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Rural Health
Resources by Topic: Rural-urban differences

National Hospital Care Survey Demonstration Projects: Examination of Maternal Health Outcomes by Housing Assistance Status
Compares maternal health outcomes for patients receiving housing assistance to those who did not receive assistance using National Hospital Care Survey and U.S. Department of Housing and Urban Development linked data. Offers data breakdown by rurality of hospital location, health insurance coverage, maternal age, gestational age, delivery method, and length of hospital stay. Discusses possibilities for future use of linked data research.
Author(s): Josephine M. Alford, Lello Guluma, Doreen M. Gidali, Geoffrey Jackson
Date: 03/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Factors Associated with Sugar-Sweetened Beverage Intake Among Young Children – United States, 2021
Analyzes sugar-sweetened beverage (SSB) intake among children 1-5 years old across sociodemographic and household factors. Provides data on SSB intake according to age, sex, race/ethnicity, maternal age of mother, household income, education level, household language, food security, metropolitan statistical area (MSA) status, and more.
Author(s): Mary Ellen Grap, Heather C. Hamner, Carrie Dooyema, Adi Noiman, Sohyun Park
Citation: Preventing Chronic Disease, 21
Date: 03/2024
Type: Document
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Who Are Vaccine Champions and What Implementation Strategies Do They Use To Improve Adolescent HPV Vaccination? Findings from a National Survey of Primary Care Professionals
Examines the strategies primary care providers (PCPs) use to improve HPV vaccination rates in their communities. Analyzes issues related to vaccination uptake like quality improvement projects as well as the sharing of information, encouragement, and vaccination data with colleagues. Discusses vaccination issues specific to rural areas and includes data on the likelihood of working with a PCP vaccine champion in a rural location.
Author(s): Micaela K. Brewington, Tara L. Queen, Jennifer Heisler-MacKinnon, et al.
Citation: Implementation Science Communications, 5, 28
Date: 03/2024
Type: Document
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The Complexities of Physician Supply and Demand: Projections From 2021 to 2036
Projects future supply of active physicians by examining trends in key determinants and the sensitivity of supply projections to changes in determinants. Features statistics including projected demand for primary care or non-primary care specialties by urban or rural location, with breakdowns by 6 levels of population density.
Author(s): Tim Dall, Ryan Reynolds, Ritashree Chakrabarti, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Association of American Medical Colleges
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Prevent or Treat: Availability of Diabetes Self-Management Education and Dialysis in High Need Rural Counties
Discusses availability of diabetes self-management education (DSME) and dialysis to treat end stage kidney disease in rural areas. Features county-level maps showing estimated proportion of the adult population with diabetes, counties with at least one DSME program, and DSME availability and county diabetes prevalence. Includes statistics on relationship between DSME availability within a county and estimated percent of adults with diabetes by rurality, as of 2022.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Utilizing the USDA's National Household Food Acquisition and Purchase Survey to Calculate a Household-Level Food Environment Measure
Offers the Food Retail Environment Healthfulness Quality measure, a calculation measuring a household's exposure to healthy food retail spaces. Uses the measure to show rural and urban comparisons of distance to healthy food options in addition to demographic analysis.
Author(s): Michele Ver Ploeg, Benjamin Scharadin, Lauren Miller, Jeffrey Gonzalez, Rodney Odom
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Partnerships to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reaching the Unheard: Overcoming Challenges in Health Research with Hard-to-Reach Populations
Analyzes strategies to engage hard-to-reach populations in health research. Discusses two case studies focused on specific issues in health research: breast cancer screening among rural and urban Mexican women in Illinois and mental health needs of Afghan refugees in Oklahoma. Provides reflection on issues such as cultural competency, language used in research, cultural identity and representation of research staff, choosing appropriate research sites, and more.
Author(s): Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Citation: International Journal for Equity in Health, 23, 61
Date: 03/2024
Type: Document
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Effects of the Communities that Heal (CTH) Intervention on Perceived Opioid-Related Community Stigma in the HEALing Communities Study: Results of a Multi-Site, Community-Level, Cluster-Randomized Trial
Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 03/2024
Type: Document
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Evaluation of the USDA Summer EBT Demonstrations: Lessons Learned From More Than a Decade of Research
Reports results of the Summer EBT (Electronic Benefits Transfer) demonstration project, 2015-2018 and 2019-2022. Describes Summer EBT use patterns, nutritional value, and effect on childhood food insecurity. Identifies strategies for better program planning, implementation, and administration. Discusses program operation and challenges in tribal organizations and rural communities.
Additional links: 2015-2018 Evaluation, 2019-2022 Evaluation, Summary
Author(s): René Nutter, Ayesha Enver, Maria Boyle, et al.
Date: 03/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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