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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Emergency Department Visits Involving Influenza and Influenza-Like Illnesses, 2016–2018
Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020
Reports on age-adjusted COVID-19-associated mortality for American Indian and Alaska Native (AI/AN) and non-Hispanic White populations, based on data from 14 states. Includes data by sex and by age group.
Author(s): Jessica Arrazola, Matthew M. Masiello, Sujata Joshi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(49), 1853-1856
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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The Surgeon General's Call to Action to Improve Maternal Health
Describes the state of maternal health in the United States, including data and statistics on mortality and morbidity. Discusses risks to maternal health, such as high blood pressure, diabetes, infectious diseases, mental health conditions, intimate partner violence, and more. Recommends strategies and actions that individuals, organizations, and communities can implement to improve maternal health and reduce maternal morbidity and mortality. Includes rural references throughout.
Date: 12/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America
Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Addressing Opioid Overdose Deaths: The Vision for the HEALing Communities Study
Highlights a study on the effect of the COVID-19 pandemic on the ongoing HEALing Communities Study (HCS), which began in 2019 with the goal of reducing opioid overdose deaths by 40% over 3 years. Discusses the intersection of the two crises across the country and discusses the variations in rural and urban locations.
Author(s): Redonna K. Chandlera, Jennifer Villani, Thomas Clarke, et al.
Citation: Drug and Alcohol Dependence, 217, 108329
Date: 12/2020
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Infant Mortality in Rural and Nonrural Counties in the United States
Examines infant mortality at the county level and across the rural-urban continuum of the U.S. Utilizes infant death records from 2014 to 2016 to analyze infant mortality by rural-urban classification, county-level demographics, and individual-level demographics and healthcare characteristics.
Author(s): Deborah B. Ehrenthal, Hsiang-Hui Daphne Kuo, Russell S. Kirby
Citation: Pediatrics, 146(5)
Date: 11/2020
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Indian Health 101: Fulfilling a Promise
Presents an overview of the Indian Health Service (IHS) including the legislative history and financial support for the development of IHS. Discusses health disparities and the disproportionate impact of COVID-19 experienced by American Indians/Alaska Natives.
Author(s): Christopher D. Chavis
Date: 11/2020
Sponsoring organization: National Indian Health Board
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Synergistic Disparities and Public Health Mitigation of COVID-19 in the Rural United States
Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
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Supporting Children and Families Affected by the Opioid Epidemic - Emerging Policy Considerations
Explores the effect of the opioid crisis on children and their families and makes policy recommendations. Breaks down rural and urban differences in opioid use and access to behavioral healthcare and discusses the policy implications of those differences.
Author(s): Laudan Y. Aron, Sarah Benatar, Rebecca Peters
Date: 11/2020
Sponsoring organization: Urban Institute
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