Rural Health
Resources by Topic: Schools
Can Schools Detect Mild Hearing Loss? Evaluating Screening Accuracy and Feasibility
Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Results from the Annual Survey of School Food Authorities, School Year 2024-2025
Analyzes supply chain disruptions in School Food Authorities (SFAs), such as the National School Lunch Program (NSLP) and School Breakfast Program (SBP), from 2024 to 2025. Provides data on SFA supply chain challenges, food and labor costs, student participation, and more, with rural, suburban, and urban breakdowns.
Author(s): Ashley Chaifetz, Susannah Barr, Allison Lacko
Date: 07/2026
Sponsoring organization: USDA Food and Nutrition Administration
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Analyzes supply chain disruptions in School Food Authorities (SFAs), such as the National School Lunch Program (NSLP) and School Breakfast Program (SBP), from 2024 to 2025. Provides data on SFA supply chain challenges, food and labor costs, student participation, and more, with rural, suburban, and urban breakdowns.
Author(s): Ashley Chaifetz, Susannah Barr, Allison Lacko
Date: 07/2026
Sponsoring organization: USDA Food and Nutrition Administration
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Food Service Directors' Knowledge and Beliefs About Ultraprocessed Foods in California's San Joaquin Valley Schools
Examines food service director (FSD) perspectives on ultraprocessed foods (UPFs) while planning meals for schools in the largely rural San Joaquin Valley of California. Utilizes interview data from 20 FSDs and discusses themes such as healthfulness of UPFs, scratch-cooked foods versus UPFs, and reasons for including or not including UPFs in school menus.
Author(s): Anjali Gupta, Alix Zuceth Duran Gomez, Donna Matheson, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Examines food service director (FSD) perspectives on ultraprocessed foods (UPFs) while planning meals for schools in the largely rural San Joaquin Valley of California. Utilizes interview data from 20 FSDs and discusses themes such as healthfulness of UPFs, scratch-cooked foods versus UPFs, and reasons for including or not including UPFs in school menus.
Author(s): Anjali Gupta, Alix Zuceth Duran Gomez, Donna Matheson, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Improving Childhood Immunization Access in Rural Washington Through School-Based Partnerships
Discusses Washington State's Northeast Tri County Health District (NETCHD) efforts to address low rates of childhood immunization within Ferry, Stevens, and Pend Oreille counties via partnerships with schools, public communication, immunization clinics, and other forms of outreach.
Author(s): Rae Lamp
Date: 07/2026
Sponsoring organization: National Association of County and City Health Officials
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Discusses Washington State's Northeast Tri County Health District (NETCHD) efforts to address low rates of childhood immunization within Ferry, Stevens, and Pend Oreille counties via partnerships with schools, public communication, immunization clinics, and other forms of outreach.
Author(s): Rae Lamp
Date: 07/2026
Sponsoring organization: National Association of County and City Health Officials
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Bullying Prevalence and Persistence in Rural and Urban Settings
Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Active Aging for L.I.F.E.: An Intergenerational Program to Improve Adolescents' Aging Attitudes in Rural Communities
Presents results of participation in Active Aging for L.I.F.E., a school-based intergenerational program focused on health literacy, health awareness, aging attitudes, and social connectedness, among 77 junior high and high school students in rural Oklahoma. Details how outcomes varied by sex and age.
Author(s): Xuewei Chen, Emily Roberts
Citation: International Journal of Environmental Research and Public Health, 23(7), 822
Date: 06/2026
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Presents results of participation in Active Aging for L.I.F.E., a school-based intergenerational program focused on health literacy, health awareness, aging attitudes, and social connectedness, among 77 junior high and high school students in rural Oklahoma. Details how outcomes varied by sex and age.
Author(s): Xuewei Chen, Emily Roberts
Citation: International Journal of Environmental Research and Public Health, 23(7), 822
Date: 06/2026
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Barriers and Solutions to Effective Mental Health Services in Rural Schools: A Delphi Study
Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Resourcefulness, Ingenuity, and Community Strengths in Meeting Rural Youth Mental Health Needs: A Multiple Case Study
Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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School-Based Telehealth Interventions: Evidence Roundup
Provides an overview on school-based telehealth services, focusing on service type, policy and funding, evidence on effectiveness, and replicable models. Includes discussion on the value of school-based telehealth for rural communities as well as examples of rural programs.
Author(s): Kelsey Brykman
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Provides an overview on school-based telehealth services, focusing on service type, policy and funding, evidence on effectiveness, and replicable models. Includes discussion on the value of school-based telehealth for rural communities as well as examples of rural programs.
Author(s): Kelsey Brykman
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Notes from the Field: Initial Public Health Response to a Measles Outbreak in a Close-Knit West Texas Community — January−February 2025
Discusses the public health response to a measles outbreak which took place in Texas's rural Gaines county and other nearby counties from January to August 2025. Covers topics including vaccine coverage, school-based public health responses, patient demographics and vaccination status, and multilingual communication and culturally-tailored materials.
Author(s): Carolyn A. Crisp, Scott Milton, Chelsea S. Lutz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(23), 300-302
Date: 06/2026
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Discusses the public health response to a measles outbreak which took place in Texas's rural Gaines county and other nearby counties from January to August 2025. Covers topics including vaccine coverage, school-based public health responses, patient demographics and vaccination status, and multilingual communication and culturally-tailored materials.
Author(s): Carolyn A. Crisp, Scott Milton, Chelsea S. Lutz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(23), 300-302
Date: 06/2026
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