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Rural Health Information Hub

Rural Health
Resources by Topic: Populations

The Built Environment and Social and Emotional Support among Rural Older Adults: The Case for Social Infrastructure and Attention to Ethnoracial Differences
Evaluated 110,850 rural older adults to determine the connection between social infrastructure and social and emotional support (SaES). Looks for variance across demographic factors and discusses the implication for mental health.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Logan Wincott
Citation: Rural Sociology 88(3), 731-762
Date: 05/2023
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The Impacts of Opioid Addiction on the Rural Workforce
A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 05/2023
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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American Indians and Alaska Natives and the American Community Survey
Webinar recording presents an overview of the American Community Survey (ACS) data collection process for American Indian and Alaska Native communities. Discusses how to access data and provides resources for users.
Additional links: Webinar Slides, Webinar Transcript
Date: 05/2023
Sponsoring organization: U.S. Census Bureau
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Mortality Among US Veterans Admitted to Community vs Veterans Health Administration Hospitals for COVID-19
Reviewed 64,856 Veterans Health Administration (VHA) elderly enrollees between March 1, 2020 and December 31, 2021 to compare COVID-19 health outcomes for those admitted to VHA hospitals to those admitted to community hospitals. Discusses access to VHA hospitals for rural veterans. Makes recommendations for future COVID-19 surges and other pandemics.
Author(s): Michael E. Ohl, Kelly Richardson Miell, Brice F. Beck, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Building Capacity with American Indians and Alaska Natives to Handle Hazardous Materials and Respond to Emergencies
Report details the NIEHS Worker Training Program initiative to train American Indian and Alaska Native workers and communities to handle hazardous materials and public emergencies. Highlights the courses offered, such as chemical emergency response, asbestos awareness, and infectious disease awareness, among others. Discusses the need for training in AI/AN communities and identifies the tribal nations that have received the training.
Date: 05/2023
Sponsoring organization: National Institute of Environmental Health Sciences
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Child Nutrition Program Operations During the COVID-19 Pandemic, March through September 2020: School Meals Operations Study, Year 1 Report (Final)
Describes trends in Child Nutrition (CN) Program participation during the early months of the COVID-19 pandemic, from March through September 2020. Presents data on the number of meals served, operational and financial challenges state agencies and local program operators experienced during the pandemic, and the use of COVID-19 Child Nutrition nationwide waivers. Includes information on challenges rural program operators faced.
Additional links: Report Summary
Author(s): Veronica Severn, Liana Washburn, Rachel Frisk, Kevin Conway
Date: 05/2023
Sponsoring organization: USDA Economic Research Service
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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Vaccine Hesitancy and the Willingness to Recommend the COVID-19 Vaccine to Children in a Rural County on the United States-Mexico Border
Presents the results of a 2022 survey in Cochise County, Arizona evaluating the readiness of Latinx adults to recommend vaccinating children under 5 years and children 5 to 12 years of age. Discusses characteristics linked to support for COVID-19 vaccination of these two groups and other issues regarding the vaccination of children from these groups.
Author(s): Raghu D. Darisi, Audrey J. Buckland, Mario Morales, et al.
Citation: Frontiers in Public Health, 11
Date: 05/2023
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The Association Between Social Functioning and Health Literacy Among Rural Southeastern African Americans with Hypertension
Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
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