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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Maintaining Momentum to Advance Health Equity in Adverse Environments
Discusses how to progress health equity and overcome institutional and legislative challenges. Focuses on building organizational processes, tailoring communications, committing to progress, prioritizing professional purpose and collective care, and engaging in community-level interventions, with examples from rural areas and organizations.
Author(s): Abena Ohene-Ntow, Jahira Sterling, Jamye Chapman, Shilpa Patel, Dana E. Crawford
Date: 11/2023
Sponsoring organization: Center for Health Care Strategies
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A Catchment and Location-Allocation Analysis of Mammography Access in Delaware, US: Implications for Disparities in Geographic Access to Breast Cancer Screening
Examines breast cancer disparities and screening access in representative urban and rural counties in Delaware. Analyzes demographic makeup of population, availability of transportation, and sites for mammography and breast imaging. Includes maps of screening locations and travel times to available facility as well as recommendations for additional facilities in areas with geographic or racial screening disparities.
Author(s): Jessica L. Webster, Neal D. Goldstein, Jennifer P. Rowland, Catherine M. Tuite, Scott D. Siegel
Citation: Breast Cancer Research, 25, 137
Date: 11/2023
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The U.S. Department of Health and Human Services Is Taking Action to Strengthen Primary Care
Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Sponsoring organization: National Academy of Medicine
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Red County: Arkansas County Life Expectancy Profile 2023 Report
Reports on Arkansas's Red Counties, defined as the Arkansas counties with a life expectancy at birth more than 6 years below the Arkansas county with the highest life expectancy at birth. Offers comparisons of red and non-red counties over time and analysis of health outcomes, behaviors, clinical care indicators, social and economic factors, and physical environment factors for red counties.
Date: 10/2023
Sponsoring organizations: Arkansas Department of Health, Arkansas Minority Health Commission, Office of Health Disparities Elimination
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Michigan State Health Assessment 2022 Addendum
Continues work from the 2021 Michigan State Health Assessment that discusses population health, factors contributing to health challenges, and utilizing state resources to address health challenges. Discusses priority areas for the State Health Improvement Plan (SHIP), including addressing rural health disparities.
Date: 10/2023
Sponsoring organization: Michigan Department of Health and Human Services
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Michigan State Health Assessment 2021
Provides results of the Michigan State Health Assessment that informs the State Health Improvement Plan (SHIP), with 4 main focus areas: engaging health policy and systemic change, supporting families to prevent childhood trauma, improving access to food and promoting physical activity, and increasing accountability of environmental polices and regulations. Includes considerations for disadvantaged populations, including rural areas of Michigan.
Date: 10/2023
Sponsoring organization: Michigan Department of Health and Human Services
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Illinois Maternal Morbidity and Mortality Report
Examines maternal morbidity and mortality in Illinois between 2018 and 2020. Identifies statewide patterns in maternal health and discusses factors that influence maternal health outcomes and disparities. Explores data by demographics, including race, age, and rural county residence. Presents policy recommendations aimed at preventing maternal morbidities and mortalities.
Additional links: Summary
Date: 10/2023
Sponsoring organization: Illinois Department of Public Health
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Failing Septic Systems in Lowndes County, Alabama: Citizen Participation, Science, and Community Knowledge
Discusses sanitation infrastructure access in predominantly Black, rural Lowndes County, Alabama. Provides data on household demographics, sewage treatment type and availability, home ownership, and more. Discusses barriers to septic system installation and health risks of sewage exposure.
Author(s): Elizabeth A. Albright, Catherine Coleman Flowers, Randall A. Kramer, Erika S. Weinthal
Citation: Local Environment, 29(2), 135-142
Date: 10/2023
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Human Immunodeficiency Virus Diagnosis and Care among Adults with Intellectual and Developmental Disabilities Who Are Publicly Insured
Evaluates human immunodeficiency virus (HIV) testing, diagnosis, and care among adults with intellectual and developmental disabilities, utilizing 2012 Medicare-Medicaid data. Identifies disparities related to ethnicity, geography, and more, including regional and rural/nonrural comparisons.
Author(s): T.G. James, M.S. Argenyi, A. Gravino, T.W. Benevides
Citation: Journal of Intellectual Disability Research, 68(2), 150-163
Date: 10/2023
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