Rural Health
Resources by Topic: Health disparities
Mental Health Treatment Among Adults: United States, 2020
Report highlights the rates of mental health treatment provided to adults in 2020. Breaks down the data by type of treatment received and by patient race, gender, and whether they lived in a large metropolitan, medium or small metropolitan, or nonmetropolitan community.
Author(s): Emily P. Terlizzi, Tina Norris
Date: 10/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Report highlights the rates of mental health treatment provided to adults in 2020. Breaks down the data by type of treatment received and by patient race, gender, and whether they lived in a large metropolitan, medium or small metropolitan, or nonmetropolitan community.
Author(s): Emily P. Terlizzi, Tina Norris
Date: 10/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Which Definition of Rurality Should I Use?: The Relative Performance of 8 Federal Rural Definitions in Identifying Rural-Urban Disparities
Study comparing 8 definitions of rural used by the federal government in order to understand how often the same areas were identified as rural and to measure rural-urban disparities related to socioeconomic status, demographics, healthcare access, and health outcomes. Analyzes 2010 census tract-level spatial data from the U.S. Census Bureau, 2014-2019 5-year American Community Survey (ACS) population estimates, the Provider of Services file, and the National Plan and Provider Enumeration System files from the Centers for Medicare and Medicaid Services (CMS).
Author(s): Julianna C. Long, Paul L. Delamater, George M. Holmes
Citation: Medical Care, 59, S413-S419
Date: 10/2021
Type: Document
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Study comparing 8 definitions of rural used by the federal government in order to understand how often the same areas were identified as rural and to measure rural-urban disparities related to socioeconomic status, demographics, healthcare access, and health outcomes. Analyzes 2010 census tract-level spatial data from the U.S. Census Bureau, 2014-2019 5-year American Community Survey (ACS) population estimates, the Provider of Services file, and the National Plan and Provider Enumeration System files from the Centers for Medicare and Medicaid Services (CMS).
Author(s): Julianna C. Long, Paul L. Delamater, George M. Holmes
Citation: Medical Care, 59, S413-S419
Date: 10/2021
Type: Document
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Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, sexual and gender minorities, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Type: Document
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, sexual and gender minorities, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Type: Document
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Hunger, Poverty, and Health Disparities During COVID-19 and the Federal Nutrition Programs' Role in an Equitable Recovery
Examines how food security and health were impacted by COVID-19, particularly for underserved populations and areas. Discusses the role of federal nutrition programs in addressing disparities. Includes analysis specific to rural communities.
Date: 09/2021
Type: Document
Sponsoring organization: Food Research & Action Center
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Examines how food security and health were impacted by COVID-19, particularly for underserved populations and areas. Discusses the role of federal nutrition programs in addressing disparities. Includes analysis specific to rural communities.
Date: 09/2021
Type: Document
Sponsoring organization: Food Research & Action Center
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Disparities in Breast Cancer Survivors in Rural West Texas
Examines a rural Texan county with increased breast cancer mortality to understand the relationship between sociodemographic variables and breast cancer outcomes. Reviews data from 406 women between 1995 and 2014 to explore survival probability among variables such as race and ethnicity, insurance status, age, zip code, and stage of cancer, among others.
Author(s): Hafiz Khan, Drew Rasmussen, Kemesha Gabbidon, et al.
Citation: Cancer Control, 28
Date: 09/2021
Type: Document
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Examines a rural Texan county with increased breast cancer mortality to understand the relationship between sociodemographic variables and breast cancer outcomes. Reviews data from 406 women between 1995 and 2014 to explore survival probability among variables such as race and ethnicity, insurance status, age, zip code, and stage of cancer, among others.
Author(s): Hafiz Khan, Drew Rasmussen, Kemesha Gabbidon, et al.
Citation: Cancer Control, 28
Date: 09/2021
Type: Document
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Investigating Rurality as a Risk Factor for State and Trait Hopelessness in Hospitalized Patients With Ischemic Heart Disease
Highlights a study on the correlation between rurality and hopelessness among adults with ischemic heart disease (IHD). Compares rates of hopelessness of patients with IHD in rural and urban areas. Breaks down data by gender, employment, and marriage status, among other factors.
Author(s): Deb Bomgaars, Gwenneth A. Jensen, Lynn L. White, et al.
Citation: The Journal of the American Heart Association, 10(17), e020768
Date: 09/2021
Type: Document
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Highlights a study on the correlation between rurality and hopelessness among adults with ischemic heart disease (IHD). Compares rates of hopelessness of patients with IHD in rural and urban areas. Breaks down data by gender, employment, and marriage status, among other factors.
Author(s): Deb Bomgaars, Gwenneth A. Jensen, Lynn L. White, et al.
Citation: The Journal of the American Heart Association, 10(17), e020768
Date: 09/2021
Type: Document
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Asthma Surveillance — United States, 2006–2018
Reports on asthma prevalence by population demographics, poverty level, and geographic location, including rural and metro comparisons. Examines trends based on 2006-2018 data from the National Heath Interview Survey (NHIS), National Vital Statistics System (NVSS), and the National Center for Health Statistics (NCHS).
Author(s): Cynthia A. Pate, Hatice S. Zahran, Xiaoting Qin, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(5), 1-32
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on asthma prevalence by population demographics, poverty level, and geographic location, including rural and metro comparisons. Examines trends based on 2006-2018 data from the National Heath Interview Survey (NHIS), National Vital Statistics System (NVSS), and the National Center for Health Statistics (NCHS).
Author(s): Cynthia A. Pate, Hatice S. Zahran, Xiaoting Qin, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(5), 1-32
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Carve-Out Funding
Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Duke-Margolis Center for Health Policy
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Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Duke-Margolis Center for Health Policy
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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