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Rural Health
Resources by Topic: Infectious diseases

Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties — United States, December 14, 2020–January 31, 2022
Examines COVID-19 vaccination disparities between urban and rural people 5 years of age and older. Discusses factors that may have contributed to vaccination disparities, including healthcare access, views about COVID-19 specifically, and vaccine hesitancy more generally. Provides data based on a 6-level urban-rural classification and a 2-level urban-rural classification, with vaccination coverage by sex, age group, and state. Also includes data on vaccine series completion and receipt of a booster or additional dose.
Author(s): Ryan Saelee, Elizabeth Zell, Bhavini Patel Murthy, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(9), 335-340
Date: 03/2022
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 and Alabama's Black Belt
Issue brief examining COVID-19 impacts on the Black Belt region of Alabama and rural Alabama in general, highlighting health outcome disparities. Addresses chronic diseases affecting residents of the Black Belt, access to primary care physicians, and policy recommendations to support healthcare in the region.
Author(s): Emily Grace Corley, Garrett Till, Sean O'Brien, Stephen G. Katsinas, Nathaniel J. Bray
Date: 03/2022
Sponsoring organization: The University of Alabama Education Policy Center
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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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Rural–Urban Differences in Influenza Vaccination Among Adults in the United States, 2018–2019
Provides data on influenza vaccination among adults during the 2018-2019 flu season. Utilizes 2019 National Health Interview Survey data, with breakdowns according to age, sex, race, and large metropolitan, medium/small metropolitan, or nonmetropolitan location.
Author(s): Bhav Jain, Joseph Alexander Paguio, Jasper Seth Yao, et al.
Citation: American Journal of Public Health, 112(2), 304-307
Date: 02/2022
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America's HIV Epidemic Analysis Dashboard: Protocol for a Data Resource to Support Ending the HIV Epidemic in the United States
Provides information on the launch of America's HIV Epidemic Analysis Dashboard (AHEAD) which presents information on HIV data at the state level across the U.S. and the county level in Ending the HIV Epidemic (EHE) priority areas and select rural areas in the South with high HIV transmission. Discusses the data included in the tool such as 6 HIV indicators determined by the Centers of Disease Control (CDC) and information on how to engage with the dashboard by HIV indicator, geographic area, and demographic information.
Author(s): Patrick Sean Sullivan, Cory R Woodyatt, Oskian Kouzouian, et al.
Citation: JMIR Public Health and Surveillance, 8(2)
Date: 02/2022
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Missed Opportunities for Human Papillomavirus Vaccine Series Initiation in a Large, Rural U.S. State
Analyzes missed opportunities to initiate the human papillomavirus (HPV) vaccine series in rural vaccination clinic settings in Montana based on 2014-2017 data from 47,622 adolescents in the Montana immunization information system. Discusses differences in missed opportunities among private clinics, public health departments, Rural Health Clinics, Indian Health Service and tribal clinics, Federally Qualified Health Centers, community health centers, and other settings.
Author(s): Sophia R. Newcomer, Rain E. Freeman, Alexandria N. Albers, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(1)
Date: 02/2022
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Predictors of Mortality for Patients with COVID-19 in the Rural Appalachian Region
Examines patient mortality related to COVID-19 between April 5, 2020 to December 31, 2020 based on data from 13 facilities in the Appalachian Regional Healthcare system. Discusses aging population, comorbidities, and health-related behaviors common in rural populations that increase COVID-19 risks. Includes survival and mortality statistics broken down according to demographic and clinical characteristics, serum biomarkers, and treatments.
Author(s): Huzefa Bhopalwala, Nakeya Dewaswala, Sandhya Kolagatla, et al.
Citation: International Journal of General Medicine, 15, 2207-2214
Date: 02/2022
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PCORI Virtual Briefing on Suicide Prevention in Youth and Young Adults: Watch the Briefing
Discusses suicide risk in young adults and how the issue has been exacerbated by the COVID-19 pandemic. Includes expert panel discussion and conversations around increased risk in rural areas, as well as information on PCORI-funded research on youth suicide.
Date: 02/2022
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Ordering Over the Counter Tests from HRSA
Recording of a February 2022 webinar providing an overview of how Rural Health Clinics can enroll in a federal program to order COVID-19 self-testing supplies for distribution in their communities. Discusses how to order supplies and reporting requirements and answers frequently asked questions about the program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 02/2022
Sponsoring organization: National Association of Rural Health Clinics
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Analysis of Vaccination Rates and New COVID-19 Infections by US County, July-August 2021
Research letter examining COVID-19 infection and vaccination rates during the third wave of the pandemic in July-August 2021. Offers county-level data maps and highlights differences in rural and urban vaccination rates and impacts of the wave on counties with lower vaccination rates.
Author(s): Diego F. Cuadros, DeWolfe Miller, Susanne Awad, Philip Coule, Neil J. MacKinnon
Citation: JAMA Network Open, 5(2), e2147915
Date: 02/2022
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