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Rural Health
Resources by Topic: Health disparities

Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System
Presents a study on the barriers to evidence-based treatment for opioid use disorder (OUD). Identifies nine common barriers to evidence-based care for people with OUD, including stigma, workforce training, and financial barriers, among others. Includes rural references throughout.
Author(s): Bertha K. Madras, N. Jia Ahmad, Jenny Wen, et al.
Citation: NAM Perspectives
Date: 04/2020
Sponsoring organization: National Academy of Medicine
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The Opioid Crisis and Community-Level Spillovers onto Children's Education
Presents a study on the link between the opioid epidemic and children's educational outcomes. Evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural areas.
Author(s): Rajeev Darolia, John Tyler
Date: 04/2020
Sponsoring organizations: Brookings Institution, Brown Center on Education Policy
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Population Health in the State of North Dakota
Presents a number of measures of population health in North Dakota. Highlights data on age, poverty, and insurance coverage, among other measures, in rural and urban areas across the state.
Date: 03/2020
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Rural-Urban Disparities in Colorectal Cancer Survival and Risk among Men in Utah: A Statewide Population-Based Study
Assesses rural-urban disparities in risk factors associated with changes in colorectal cancer (CRC) survival among males in a statewide Utah study. Discusses risk factors such as diagnosis at older ages, overweight, and smoking. Includes demographic breakdowns according to race, ethnicity, age, and educational level, among others.
Author(s): Charles R. Rogers, Brenna E. Blackburn, Matthew Huntington, et al.
Citation: Cancer Causes Control, 31(3), 241-253
Date: 03/2020
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Prevalence and Severity of Alcohol and Cannabis Use Across the Urban-Rural Continuum in the Michigan National Guard
Highlights a study on rural and urban differences in alcohol and cannabis use among National Guard members in Michigan. Breaks down data by demographic information, mental health issues, and service characteristics, as well as rural versus urban location.
Author(s): Lara N. Coughlin, Maureen A. Walton, Richard McCormick, Frederic C. Blow
Citation: Journal of Rural Health, 36(2), 234-239
Date: 03/2020
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Low Burden Strategies Are Needed to Reduce Smoking in Rural Healthcare Settings: A Lesson from Cancer Clinics
Details a study on the effectiveness of an electronic health record-based smoking cessation module in providing cessation services to rural cancer patients. Presents data by patient characteristics, services accessed, and rural versus urban location, among other measures.
Author(s): Alex T. Ramsey, Timothy B. Baker, Giang Pham, et al.
Citation: International Journal of Environmental Research and Public Health, 17(5), 1728
Date: 03/2020
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2020 County Health Rankings Key Findings Report
Discusses county-level health disparities by examining health factors and outcomes throughout the U.S. Covers life expectancy, racial and ethnic opportunity gaps, homeownership rates, child poverty, and more. Includes key findings and examples of community efforts to improve health outcomes.
Date: 03/2020
Sponsoring organization: County Health Rankings & Roadmaps
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Second Report to Congress: Social Risk Factors and Performance in Medicare's Value-Based Purchasing Programs
Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Maternal Mortality: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them
Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death and patient demographic characteristics. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Sponsoring organization: Government Accountability Office
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Urban–Rural Infant Mortality Disparities by Race and Ethnicity and Cause of Death
Analyzes data on infant mortality across county-classifications and broken down by race/ethnicity and large metro, medium/small metro, and nonmetropolitan areas. Notes differences regarding cause of death by race/ethnicity, including sudden unexpected infant death, congenital anomalies, and preterm-related.
Author(s): Lindsay S. Womack, Lauren R. Rossen, Ashley H. Hirai
Citation: American Journal of Preventative Medicine, 58(2), 254-260
Date: 02/2020
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