Rural Health
Resources by Topic: Infrastructure
Public Transit Stop Density Is Associated With Walking for Exercise Among a National Sample of Older Adults
Examines the relationship between density of neighborhood public transit stops and walking for exercise among older adults. Analyzes 2018 neighborhood data and self-reported exercise along with sociodemographic characteristics, economic status, and disability status. Includes discussion about built environment and metro versus nonmetro comparisons.
Author(s): Erica Twardzik, Jason R. Falvey, Philippa J. Clarke, Vicki A. Freedman, Jennifer A. Schrack
Citation: BMC Geriatrics, 23, 596
Date: 09/2023
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Examines the relationship between density of neighborhood public transit stops and walking for exercise among older adults. Analyzes 2018 neighborhood data and self-reported exercise along with sociodemographic characteristics, economic status, and disability status. Includes discussion about built environment and metro versus nonmetro comparisons.
Author(s): Erica Twardzik, Jason R. Falvey, Philippa J. Clarke, Vicki A. Freedman, Jennifer A. Schrack
Citation: BMC Geriatrics, 23, 596
Date: 09/2023
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
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Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
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Using Wastewater to Overcome Health Disparities among Rural Residents
Highlights health disparities in rural America and the potential for wastewater surveillance as a tool to address disparities. Discusses the use of wastewater surveillance during COVID-19 and in under-resourced locations in South Africa.
Author(s): Rochelle H. Holm, Gina Pocock, Marie A. Severson, et al.
Citation: Geoforum, 144, 103816
Date: 08/2023
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Highlights health disparities in rural America and the potential for wastewater surveillance as a tool to address disparities. Discusses the use of wastewater surveillance during COVID-19 and in under-resourced locations in South Africa.
Author(s): Rochelle H. Holm, Gina Pocock, Marie A. Severson, et al.
Citation: Geoforum, 144, 103816
Date: 08/2023
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A Road Map for Asset Based Investing in Central Appalachia
Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Physical Activity–Friendly Policies and Community Design Features in the US, 2014 and 2021
Examines policy and community design changes from 2014 to 2021 that support physical activity infrastructure. Focuses on designs and policies such as sidewalk width, lighting, bicycle space, and more. Includes discussions about infrastructure and policy specific to rural areas.
Author(s): Bryant J. Webber, Geoffrey P. Whitfield, Latetia V. Moore, et al.
Citation: Preventing Chronic Disease, 20
Date: 08/2023
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Examines policy and community design changes from 2014 to 2021 that support physical activity infrastructure. Focuses on designs and policies such as sidewalk width, lighting, bicycle space, and more. Includes discussions about infrastructure and policy specific to rural areas.
Author(s): Bryant J. Webber, Geoffrey P. Whitfield, Latetia V. Moore, et al.
Citation: Preventing Chronic Disease, 20
Date: 08/2023
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Report: Understanding Disaster Resiliency Factors for Broadband Deployments
Highlights broadband infrastructure vulnerabilities at the census block level related to natural disasters. Discusses unserved and underserved areas as well as 2 rural focused case studies. Makes recommendations to policymakers for a more resilient broadband infrastructure. Includes the Broadband Climate Risk Mitigation Tool for county and census block data.
Date: 08/2023
Sponsoring organization: Center on Rural Innovation
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Highlights broadband infrastructure vulnerabilities at the census block level related to natural disasters. Discusses unserved and underserved areas as well as 2 rural focused case studies. Makes recommendations to policymakers for a more resilient broadband infrastructure. Includes the Broadband Climate Risk Mitigation Tool for county and census block data.
Date: 08/2023
Sponsoring organization: Center on Rural Innovation
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A Descriptive Study of Covid-Era Movers to the Northern Forest Region
Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Sponsoring organization: Carsey School of Public Policy
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Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Sponsoring organization: Carsey School of Public Policy
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Contextualizing Physical Activity in Rural Adults: Do Relationships Between Income Inequality, Neighborhood Environments, and Physical Activity Exist?
Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L.K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
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Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L.K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
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An Active Roadmap: Best Practices in Rural Mobility
Provides a literature review and case studies related to the ways rural communities encourage health-focused infrastructure, multimodal transportation, economic development, and environmentally safe practices. Describes the typology and demographics of rural areas and discusses how transportation is linked to wellness and community health outcomes.
Date: 07/2023
Sponsoring organizations: Smart Growth America, The National Complete Streets Coalition
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Provides a literature review and case studies related to the ways rural communities encourage health-focused infrastructure, multimodal transportation, economic development, and environmentally safe practices. Describes the typology and demographics of rural areas and discusses how transportation is linked to wellness and community health outcomes.
Date: 07/2023
Sponsoring organizations: Smart Growth America, The National Complete Streets Coalition
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