Rural Health
Resources by Topic: Income support and assistance
Child Support Engagement in Rural and Non-Rural Counties: More Engagement and Lower Amount Owed in Rural Areas
Explores differences in engagement in child support for custodial parents living in rural and nonrural areas. Compares the percentage of different types of child support agreements, expected child support payments, and actual child support payments received by custodial parents between 2010 and 2018. Identifies opportunities for federal, state, and tribal agencies to better serve custodial parents and their children through the Title IV-D program and other services.
Author(s): Maretta McDonald, Robin Ghertner
Date: 01/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores differences in engagement in child support for custodial parents living in rural and nonrural areas. Compares the percentage of different types of child support agreements, expected child support payments, and actual child support payments received by custodial parents between 2010 and 2018. Identifies opportunities for federal, state, and tribal agencies to better serve custodial parents and their children through the Title IV-D program and other services.
Author(s): Maretta McDonald, Robin Ghertner
Date: 01/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Do SNAP Eligibility and Benefit Determinations Sufficiently Reflect Expenses of Older Households?
Report investigating Supplemental Nutrition Assistance Program (SNAP) eligibility guidelines to determine whether they are in line with the spending patterns of low-income households with adults over 50. Offers policy recommendations based on findings. Table 1 of the appendix compares the rural and urban share of total expenditures for these households.
Author(s): Olivia Dean, Joshua Leftin, Nicardo McInnis, Andrew Wen
Date: 10/2023
Sponsoring organization: AARP Public Policy Institute
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Report investigating Supplemental Nutrition Assistance Program (SNAP) eligibility guidelines to determine whether they are in line with the spending patterns of low-income households with adults over 50. Offers policy recommendations based on findings. Table 1 of the appendix compares the rural and urban share of total expenditures for these households.
Author(s): Olivia Dean, Joshua Leftin, Nicardo McInnis, Andrew Wen
Date: 10/2023
Sponsoring organization: AARP Public Policy Institute
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Findings from the National Agricultural Workers Survey (NAWS) 2021-2022: A Demographic and Employment Profile of United States Crop Workers
Reports on demographic and employment characteristics of hired agricultural workers in the United States. Includes data on health insurance and healthcare access, as well as information on social determinants of health such as income, education level, language skills, housing, and digital device access. Based on data collected from face-to-face interviews with 2,598 crop farmworkers conducted between September 29, 2020 and October 1, 2022.
Date: 09/2023
Sponsoring organization: U.S. Department of Labor
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Reports on demographic and employment characteristics of hired agricultural workers in the United States. Includes data on health insurance and healthcare access, as well as information on social determinants of health such as income, education level, language skills, housing, and digital device access. Based on data collected from face-to-face interviews with 2,598 crop farmworkers conducted between September 29, 2020 and October 1, 2022.
Date: 09/2023
Sponsoring organization: U.S. Department of Labor
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Welfare and Family Self-Sufficiency Learning Agenda
Provides background and information on the development of the Welfare and Family Self Sufficiency Learning Agenda (WFSSLA) within the Administration for Children and Families (ACF). Focuses on the structure of Temporary Assistance for Needy Families (TANF), capacity building, and strategies for improving programs. Includes discussion on administering human services programs in rural contexts.
Date: 08/2023
Sponsoring organization: Administration for Children and Families
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Provides background and information on the development of the Welfare and Family Self Sufficiency Learning Agenda (WFSSLA) within the Administration for Children and Families (ACF). Focuses on the structure of Temporary Assistance for Needy Families (TANF), capacity building, and strategies for improving programs. Includes discussion on administering human services programs in rural contexts.
Date: 08/2023
Sponsoring organization: Administration for Children and Families
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Using Coaching to Address Economic Stability for People with Low Incomes: The Design and Implementation of Four Employment Coaching Programs
Examines the use of employment coaching for Temporary Assistance for Needy Families (TANF) recipients. Utilizes 2018 and 2019 data to analyze 4 programs and their context, design, and implementation. Includes discussion of a coaching program that takes place in rural Iowa.
Author(s): Karen Gardiner, Sheena McConnell
Date: 06/2023
Sponsoring organization: Administration for Children and Families
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Examines the use of employment coaching for Temporary Assistance for Needy Families (TANF) recipients. Utilizes 2018 and 2019 data to analyze 4 programs and their context, design, and implementation. Includes discussion of a coaching program that takes place in rural Iowa.
Author(s): Karen Gardiner, Sheena McConnell
Date: 06/2023
Sponsoring organization: Administration for Children and Families
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Informal and Formal Financial Assistance to Rural Women During Cancer Treatment
Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Health Care's Role in Rural Economic Development: How Work Support Programs Improve Health and Stimulate Rural Economies
Policy brief exploring how work support programs – Supplemental Nutrition Assistance Program (SNAP), Medicaid, and Child Care and Development Funds (CCDF) – and other state and federal programs can address social determinants of health, improve health, and stimulate economic activity in rural America. Offers policy recommendations to increase access to these programs in rural areas.
Author(s): David Jordan
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Policy brief exploring how work support programs – Supplemental Nutrition Assistance Program (SNAP), Medicaid, and Child Care and Development Funds (CCDF) – and other state and federal programs can address social determinants of health, improve health, and stimulate economic activity in rural America. Offers policy recommendations to increase access to these programs in rural areas.
Author(s): David Jordan
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Temporary Assistance for Needy Families (TANF) Programs
Provides an overview of the Temporary Assistance for Needy Families (TANF) program. Presents findings from interviews with TANF program staff and partner organizations regarding delivering TANF services in rural communities. Identifies rural areas with remaining need for TANF cash assistance and Tribal TANF services. Offers providers' lessons learned and recommendations to help inform policy and service delivery moving forward.
Author(s): Emma Ward, Neel Chakraborti, Emily Brimsek, James Murdoch, Heather Hahn
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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Provides an overview of the Temporary Assistance for Needy Families (TANF) program. Presents findings from interviews with TANF program staff and partner organizations regarding delivering TANF services in rural communities. Identifies rural areas with remaining need for TANF cash assistance and Tribal TANF services. Offers providers' lessons learned and recommendations to help inform policy and service delivery moving forward.
Author(s): Emma Ward, Neel Chakraborti, Emily Brimsek, James Murdoch, Heather Hahn
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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ARPA's Enhanced Premium Subsidies Provide Particularly Large Benefits to Residents of Rural Areas
Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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Assessing the Health Outcomes of the Food Access Pilot Project: An Evaluation of a Medically Supportive Food Support Program for People Living with HIV in Rural California Counties
Examines the effect of the Food Access Pilot Project (FAPP), which provided prepared meals or meal kits to food-insecure HIV-positive people, on HIV viral load, CD4 count, and food security among 158 participants in California's Humboldt, Napa, and San Joaquin counties.
Author(s): Linda Yu, Amee Madura, Claudia Gil, Paul Hepfer, Kartika Palar
Citation: AIDS and Behavior, 26, 2613-2622
Date: 02/2022
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Examines the effect of the Food Access Pilot Project (FAPP), which provided prepared meals or meal kits to food-insecure HIV-positive people, on HIV viral load, CD4 count, and food security among 158 participants in California's Humboldt, Napa, and San Joaquin counties.
Author(s): Linda Yu, Amee Madura, Claudia Gil, Paul Hepfer, Kartika Palar
Citation: AIDS and Behavior, 26, 2613-2622
Date: 02/2022
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