Rural Health
Resources by Topic: Poverty
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 sociodemographic factors 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 patient characteristics.
Date: 06/2024
Sponsoring organization: FAIR Health
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Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of sociodemographic factors 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 patient characteristics.
Date: 06/2024
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. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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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. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
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
Sponsoring organization: Appalachian Regional Commission
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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
Sponsoring organization: Appalachian Regional Commission
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Exploring Native Hawaiian and Pacific Islander Youths' E-Cigarette Resistance Strategies: Implications for Tobacco Product Use Prevention
Examines strategies to resist e-cigarette use and vaping among predominantly Native Hawaiian and Pacific Islander (NHPI) youth attending elementary, middle/intermediate, and multi-level schools in low-income, rural communities on the Island of Hawaii. Provides results of interviews with 69 youths, detailing strategies including overt refusal, explanation, avoidance, leaving, and more.
Author(s): Scott K Okamoto, Andrew M Subica, Katlyn J an, et al.
Citation: Journal of Health Care for the Poor and Underserved, 35(2), 692-706
Date: 05/2024
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Examines strategies to resist e-cigarette use and vaping among predominantly Native Hawaiian and Pacific Islander (NHPI) youth attending elementary, middle/intermediate, and multi-level schools in low-income, rural communities on the Island of Hawaii. Provides results of interviews with 69 youths, detailing strategies including overt refusal, explanation, avoidance, leaving, and more.
Author(s): Scott K Okamoto, Andrew M Subica, Katlyn J an, et al.
Citation: Journal of Health Care for the Poor and Underserved, 35(2), 692-706
Date: 05/2024
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Funding Rural Futures: A Call to Action: Four Principles for Equitable, Flexible Grantmaking
Discusses best practices for funders seeking to address persistent poverty in rural communities and tribal nations, utilizing feedback from economic and community development practitioners working in persistent poverty areas. Summarizes discussion results and provides perspectives from participants on topics including grant planning and administration, project- and trust-based philanthropy, partnerships and relationship-building, and funding outcomes.
Additional links: Executive Summary
Date: 05/2024
Sponsoring organization: Aspen Institute
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Discusses best practices for funders seeking to address persistent poverty in rural communities and tribal nations, utilizing feedback from economic and community development practitioners working in persistent poverty areas. Summarizes discussion results and provides perspectives from participants on topics including grant planning and administration, project- and trust-based philanthropy, partnerships and relationship-building, and funding outcomes.
Additional links: Executive Summary
Date: 05/2024
Sponsoring organization: Aspen Institute
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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
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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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
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, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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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, sex, and urban or rural location.
Date: 05/2024
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
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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
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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
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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
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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
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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
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