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Rural Health
Resources by Topic: Poverty

Evaluating the Feasibility and Acceptability of a Co-Designed Physical Activity Intervention for Rural Middle Schoolers: A Pilot Study
Examines a physical activity pilot study in a low-socioeconomic, rural, Midwestern setting with 6th and 7th grade students. Provides the study's conceptual framework, timeline of data collection, intervention-related feasibility indicators, physical activity and health measures, physiological measures, and more.
Author(s): Janette M. Watkins, Julia E. Brunnemer, Kathleen N. Heeter, et al.
Citation: BMC Public Health, 24, 1830
Date: 07/2024
Type: Document
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The Impact of Regional Disparities on the Availability of Meningococcal Vaccines in the US
Analyzes the relationship among meningococcal vaccines, area-level socioeconomic status (SES), and state policies. Provides data on variables correlated with stocking rate, such as SES, social vulnerability, healthcare access, vaccine policies, and rural or micropolitan area, as well as public versus private proportion of doses. Includes county-level U.S. maps showing variations in meningococcal vaccine stocking rates.
Author(s): Katharina Schley, Eva Jodar, Jessica V. Presa, Sarah J. Willis, Christopher G. Prener
Citation: BMC Public Health, 24, 1771
Date: 07/2024
Type: Document
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Healthcare Spending among Diverse Populations with Alzheimer's Disease and Related Dementias: A Claims-Based Analysis
Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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County Economic Status in Appalachia, FY 2025
Map showing levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2024
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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Does SNAP Cover the Cost of a Meal in Your County?
Analyzes the ability of the the Supplemental Nutrition Assistance Program (SNAP) to cover the price of a meal. Includes background information on the program as well as an interactive map that shows the cost of a moderately priced meal by county and the proportion of the cost covered by SNAP, county designation according to the rural-urban continuum code (RUCC), and SNAP benefit per meal versus total cost of meal according to select time periods between 2022-2023.
Additional links: Key Findings
Date: 05/2024
Type: Website
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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The Implications of Using Maternity Care Deserts to Measure Progress in Access to Obstetric Care: A Mixed-Integer Optimization Analysis
Compares geographic access to critical care obstetric (CCO) services in Georgia via a county-level maternal care desert model versus a model of census blocks further than 50 miles from CCO services. Uses each model to estimate how expansion of facilities would affect access to care, and also to estimate race and ethnicity, insurance status, age, and poverty rate of reproductive-aged women with limited access to care using 2017 American Community Survey data.
Author(s): Meghan E. Meredith, Lauren N. Steimle, Stephanie M. Radke
Citation: BMC Health Services Research, 24, 682
Date: 05/2024
Type: Document
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Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia
Examines the impacts of the COVID-19 pandemic on a rural, Appalachian community in Kentucky. Utilizes focus group data from 39 participants to analyze ongoing issues such as social isolation, cost of living, and food access. Discusses how these issues affect mental health, access to needed medications, and ability to purchase nutritious food.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, Nathan Bandy, Heather Norman-Burgdolf
Citation: International Journal of Environmental Research and Public Health, 21(5), 594
Date: 05/2024
Type: Document
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School-Based Health Centers as an Approach to Address Health Disparities among Rural Youth: A Study Protocol for a Multilevel Research Framework
Describes a study protocol to evaluate the impact of school-based health centers (SBHCs) on healthcare utilization, health outcomes, and education in rural, disadvantaged New York counties. Discusses risk factor identification and data collection at the individual, school district, and community levels.
Author(s): Xue Zhang, Mildred E. Warner, Sharon Tennyson, et al.
Citation: PLoS ONE, 19(5), e0303660
Date: 05/2024
Type: Document
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