Rural Health
Resources by Topic: Infrastructure
2023 County Health Rankings National Findings Report
Analyzes county-level health and wellness data, focusing on issues such as civic infrastructure and socioeconomic opportunity. Includes information on access to broadband, libraries, parks and recreation, schools, and social organizations. Provides U.S. map of county-level life expectancy (LE) and discusses the relationship of LE to civic participation.
Date: 03/2023
Sponsoring organization: County Health Rankings & Roadmaps
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Analyzes county-level health and wellness data, focusing on issues such as civic infrastructure and socioeconomic opportunity. Includes information on access to broadband, libraries, parks and recreation, schools, and social organizations. Provides U.S. map of county-level life expectancy (LE) and discusses the relationship of LE to civic participation.
Date: 03/2023
Sponsoring organization: County Health Rankings & Roadmaps
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Rural Community Transit Strategies: Building on, Expanding, and Enhancing Existing Assets and Programs
Provides an overview of a potential rural transit model based on the current infrastructure in Minnesota and by examining other state models. Focuses on solutions such as hybrid mobility, small town assets, expanding service, responding to driver shortages, engaging citizens and networking within communities, and more. Discusses public health concerns such as food access and disability accommodations.
Author(s): Thomas Fisher, Mary Vogel, Alireza Khani, Fernando Burga
Date: 02/2023
Sponsoring organization: Minnesota Department of Transportation
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Provides an overview of a potential rural transit model based on the current infrastructure in Minnesota and by examining other state models. Focuses on solutions such as hybrid mobility, small town assets, expanding service, responding to driver shortages, engaging citizens and networking within communities, and more. Discusses public health concerns such as food access and disability accommodations.
Author(s): Thomas Fisher, Mary Vogel, Alireza Khani, Fernando Burga
Date: 02/2023
Sponsoring organization: Minnesota Department of Transportation
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COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial
Examines data collection protocol modifications in the Change Club (CC) intervention which aims to improve civic engagement and built environment factors related to obesity and other chronic disease disparities. Analyzes 12 rural communities engaged in the CC intervention and discusses the subsequent measurements to observe intervention impacts, which were adjusted from onsite to self-reported due to the COVID-19 pandemic. Analyzes data collection protocols that can establish both rigor and feasibility in rural health research.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Meredith Graham, et al.
Citation: Methods and Protocols, 6(1), 5
Date: 01/2023
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Examines data collection protocol modifications in the Change Club (CC) intervention which aims to improve civic engagement and built environment factors related to obesity and other chronic disease disparities. Analyzes 12 rural communities engaged in the CC intervention and discusses the subsequent measurements to observe intervention impacts, which were adjusted from onsite to self-reported due to the COVID-19 pandemic. Analyzes data collection protocols that can establish both rigor and feasibility in rural health research.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Meredith Graham, et al.
Citation: Methods and Protocols, 6(1), 5
Date: 01/2023
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The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action
Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Sponsoring organization: Health Management Associates
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Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Sponsoring organization: Health Management Associates
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Barriers, Facilitators, and Opportunities to Promote Healthy Weight Behaviors among Preschool-Aged Children in Two Rural U.S Communities
Examines barriers, facilitators, and opportunities related to supporting wellness and healthy weight in rural preschool children. Utilizes focus group interviews with parents, caregivers, and community organizations as well as observation of built environment to assess healthy eating and physical activity resources. Discusses wellness barriers and facilitators for preschool children at the family, organization, and community levels.
Author(s): Katherine Jochim Pope, Cason Whitcomb, Maihan Vu, et al.
Citation: BMC Public Health 23, 53
Date: 01/2023
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Examines barriers, facilitators, and opportunities related to supporting wellness and healthy weight in rural preschool children. Utilizes focus group interviews with parents, caregivers, and community organizations as well as observation of built environment to assess healthy eating and physical activity resources. Discusses wellness barriers and facilitators for preschool children at the family, organization, and community levels.
Author(s): Katherine Jochim Pope, Cason Whitcomb, Maihan Vu, et al.
Citation: BMC Public Health 23, 53
Date: 01/2023
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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, 64(1), 33-41
Date: 01/2023
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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, 64(1), 33-41
Date: 01/2023
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Analysis of Wastewater Samples to Explore Community Substance Use in the United States: Pilot Correlative and Machine Learning Study
Analyzed wastewater samples from 12 locations in the United States to determine feasibility in using wastewater surveillance for monitoring substance use. Discusses using machine learning as a public health tool for analyzing data to identify communities with similar resource needs. Includes rural-specific concerns.
Author(s): Marie A. Severson, Sathaporn Onanong, Alexandra Dolezal, et al.
Citation: JMIR Formative Research, 7(2023), 45353
Date: 2023
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Analyzed wastewater samples from 12 locations in the United States to determine feasibility in using wastewater surveillance for monitoring substance use. Discusses using machine learning as a public health tool for analyzing data to identify communities with similar resource needs. Includes rural-specific concerns.
Author(s): Marie A. Severson, Sathaporn Onanong, Alexandra Dolezal, et al.
Citation: JMIR Formative Research, 7(2023), 45353
Date: 2023
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Pedestrian and Bicycle Safety Performance Functions
Offers data for use in developing pedestrian and bicycle safety performance functions (SPFs) for transportation practitioners at all levels to better inform planning, design, and operations decisions. Includes statistics for a wide range of site types including roadway segments and intersections in rural, urban, and suburban areas.
Additional links: Read Online
Date: 2023
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Offers data for use in developing pedestrian and bicycle safety performance functions (SPFs) for transportation practitioners at all levels to better inform planning, design, and operations decisions. Includes statistics for a wide range of site types including roadway segments and intersections in rural, urban, and suburban areas.
Additional links: Read Online
Date: 2023
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Highway Safety Behavioral Strategies for Rural Areas
Provides an overview of the risk factors of rural roads, such as rough terrain, wildlife, and lack of services over long distances. Includes examples of how to define rural roads, a related literature review of behavioral strategies in rural environments; safety toolkits and training; statistics on crashes, fatalities, and injuries; examples of counties that have reduced crashes; and more.
Additional links: Read Online
Author(s): Transportation Research Board
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Provides an overview of the risk factors of rural roads, such as rough terrain, wildlife, and lack of services over long distances. Includes examples of how to define rural roads, a related literature review of behavioral strategies in rural environments; safety toolkits and training; statistics on crashes, fatalities, and injuries; examples of counties that have reduced crashes; and more.
Additional links: Read Online
Author(s): Transportation Research Board
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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2022 Communications Marketplace Report
Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Identifies an emerging set of issues and opportunities presented by changes made in response to COVID-19. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2018-2021.
Date: 12/2022
Sponsoring organization: Federal Communications Commission
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Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Identifies an emerging set of issues and opportunities presented by changes made in response to COVID-19. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2018-2021.
Date: 12/2022
Sponsoring organization: Federal Communications Commission
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