Rural Health
Resources by Topic: Health disparities
County-Level Geographic Disparities in Disabilities Among US Adults, 2018
Provides county-level estimates of 6 types of disability including hearing, vision, cognition, mobility, self-care, and independent living. Utilizes geocoded 2018 Behavioral Risk Factor Surveillance System data, Census 2018 county-level population estimates, and American Community Survey 2014-2018 poverty estimates to provide U.S. county-level maps showing percentage of disability and cluster patterns.
Author(s): Hua Lu, Yan Wang, Yong Liu, et al.
Citation: Preventing Chronic Disease, 20
Date: 05/2023
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Provides county-level estimates of 6 types of disability including hearing, vision, cognition, mobility, self-care, and independent living. Utilizes geocoded 2018 Behavioral Risk Factor Surveillance System data, Census 2018 county-level population estimates, and American Community Survey 2014-2018 poverty estimates to provide U.S. county-level maps showing percentage of disability and cluster patterns.
Author(s): Hua Lu, Yan Wang, Yong Liu, et al.
Citation: Preventing Chronic Disease, 20
Date: 05/2023
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COVID-19 Mortality by Race and Ethnicity in US Metropolitan and Nonmetropolitan Areas, March 2020 to February 2022
Reviews COVID-19 mortality data for 977,018 adults between March 2020 and February 2022 to examine demographic differences between various waves of the pandemic, particularly as it relates to rural or urban classification. Suggests policy changes to reduce mortality.
Author(s): Dielle J. Lundberg, Elizabeth Wrigley-Field, Ahyoung Cho, Rafeya Raquib, Elaine O. Nsoesie, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Reviews COVID-19 mortality data for 977,018 adults between March 2020 and February 2022 to examine demographic differences between various waves of the pandemic, particularly as it relates to rural or urban classification. Suggests policy changes to reduce mortality.
Author(s): Dielle J. Lundberg, Elizabeth Wrigley-Field, Ahyoung Cho, Rafeya Raquib, Elaine O. Nsoesie, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Tobacco Product Use Among Adults — United States, 2021
Examines use of combustible and noncombustible tobacco products among people aged 18 or older, using data from the 2021 National Health Interview Survey. Features statistics on the prevalence of cigarette smoking and use of other tobacco products with breakdowns including urban or rural location and the prevalence of cigarette smoking adults by race, ethnicity, and depression diagnosis history between 2019 and 2021.
Author(s): Monica E. Cornelius, Caitlin G. Loretan, Ahmed Jamal, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(18), 475–483
Date: 05/2023
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Examines use of combustible and noncombustible tobacco products among people aged 18 or older, using data from the 2021 National Health Interview Survey. Features statistics on the prevalence of cigarette smoking and use of other tobacco products with breakdowns including urban or rural location and the prevalence of cigarette smoking adults by race, ethnicity, and depression diagnosis history between 2019 and 2021.
Author(s): Monica E. Cornelius, Caitlin G. Loretan, Ahmed Jamal, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(18), 475–483
Date: 05/2023
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Best Practices for COVID-19 Vaccination and Testing
Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
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 first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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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 first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Landscape of the Health Informatics Workforce: Rapid Response Brief
Focuses on the clinical informatics and public health, population health, and social service informatics subdomains of the health informatics workforce. Mentions resource hubs that serve rural communities by providing guidelines, toolkits, screening tools, and other resources. Examines social determinants of health and gives examples of clinical informatics work that can improve access to care for rural and underserved populations. Features statistics on physicians certified in clinical informatics from 2013-2022.
Author(s): Cynthia LeRouge, Shahida Shahrir, Bianca K Frogner
Date: 04/2023
Sponsoring organization: Center for Health Workforce Studies
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Focuses on the clinical informatics and public health, population health, and social service informatics subdomains of the health informatics workforce. Mentions resource hubs that serve rural communities by providing guidelines, toolkits, screening tools, and other resources. Examines social determinants of health and gives examples of clinical informatics work that can improve access to care for rural and underserved populations. Features statistics on physicians certified in clinical informatics from 2013-2022.
Author(s): Cynthia LeRouge, Shahida Shahrir, Bianca K Frogner
Date: 04/2023
Sponsoring organization: Center for Health Workforce Studies
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Disparities in Health and Health Care: 5 Key Questions and Answers
Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Sponsoring organization: KFF
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Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Sponsoring organization: KFF
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, rural-urban commuting area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, rural-urban commuting area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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How Community Health Workers Are Impacting Rural Communities
Describes ways in which communities can use funding to build community health worker programs in order to reduce health disparities. Highlights the University of Kansas Medical Center's Local Health Equity Action Teams initiative in 10 counties, 6 of which are rural.
Author(s): Shelby Rowell
Date: 04/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Describes ways in which communities can use funding to build community health worker programs in order to reduce health disparities. Highlights the University of Kansas Medical Center's Local Health Equity Action Teams initiative in 10 counties, 6 of which are rural.
Author(s): Shelby Rowell
Date: 04/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Inequitable Access to General and Behavioral Healthcare in the US During the COVID-19 Pandemic: A Role for Telehealth?
Examines general and behavioral healthcare access and disparities during the first year of the pandemic, using data from the 2019–2020 U.S. National Alcohol Survey and its COVID follow-up survey conducted January 30 to March 28, 2021. Explores the role of telehealth in providing an important bridge to healthcare for certain medically underserved groups during the pandemic. Features statistics with breakdowns by urban and rural location.
Author(s): Nina Mulia, Yu Ye, Thomas K. Greenfield, et al.
Citation: Preventive Medicine, 169
Date: 04/2023
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Examines general and behavioral healthcare access and disparities during the first year of the pandemic, using data from the 2019–2020 U.S. National Alcohol Survey and its COVID follow-up survey conducted January 30 to March 28, 2021. Explores the role of telehealth in providing an important bridge to healthcare for certain medically underserved groups during the pandemic. Features statistics with breakdowns by urban and rural location.
Author(s): Nina Mulia, Yu Ye, Thomas K. Greenfield, et al.
Citation: Preventive Medicine, 169
Date: 04/2023
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