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Rural Health Information Hub

Rural Health
Resources by Topic: Populations

Differences in Distress Between Rural and Non-rural Appalachian Breast Cancer Patient / Caregiver Dyads During the First Year of Treatment
Results of a pilot study measuring self-reported anxiety, depression, and caregiver strain among 48 Appalachian breast cancer patients and their caregivers, as identified by the University of Tennessee Medical Center from 2019-2020. Features demographics and statistics on types of psychological distress at baseline, 6-week, 6-month, and 12-month time frames, with breakdowns by rural or nonrural location.
Author(s): Jordan Tasman, Callie D. McAdams, Jillian Lloyd, Ashton J. Brooks, Patricia Nola Eugene Roberson
Citation: Journal of Appalachian Health, 4(3), 56-70
Date: 03/2022
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Tribal Transportation: Issues and Successful Models
Discusses issues related to transportation in tribal areas and how lack of transportation options causes forgone medical care, community disengagement, and employment difficulties. Provides information on tribal sovereignty, funding, coordination, and economic development as related to transportation systems. Includes case studies of successful transit programs in tribal areas.
Date: 03/2022
Sponsoring organization: National Rural Transit Assistance Program
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Intraregional Tribal Transportation Strategy
Report highlights a strategy for connecting rural tribal lands with access to transit in the San Diego region of California. Details the project's collaboration with local transit agencies and tribal governments.
Date: 03/2022
Sponsoring organizations: San Diego Association of Governments, Southern California Tribal Chairman's Association
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Building Trust in Public Health Emergency Preparedness and Response (PHEPR) Science: Proceedings of a Workshop—in Brief
Summarizes findings from a March 2022 workshop focused on trustworthiness of Public Health Emergency Preparedness and Response (PHEPR) institutions and researchers. Discusses how to promote trust in public health agencies and establishing communication strategies to address misinformation. Includes cultural issues related to rural and tribal communities.
Additional links: Read Online
Date: 03/2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Over 9 Million Adults Ages 50 and Older Faced Food Insecurity in 2020
Describes trends in food insecurity of food-insecure adults ages 50 and older between 2010-2020. Highlights demographic characteristics linked to older adult food insecurity, including nonmetropolitan residence. Presents state-by-state statistics on food insecurity prevalence by age group.
Author(s): Olivia Dean, Carlos Figueiredo
Date: 03/2022
Sponsoring organization: AARP Public Policy Institute
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Enduring Cancer Disparities by Persistent Poverty, Rurality, and Race: 1990-1992 to 2014-2018
Examines overall cancer mortality in the U.S. by county characteristics such as persistent poverty and rural versus urban location, as well as by isolating race as a potential determinant. Utilizes 1990-1992 and 2014-2018 National Death Index data to analyze how health disparities in cancer mortality have changed over time.
Author(s): Jennifer L. Moss, Casey N. Pinto, Shobha Srinivasan, Kathleen A. Cronin, Robert T. Croyle
Citation: Journal of the National Cancer Institute, 114(6), 829-836
Date: 03/2022
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March 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2022 meeting. Covers findings from MedPAC's annual beneficiary and clinician focus groups, Medicare payment policies to support safety-net providers, opportunities to strengthen the geriatric workforce, integrating episode-based payment with population-based payment, and improving Medicare Advantage risk adjustment. Includes rural references throughout.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Mental Health Care in the United States: The Case for Federal Action
Bipartisan report summarizing findings from three Senate Finance Committee hearings and a request for information regarding challenges in the mental healthcare system. Describes the prevalence of behavioral health conditions in the United States, the impact of the COVID-19 pandemic, and spending on behavioral health. Outlines key challenges across five cross-cutting areas: the behavioral health workforce; children, adolescents, and young adults; access to care, integration, and care coordination; mental health and substance use disorder (SUD) parity; and telehealth. Includes information on challenges facing rural and underserved communities.
Date: 03/2022
Sponsoring organization: Senate Committee on Finance
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Codesigning a Community-Based Participatory Research Project to Assess Tribal Perspectives on Privacy and Health Data Sharing: A Report from the Strong Heart Study
Presents findings from a workshop on health data privacy and sharing preferences with 14 tribal leaders whose communities are involved in the Strong Hearts Study. Discusses protocol for consulting tribal communities prior to engaging in biomedical research, issues of data safety, and respecting the distinct preferences of communities.
Author(s): Cynthia Triplett, Burgundy J. Fletcher, Riley I Taitingfong, et al.
Citation: Journal of the American Medical Informatics Association, 29(6), 1120-1127
Date: 03/2022
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A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Reports on a critical review of maternal and infant mortality literature to observe how social determinants of health relate to health issues for mothers and babies of various populations, distressed socioeconomic statuses, and rural geographies. Includes discussion about rural versus urban differences in maternal and infant mortality.
Author(s): Rada K. Dagher, Deborah E. Linares
Citation: Children, 9(3), 394
Date: 03/2022
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