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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Assessment of Structural Barriers and Racial Group Disparities of COVID-19 Mortality With Spatial Analysis
Explores social determinants of health such as minority status, income inequality, and lack of health insurance, among others, and their relationship to COVID-19 mortality rates. Analyzes data from rural, suburban, and urban counties across all 50 states from January 2020 to February 2021. Includes demographic data such as age, race and ethnicity, socioeconomic advantage index, and more.
Author(s): Qinyun Lin, Susan Paykin, Dylan Halpern
Citation: JAMA Network Open, 5(3)
Date: 03/2022
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Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties — United States, December 14, 2020–January 31, 2022
Examines COVID-19 vaccination disparities between urban and rural people 5 years of age and older. Discusses factors that may have contributed to vaccination disparities, including healthcare access, views about COVID-19 specifically, and vaccine hesitancy more generally. Provides data based on a 6-level urban-rural classification and a 2-level urban-rural classification, with vaccination coverage by sex, age group, and state. Also includes data on vaccine series completion and receipt of a booster or additional dose.
Author(s): Ryan Saelee, Elizabeth Zell, Bhavini Patel Murthy, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(9), 335-340
Date: 03/2022
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 and Alabama's Black Belt
Issue brief examining COVID-19 impacts on the Black Belt region of Alabama and rural Alabama in general, highlighting health outcome disparities. Addresses chronic diseases affecting residents of the Black Belt, access to primary care physicians, and policy recommendations to support healthcare in the region.
Author(s): Emily Grace Corley, Garrett Till, Sean O'Brien, Stephen G. Katsinas, Nathaniel J. Bray
Date: 03/2022
Sponsoring organization: The University of Alabama Education Policy Center
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2022-2027 Illinois Comprehensive Cancer Control Plan
Provides an overview of the cancer burden in Illinois as well as strategies to improve screening, treatment, and survivorship. Discusses geographic disparities related to healthcare access and provides county-level data on cancer rates and social determinants of health. Includes a section specific to issues of rural health and cancer control.
Date: 02/2022
Sponsoring organization: Illinois Department of Public Health
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Prehospital Time for Patients with Acute Cardiac Complaints: A Rural Health Disparity
Reviews 428,054 emergency medical services (EMS) instances between January 2013 and May 2018 related to acute cardiac complaints to examine differences in time spent between EMS dispatch and hospital arrival for rural and urban patients. Discusses inequities in time to care by age, sex, transport mode, and patient status.
Author(s): Nicklaus P. Ashburn, Anna C. Snavely, Ryan M. Angi, et al.
Citation: The American Journal of Emergency Medicine 52(2022), 64-68
Date: 02/2022
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Rural Children's Health and Health Care
Examines differences in child health conditions by rural and urban residency. Explores differences in use of preventative dental and medical services by poverty rate, adverse childhood experiences, overweight and obesity, food insecurity, and physical activity.
Date: 02/2022
Sponsoring organization: Maternal and Child Health Bureau
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Hazardous Alcohol Use and Alcohol-Related Harm in Rural and Remote Communities: A Scoping Review
Presents a review of studies exploring hazardous alcohol use and alcohol-related harm in rural and remote communities. Details the health effects and other negative outcomes of hazardous alcohol use and highlights correlations across rural communities.
Author(s): Erik Loewen Friesen, Jacob Bailey, Sarah Hyett, et al.
Citation: The Lancet Public Health, 7(2), E177-E187
Date: 02/2022
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The Lives of Native Hawaiian Elders and Their Experiences With Healthcare: A Qualitative Analysis
Highlights a 5-year study on the experiences of Native Hawaiian elders have had accessing quality healthcare. Discusses barriers to healthcare for Native Hawaiian elders, including those residing in rural areas.
Author(s): Keilyn Leina'ala Kawakami, Shelley Muneoka, Rachel L. Burrage, et al.
Citation: Frontiers in Public Health
Date: 02/2022
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America at a Glance: An Update on Rural-Urban Differences in Disability Rates
Examines data from the American Community Survey (ACS) 2015-2019 estimate to describe disability rates in rural communities. Presents data on metropolitan, micropolitan, and noncore disability rates by type, age, and race/ethnicity. Describes how these rates have changed since the ACS 2010-2014 estimate.
Date: 02/2022
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Association Between Mental Health and Oral Health Status and Care Utilization
Highlights a study on the correlation between oral and mental health issues. Examines factors that contribute to poor mental and oral health status. Details participants' household income, insurance status, and whether they live in a metro or non-metro area, among other factors.
Author(s): Tamanna Tiwari, Abigail Kelly, Cameron L. Randall, et al.
Citation: Frontiers in Oral Health, 2, 732882
Date: 02/2022
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