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Rural Health
Resources by Topic: Health disparities

Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas. Provides rural/urban/metropolitan data by age group, gender, and transmission category addressing: stage of diagnosis, linkage to care within one month of diagnosis, and viral suppression within 6 months of diagnosis.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Indigenous Community Leadership in Response to COVID-19: A Call to Action for the Philanthropic Sector
Report discusses the effect of COVID-19 in tribal communities, the federal response to it, and the efforts of Native people to combat the disease. Highlights the role of foundations to fill in the gaps. Features perspectives from tribal communities. Includes highlight video.
Additional links: Highlight Video
Date: 02/2021
Type: Document
Sponsoring organization: Native Americans in Philanthropy
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Residents Appear to be More Vulnerable to Serious Infection or Death From Coronavirus COVID-19
Examines trends in COVID-19 case rates and death rates for urban and rural areas. Discusses factors that may make rural residents more vulnerable to severe illness or death, including underlying health conditions, age, and healthcare access barriers.
Author(s): Elizabeth A. Dobis, David McGranahan
Citation: Amber Waves
Date: 02/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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A Just Recovery for Rural Equity in Wisconsin
Provides information for advancing health equity, with respect to the impact of COVID-19, for rural populations in Wisconsin. Discusses topics fundamental to supporting rural health equity including: healthcare access, broadband and infrastructure, food and agriculture, job security, and availability of social services. Identifies proven policies and practices that can be implemented at the local and state level.
Date: 01/2021
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Paving the Way to Equity: A Progress Report (2015-2021)
Provides an overview of the 2015 Centers for Medicare & Medicaid Services (CMS) Equity Plan for Improving Quality in Medicare and its Path to Equity, an organizing framework to achieve health equity. Discusses ways CMS has demonstrated progress in increasing understanding and awareness of disparities, developing and disseminating solutions to health equity, and implementing sustainable actions to achieve health equity. Considers emerging opportunities to build on this progress toward health equity. Includes information on rural disparities throughout.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Social Determinants and Health Outcomes Drive Availability of Patient-Centered Medical Homes
Examines the geographic distribution of patient-centered medical homes and whether they appear in communities with greater disease burdens and social vulnerability. Analyzes spatial clusters of mental and physical health surveys, health behaviors, and premature mortality and compares these metrics with medical home saturation and sociodemographic characteristics, including rurality.
Author(s): Nathaniel Bell, Rebecca Wilkerson, Kathy Mayfield-Smith, Ana Lopez-De Fede
Citation: Health & Place, 67, 102439
Date: 01/2021
Type: Document
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Understanding Challenges to Well-Being among Latina FarmWorkers in Rural Idaho Using in an Interdisciplinary, Mixed-Methods Approach
Identifies social, cultural, and workplace-related risk factors impacting well-being in the public and private spheres of 70 female farmworkers in southwestern Idaho. Focuses on 6 themes specific to rural geography and farmworker populations, including long working hours, pesticide exposure, lack of enforcement of regulatory protections, food security, childcare responsibilities, and social isolation.
Author(s): Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano
Citation: International Journal of Environmental Research and Public Health, 18(1), 169
Date: 01/2021
Type: Document
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A Cluster Randomized Controlled Trial of a Home-Delivered Food Box on Food Security in Chickasaw Nation
Presents a study evaluating a free school meal program in 12 rural Oklahoma counties within the Chickasaw Nation from 2016 to 2018. Breaks down data by household income, children in household, and age of children, among other measures.
Author(s): Ronette R. Briefel, Gregory J. Chojnacki, Vivian Gabor, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 121(1), S46-S58
Date: 01/2021
Type: Document
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Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults
Examines the effect the ACA had on oral healthcare utilization in rural areas. Compares use of oral health services by adults from 2011-2016 in rural and urban communities.
Author(s): Wei-Chen Lee, Chih-Ying Li, Hani Serag, et al.
Citation: Journal of Rural Health, 37(1), 103-113
Date: 01/2021
Type: Document
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