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Rural Health
Resources by Topic: Public health

Higher Hospitalization and Mortality Rates Among SARS-CoV-2-Infected Persons in Rural America
Presents a study on hospitalizations for COVID-19 based on rurality. Breaks down data for rural, urban-adjacent rural, and urban by age, gender, comorbidities, and outcome, among other measures.
Author(s): Alfred Jerrod Anzalone MS, Ronald Horswell, Brian M. Hendricks, et al.
Citation: Journal of Rural Health, 39(1), 39-54
Date: 2023
Type: Document
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Urban-Rural Disparities in Childhood Obesogenic Environments in the United States: Application of Differing Rural Definitions
Analyzes rural versus urban differences in food and physical activity (PA) environments that contribute to childhood obesogenic environment index (COEI) scores. Utilizes multiple data sources to examine 6 food environment variables and 4 PA variables by rural-urban continuum codes, among other rural definitions. Discusses differences in COEI scores and implications for public health practices.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Christiaan Abildso, Kara Davis, Andrew T. Kaczynski
Citation: Journal of Rural Health, 39(1), 121-135
Date: 2023
Type: Document
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Roles of Race and Residence on the Incidence of Sexually Transmitted Infections in South Carolina: Improving STD Prevention and Care Through Partnerships
Slides that depict information from two presentations. The first explores the associations of race and rurality in relationship to sexually transmitted infections (STIs) among Medicaid beneficiaries in South Carolina. Utilizes South Carolina Medicaid administrative claims data from 2019 to 2021 to examine STI and HIV incidence with data broken down by age, gender, race/ethnicity, comorbidity index, urban versus rural location, and county. The second analyzes the need to provide STI care in primary health clinics and reports on case studies from 4 rural clinics who discuss a gap in STI screening and treatment as well as barriers such as workforce capacity, structural issues, and stigma.
Author(s): Elizabeth Crouch, Theodoros V. Giannouchos, Melinda A. Merrell
Date: 12/2022
Type: Presentation Slides
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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The Economic and Societal Impact of Motor Vehicle Crashes, 2019
Examines costs resulting from motor vehicle crashes, including economic impact and premature death or lost quality-of-life for those who survive crashes with debilitating injuries. Features statistics on traffic fatalities from 1998-2019, portions of fatalities and injuries occurring in rural areas by injury severity for select states, and economic cost summary with breakdowns by urban and rural areas.
Author(s): Lawrence Blincoe, Ted R. Miller, Jing-Shiarn Wang, et al.
Date: 12/2022
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories Through June 2022
Examines motor vehicle fatalities from January, 2021 through June, 2022. Breaks down data by month, age, race, and by rural versus urban roads, among other measures. Compares 2021 fatality data to 2022 rates by month for a number of indicators, including rural areas.
Date: 12/2022
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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2022 National Preparedness Report
Summarizes progress made and challenges that remain in building and sustaining capabilities needed to prevent and recover from threats and incidents that pose the greatest risk to the nation. Examines some of the disasters that occurred in 2021 and includes sections on risk areas, capability areas, management opportunities, and the research approach for the report. Mentions rural throughout.
Date: 12/2022
Type: Document
Sponsoring organization: Federal Emergency Management Agency
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Cancer Clinical Trials: Federal Actions and Selected Non-Federal Practices to Facilitate Diversity of Patients
Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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HAI/AR Rural, Frontier, and Small LHDs Exploratory Survey and In-Depth Interview Analysis & Resources
Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Type: Website
Sponsoring organization: National Association of County and City Health Officials
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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America's Health Rankings Annual Report 2022
Provides a national and state-by-state overview of population health by analyzing 51 measures to describe health outcomes in the U.S. and 32 additional measures used to track current and emerging health issues at state and national levels. Examines the effects of the COVID-19 pandemic in 2020 and 2021. Presents findings from the October 2022 COVID-Era Disparities Survey. Explores racial and ethnic disparities throughout, including data on American Indian/Alaska Native populations.
Additional links: Executive Brief
Date: 12/2022
Type: Document
Sponsoring organization: United Health Foundation
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