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Rural Health Information Hub

Rural Health
Resources by Topic: Income

Rural America at a Glance: 2025 Edition
Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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Differences in GLP-1 RA Medication Adherence Across Place-Based Variables in Patients with Diabetes Living in Wisconsin
Analyzes adherence to GLP-1 RA medications for diabetes treatment among Wisconsin adults by geographic and demographic group, utilizing 2020-2022 Wisconsin Health Information Organization data. Compares adherence by rural or urban status, among other factors.
Author(s): Kara L. Gavin, Rabia Amjad, Vaia Makris, Joan M. Neuner
Citation: Journal of Managed Care & Specialty Pharmacy, 31(12), 1311-1319
Date: 11/2025
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Recovery Through a Disability Lens: Impacts of the 2023 Maui Wildfires on Disability Equity and Shared Prosperity
Reports on the impacts of the August 2023 Hawaii wildfires on the housing, employment and income, health, and life satisfaction of West Maui or Kula residents with disabilities. Details how disaster preparedness and recovery policy influence health and quality-of-life disparities for people with disabilities.
Additional links: Plain Language Version
Author(s): Daniela Bond-Smith, Ruben Juarez, Alika Maunakea
Date: 11/2025
Sponsoring organization: The Economic Research Organization at the University of Hawai'i
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2025 Nebraska Rural Poll Research Report: Well Being
Analyzes 2025 Nebraska Rural Poll results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, impact of marital status, feelings of loneliness, and more. Includes survey data and demographic information on survey respondents.
Author(s): Heather Akin, Cheryl Burkhart-Kriesel, Mary Emery, et al.
Date: 10/2025
Sponsoring organization: University of Nebraska-Lincoln
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Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
Examines neighborhood socioeconomic status (NSES) variables by census tract and their relationship to public health. Provides data on poverty, use of public assistance, employment characteristics, transportation insecurity, education, and more, by higher density urban, lower density urban, suburban/small town, and rural location.
Author(s): S. S. A. De Silva, Melissa A. Meeker, Tara P. McAlexander, et al.
Citation: Journal of Urban Health, 102, 1094-1103
Date: 10/2025
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Barriers to Health Care among Rural Adults by Disability Status
Examines various barriers to healthcare access for rural adults with a disability. Utilizes 2022 National Health Interview Survey data to analyze rural adults with disabilities compared to rural adults without disabilities, with further breakdowns by demographic and socioeconomic variables as well as delayed healthcare due to cost, inability to afford prescription medication, clinic hours or availability, transportation, travel time, or insurance status.
Author(s): Alexis Swendener, Mariana Tuttle, Ingrid Jacobson, et al.
Citation: Journal of Rural Health, 41(2), e70086
Date: 10/2025
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Rural-Urban Differences in Dietary Intake Across Pregnancy Trimesters: A Multisite Prospective Cohort Study
Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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The Landscape of Mental Health and Financial Support for Midwest Farmers
A recorded webinar that discusses the farm crisis of the 2010s and how it impacted farmers in the Midwest. Presents research on individual and contextual determinants that correlate with farmer mental and financial health and help-seeking behaviors. Provides information on mental health programming, rural mental healthcare access, and policy strategies to support farmers.
Author(s): Florence Becot, Carrie Henning-Smith, Andrea Bjornestad, Sarah Ruszkowski
Date: 09/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Usual Source of Care Among Adults Aged 18-64 Years Post-ACA, 2010-2017
Examines self-reported usual source of care (USC) after Affordable Care Act implementation among various income groups and geographical areas. Utilizes 2010–2017 Medical Expenditure Panel Survey data to analyze USC with breakdowns according to low, middle, and high income as well as rural versus urban location.
Author(s): Sara Shahbazi, John D. Goodson
Citation: Annals of Family Medicine, 23(5), 457-459
Date: 09/2025
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