Rural Health
Resources by Topic: Healthcare needs and services
Illegally Made Fentanyl Use in the United States: 2022 and 2023
Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Rural Veterans' Thoughts on High Suicide Rates in Their Communities—and on What to Do About It
Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Sustainability of the Growth of the Local Public Health Workforce During the COVID-19 Pandemic, 2019–2022
Examines changes in the local health department (LHD) workforce during the COVID-19 pandemic, utilizing 2019-2022 NACCHO National Profile of Local Health Departments data. Breaks down LHD workforce composition and size data by LHD jurisdiction size and rurality.
Author(s): Krishna Patel, Timothy C. McCall, Margaret Cunningham, et al.
Citation: American Journal of Public Health, 115, 1271-1277
Date: 07/2025
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Examines changes in the local health department (LHD) workforce during the COVID-19 pandemic, utilizing 2019-2022 NACCHO National Profile of Local Health Departments data. Breaks down LHD workforce composition and size data by LHD jurisdiction size and rurality.
Author(s): Krishna Patel, Timothy C. McCall, Margaret Cunningham, et al.
Citation: American Journal of Public Health, 115, 1271-1277
Date: 07/2025
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Composition of the Public Health Workforce: Distribution, Training, and Tenure
Examines the composition of the public health workforce and the characteristics of their respective jurisdictions. Analyzes 248 local health departments (LHDs) and includes rural versus urban data breakdowns according to number and tenure of employees, employee education, demographic characteristics, and more.
Author(s): Casey P. Balio, Haleigh Leslie, Michael B. Meit
Citation: Journal of Public Health Management & Practice, 31(4), 214-221
Date: 07/2025
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Examines the composition of the public health workforce and the characteristics of their respective jurisdictions. Analyzes 248 local health departments (LHDs) and includes rural versus urban data breakdowns according to number and tenure of employees, employee education, demographic characteristics, and more.
Author(s): Casey P. Balio, Haleigh Leslie, Michael B. Meit
Citation: Journal of Public Health Management & Practice, 31(4), 214-221
Date: 07/2025
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New Mexico State-Tribal Collaboration Act July 31, 2025 Agency Report
Summarizes collaboration between New Mexico state agencies and tribal nations regarding current public health priorities, including primary care, data sharing, policy collaboration, and measles response. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2025, including topics such as community health workers, cancer, diabetes, COVID-19, suicide prevention, maternal and child health, and more.
Date: 07/2025
Sponsoring organization: New Mexico Department of Health
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Summarizes collaboration between New Mexico state agencies and tribal nations regarding current public health priorities, including primary care, data sharing, policy collaboration, and measles response. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2025, including topics such as community health workers, cancer, diabetes, COVID-19, suicide prevention, maternal and child health, and more.
Date: 07/2025
Sponsoring organization: New Mexico Department of Health
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Prevalence of Clinician-Ordered Genetic Testing in Rural and Urban United States Counties: An Analysis of the 2022 Health Information National Trends Survey
Examines whether rural and urban populations experience differences in clinician-ordered genetic testing prevalence, utilizing Health Information National Trends Survey data. Includes data on patient demographics associated with differences in genetic testing.
Author(s): Anne C. Madeo, Erin D. Bouldin, Kimberly A. Kaphingst, et al.
Citation: Preventive Medicine Reports, 57, 103163
Date: 07/2025
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Examines whether rural and urban populations experience differences in clinician-ordered genetic testing prevalence, utilizing Health Information National Trends Survey data. Includes data on patient demographics associated with differences in genetic testing.
Author(s): Anne C. Madeo, Erin D. Bouldin, Kimberly A. Kaphingst, et al.
Citation: Preventive Medicine Reports, 57, 103163
Date: 07/2025
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Maternal Mortality in the United States, 2025
Explores the causes of maternal mortality and its impact on overall health. Presents data on overall trends in U.S. maternal mortality; timing, causes, and place of maternal deaths; and how pregnancy-related deaths are related to infant mortality. Discusses rural disparities, behavioral health challenges, the COVID-19 pandemic's impact on pregnant women, and efforts to address the maternal health crisis.
Author(s): Eugene Declercq, Laurie Zephyrin
Date: 07/2025
Sponsoring organization: Commonwealth Fund
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Explores the causes of maternal mortality and its impact on overall health. Presents data on overall trends in U.S. maternal mortality; timing, causes, and place of maternal deaths; and how pregnancy-related deaths are related to infant mortality. Discusses rural disparities, behavioral health challenges, the COVID-19 pandemic's impact on pregnant women, and efforts to address the maternal health crisis.
Author(s): Eugene Declercq, Laurie Zephyrin
Date: 07/2025
Sponsoring organization: Commonwealth Fund
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