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Rural Health
Resources by Topic: Social connectedness

Meeting the Social Needs of Older Adults in Rural Areas
Discusses the risks of social isolation and loneliness among rural older adults. Details interventions to address this issue, as well as models that improve social connectedness for older adults.
Author(s): Carrie Henning-Smith
Citation: JAMA Health Forum
Date: 11/2020
Type: Document
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Rural America's Senior Citizens: Considerations for Transportation, Healthcare Access, Connectedness, Nutrition and Economics
Policy paper providing an overview of rural older adults. Examines the challenges rural older adults face in accessing healthcare. Discusses how transportation, social isolation, nutrition, and economics impact the health outcomes of this population.
Author(s): Tasha Brown, Kay Miller Temple, Josie Rudolphi
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Stress and Physical Activity in Rural Cancer Survivors: The Moderating Role of Social Support
Details a study on the relationship between social support, leisure-time physical activity, and psychological distress among rural and urban cancer survivors. Breaks down data by age, gender, and cancer type, among other measures.
Author(s): Scherezade K. Mama, Nishat Bhuiyan, Joshua Smyth, Kathryn H. Schmitz
Citation: Journal of Rural Health, 36(4), 543-548
Date: 09/2020
Type: Document
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America at a Glance: Social Isolation and Loneliness During the First Wave of COVID-19
Explores how COVID-19 and related stay-at-home orders contributed to feelings of social isolation and loneliness among people with disabilities. Compares feelings of social isolation and loneliness among urban and rural groups before and after the COVID-19 pandemic. Discusses the possible impact of technological accommodations on these feelings.
Date: 08/2020
Type: Document
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of Montana: Rural Institute for Inclusive Communities
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The Role of Transportation in Addressing Social Isolation in Older Adults
Summarizes the findings of a research project that included a literature review and interviews of experts to determine if a lack of transportation is associated with the probability of social isolation among older adults. Highlights common themes among three examples of transit programs, identifies funding sources for rural and urban organizations, and offers recommendations for additional research.
Additional links: Condensed Report
Author(s): Carrie Henning-Smith, Christina Worrall, Madelyn Klabunde, Yingling Fan
Date: 07/2020
Type: Document
Sponsoring organizations: National Center for Mobility Management, State Health Access Data Assistance Center, University of Minnesota Rural Health Research Center
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Supporting the Health and Wellbeing of Middle-Aged Adults Living Alone in Rural Counties
Results of a study exploring the characteristics of adults ages 35-64 who live alone, and the heightened health risks and challenges related to social isolation, especially in the midst of the COVID-19 pandemic. Uses data from a survey of 14 healthcare providers in rural counties with a high percentage of middle-aged adults living alone. Features a county-level map with breakdowns by percentage of people living alone in rural areas.
Author(s): Carrie Henning-Smith, Mariana Tuttle, Ashley Hernandez, Jonathan Schroeder, Katy Kozhimannil
Date: 07/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Social Determinants of Health and 90‐Day Mortality After Hospitalization for Heart Failure in the REGARDS Study
Uses data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study to examine associations between social determinants of health (SDOH) and risk of 90-day mortality after heart failure (HF) hospitalization among Medicare beneficiaries aged 65 years or older. Some of the SDOH considered include African American race, social isolation, rural residence, living in a high poverty ZIP code or Health Professional Shortage Area (HPSA), and more.
Author(s): Madeline R. Sterling, Joanna Bryan Ringel, Laura C. Pinheiro, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
Type: Document
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Integrating Culture and History to Promote Health and Help Prevent Type 2 Diabetes in American Indian/Alaska Native Communities: Traditional Foods Have Become a Way to Talk About Health
Reports on the implementation of the Traditional Foods Project (TFP), a community-based intervention to promote access to and integration of traditional foods, physical activities, and social support in culturally and geographically diverse American Indian/Alaska Native (AI/AN) communities.
Author(s): Lemyra DeBruyn, Lynne Fullerton, Dawn Satterfield, Melinda Frank
Citation: Preventing Chronic Disease, 17
Date: 02/2020
Type: Document
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Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System
Examines how social isolation and loneliness affect health and quality of life in adults aged 50 and older, with a focus on vulnerable populations, including those living in rural areas. Makes recommendations for clinical settings on screening for negative health impacts related to social isolation and developing interventions to help address this issue.
Additional links: Read Online
Author(s): Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics
Highlights a cross-sectional study on loneliness in adults in the U.S. Aims to evaluate rates of loneliness by age group, gender, race, and urban or non-urban location, as well as by several other measures. Bases conclusions on the results of a national survey of 20,096 adults.
Author(s): Liana DesHarnais Bruce, Joshua S. Wu, Stuart L. Lustig, Daniel W. Russell, Douglas A. Nemecek
Citation: American Journal of Health Promotion, 33(8), 1123-1133
Date: 11/2019
Type: Document
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