (EMS) and Integration of Behavioral Health and Primary Care Services
Webinar recording discusses the 90th meeting of the National Advisory Committee on Rural Health and Human Services which focused on rural EMS and the integration of behavioral health into primary care services. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Bureau of Primary Health Care, Tri-Area Community Health, the Maine Rural Health Research Center, and the Kansas Health Institute.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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