Rural Health
Resources by Topic: Health screening
Cost Burden of Cancer Screening in Kansas by Region and Rural/Urban Designation
Analyzes the cost burden of self-pay cancer screenings in Kansas by rural and urban location and geographic region of the state, with data on colonoscopies, chest computed tomography (CT) scans, and mammograms. Discusses rural-urban disparities in price of services and pricing transparency.
Author(s): Kale Mills, Nicole Freund
Citation: Kansas Journal of Medicine, 18(1):10–13
Date: 02/2025
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Analyzes the cost burden of self-pay cancer screenings in Kansas by rural and urban location and geographic region of the state, with data on colonoscopies, chest computed tomography (CT) scans, and mammograms. Discusses rural-urban disparities in price of services and pricing transparency.
Author(s): Kale Mills, Nicole Freund
Citation: Kansas Journal of Medicine, 18(1):10–13
Date: 02/2025
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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"We Don't Get That Information Right Back to Us Unless It's a Full-Blown Cancer": Challenges Coordinating Lung Cancer Screening Across Healthcare Systems
Discusses how lung cancer screening (LCS) is coordinated across veteran affairs (VA) and non-VA healthcare systems. Analyzes 6 VA medical centers with LCS programs and provides feedback from semi-structured interviews with related LCS program and healthcare professionals. Discusses challenges with LCS coordination across the care continuum, with commentary specific to rural veterans.
Author(s): Rendelle E. Bolton, Eduardo R. Núñez, Jacqueline Boudreau, et al.
Citation: Health Services Research, 60(1)
Date: 02/2025
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Discusses how lung cancer screening (LCS) is coordinated across veteran affairs (VA) and non-VA healthcare systems. Analyzes 6 VA medical centers with LCS programs and provides feedback from semi-structured interviews with related LCS program and healthcare professionals. Discusses challenges with LCS coordination across the care continuum, with commentary specific to rural veterans.
Author(s): Rendelle E. Bolton, Eduardo R. Núñez, Jacqueline Boudreau, et al.
Citation: Health Services Research, 60(1)
Date: 02/2025
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Perinatal Mental Health in Maine
Offers data from various sources, including reviews of pregnancy-associated deaths, to help health professionals, policymakers, and the public understand the current status of perinatal mental health in Maine. Includes a section on mental health needs in rural areas and a county-level map with shadings showing numbers of mental health providers per 10,000 population.
Date: 01/2025
Sponsoring organization: Maine Department of Health and Human Services
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Offers data from various sources, including reviews of pregnancy-associated deaths, to help health professionals, policymakers, and the public understand the current status of perinatal mental health in Maine. Includes a section on mental health needs in rural areas and a county-level map with shadings showing numbers of mental health providers per 10,000 population.
Date: 01/2025
Sponsoring organization: Maine Department of Health and Human Services
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Impact of a Diabetic Retinal Exam Screening Program on Quality Measure Gaps at a Family Medicine Practice
Examines access to diabetic retinal exams and the impact of their availability on quality measures at a rural family medicine center in southwestern Pennsylvania. Includes data on diabetic retinal screenings and associated factors related to exam access.
Author(s): Michael Hair, Alexandra Tardugno, Alyssa Greenaway, Chelse Wisenor, Autumn Stewart-Lynch
Citation: Journal of the American Pharmacists Association, 65(1)
Date: 01/2025
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Examines access to diabetic retinal exams and the impact of their availability on quality measures at a rural family medicine center in southwestern Pennsylvania. Includes data on diabetic retinal screenings and associated factors related to exam access.
Author(s): Michael Hair, Alexandra Tardugno, Alyssa Greenaway, Chelse Wisenor, Autumn Stewart-Lynch
Citation: Journal of the American Pharmacists Association, 65(1)
Date: 01/2025
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Effectiveness of Frequent Point-of-Care Molecular COVID-19 Surveillance in a Rural Workplace: Nonrandomized Controlled Clinical Trial Among Miners
Examines the impact of a COVID-19 surveillance intervention utilizing point-of-care rapid antigen testing at rural mining sites in New Mexico and Wyoming from February 2021 to March 2022. Provides data on intervention acceptance, cumulative postbaseline seropositivity, and diagnostic accuracy.
Author(s): Akshay Sood, William "Cotton" Jarrell, Xin W. Shore, et al.
Citation: JMIR Public Health and Surveillance, 2025(11), e59845
Date: 01/2025
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Examines the impact of a COVID-19 surveillance intervention utilizing point-of-care rapid antigen testing at rural mining sites in New Mexico and Wyoming from February 2021 to March 2022. Provides data on intervention acceptance, cumulative postbaseline seropositivity, and diagnostic accuracy.
Author(s): Akshay Sood, William "Cotton" Jarrell, Xin W. Shore, et al.
Citation: JMIR Public Health and Surveillance, 2025(11), e59845
Date: 01/2025
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Factors Influencing the Choice Between Multi-Target Stool DNA and Colonoscopy for Colorectal Cancer Screening Among Alaska Native Peoples
Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Child Maltreatment 2023
Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults
Examines social risks associated with nonadherence to US Preventive Services Task Force cancer screening guidelines, utilizing 2022 Behavioral Risk Factor Surveillance System data. See Table 2 for demographic data breakdowns on prevalence and risk ratios of screening nonadherence by type of test, including rural-urban dwelling.
Author(s): Ami E. Sedani, Scarlett L. Gomez, Wayne R. Lawrence, et al.
Citation: JAMA Network Open, 8(1), e2449556
Date: 01/2025
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Examines social risks associated with nonadherence to US Preventive Services Task Force cancer screening guidelines, utilizing 2022 Behavioral Risk Factor Surveillance System data. See Table 2 for demographic data breakdowns on prevalence and risk ratios of screening nonadherence by type of test, including rural-urban dwelling.
Author(s): Ami E. Sedani, Scarlett L. Gomez, Wayne R. Lawrence, et al.
Citation: JAMA Network Open, 8(1), e2449556
Date: 01/2025
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