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Rural Health
Resources by Topic: Infrastructure

Remotely Sensed Measures of Hurricane Michael Damage and Adverse Perinatal Outcomes and Access to Prenatal Care Services in the Florida Panhandle
Examines the damage caused by Hurricane Michael in 2018 on residential buildings in the predominantly rural Florida panhandle and the relationship to adverse perinatal outcomes and access to prenatal care (PNC) services in this population. Compares aerial photography of building damage to 8,965 women's geocoded addresses, utilizing data from the Florida Department of Health's Office of Vital Statistics. Includes demographic information of women giving birth in high risk/damaged areas and the related associations to perinatal outcomes and access to PNC services.
Author(s): Ke Pan, Elaina Gonsoroski, Christopher K. Uejio, et al.
Citation: Environmental Health, 21, 118
Date: 11/2022
Type: Document
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How To Improve Community Wildfire Defense Grants To Build Rural Resilience
Analyzes the impact of wildfires in northern New Mexico to plan for increased needs related to climate disasters in rural and vulnerable communities across the U.S. Discusses issues such as capacity in rural areas that create challenges when utilizing federal assistance. Provides suggestions for investments in built environment and collaborations across agencies to plan for grant funding that supports rural areas and increases rural resilience.
Author(s): Sofia Garcia George, Mark Haggerty
Date: 10/2022
Type: Document
Sponsoring organization: Center for American Progress
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Evaluation of a Civic Engagement Approach to Catalyze Built Environment Change and Promote Healthy Eating and Physical Activity among Rural Residents: A Cluster (Community) Randomized Controlled Trial
Provides an overview of a study that will analyze the Change Club (CC) intervention that focuses on built environment and health behaviors in rural communities. The CC intervention utilizes the civic engagement interventions for built environment change (CEBEC) approach to promote nutrition and physical activity. Discusses research plan for recruiting participants, conducting interventions, assessing and evaluating the program, and disseminating data and results.
Author(s): Rebecca A. Seguin-Fowler, Karla L. Hanson, Deyaun Villarreal, et al.
Citation: BMC Public Health, 22, 1674
Date: 09/2022
Type: Document
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QuickStats: Percentage of Children and Adolescents Aged 6–17 Years Who Have Roads, Sidewalks, Paths, or Trails Where They Can Walk or Ride a Bicycle, by Urban-Rural Status and Family Income — National Health Interview Survey, United States, 2020
Bar chart showing children's access to locations where they can walk or ride a bicycle. Provides data for rural and urban neighborhoods for families with incomes below 200% of the federal poverty level and for families with incomes at or above 200% of the federal poverty level.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(35), 1136
Date: 09/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19
Examines rates of pediatric obesity before the COVID-19 pandemic and during the pandemic as related to normalized difference vegetation index (NDVI) or greenspace. Analyzes patient electronic health records (EHRs) of 81,418 children who had a pediatric visit between June 2019 and December 2019 and then again between June 2020 and December 2020. Includes demographic breakdowns of EHR patients by age, sex, race/ethnicity, insurance type, neighborhood measures such as social/economic deprivation and supermarket access, and urban, suburban, or rural location.
Author(s): Stephanie L. Mayne, Shannon Kelleher, Chloe Hannan, et al.
Citation: American Journal of Preventive Medicine
Date: 08/2022
Type: Document
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Reimagining and Reinvesting in Rural Hospital Markets
Commentary examining the hospital infrastructure needed in rural areas and how rural hospitals can be financed. Discusses current issues related to rural hospital services and how public health policy and infrastructure can impact the health of rural citizens.
Author(s): Caitlin Carroll, Arrianna Planey, Katy B. Kozhimannil
Citation: Health Services Research, 57(5), 1001-1005
Date: 08/2022
Type: Document
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Indiana Governor's Public Health Commission Report 2022
Provides an overview of public health in Indiana with a focus on healthy environments and health education. Examines the declining life expectancy and challenges to public health such as behavioral health issues, adult and child obesity, infectious diseases, and geographic and socio-economic health disparities. Summarizes and provides recommendations from the commission's findings related to governance and infrastructure, funding, healthcare workforce, data integration, emergency preparedness, and child/adolescent health.
Additional links: Appendices, News Brief
Date: 08/2022
Type: Document
Sponsoring organization: Indiana Department of Health
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Federally Supported Projects and Programs for Wastewater, Drinking Water, and Water Supply Infrastructure
Provides an overview of federally-funded water infrastructure projects, including those in rural areas, as well as programs that provide communities support for these types of projects and related activities. Includes information on the federal cost-share, average amount of assistance, fiscal year 2021 funding level, and fiscal year 2022 funding request for each program.
Date: 08/2022
Type: Document
Sponsoring organization: Congressional Research Service
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ARPA Impact Report: An Analysis of How Counties are Addressing National Issues with Local Investments
Describes how counties are investing American Rescue Plan Act (ARPA) funds to strengthen the workforce, address behavioral health needs, reinforce public health preparedness, improve housing access, ensure access to clean water, and build prosperous communities. Includes examples from rural counties throughout.
Date: 07/2022
Type: Document
Sponsoring organization: National Association of Counties
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Inequities in Physical Activity Environments and Leisure-Time Physical Activity in Rural Communities
Examines access to physical activity (PA) environments in 3 rural counties in Georgia. Analyzes 2019 survey data from 728 participants in relation to leisure-time PA, walking and biking for transport, and perceived PA environments with data broken down by race, household income, and neighborhood rurality.
Author(s): Michelle C. Kegler, Nicole Gauthreaux, April Hermstad, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
Type: Document
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