Rural Health
Resources by Topic: Social determinants of health
One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Patient-Centered Burdens and Economic Outcomes among Patients Who Are Veterans, People with Intellectual and Developmental Disabilities, and People Living in Rural Areas and Their Caregivers: A Scoping Review
Provides a literature review on patient-centered burdens and economic outcomes (PCBEOs) for military veterans, people with intellectual and developmental disabilities (IDD), and people living in rural areas. Includes 126 studies from 2015-2025 and examines for PCBEOs such as direct medical and non-medical monetary costs, indirect impacts such as unpaid caregiving and time off work, and intangible burdens such as delayed career advancement. Discusses emotional and psychological strain of PCBEOs among these groups.
Author(s): Naomi Buell, Ella Shenkar, Sydney Kirsch, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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Provides a literature review on patient-centered burdens and economic outcomes (PCBEOs) for military veterans, people with intellectual and developmental disabilities (IDD), and people living in rural areas. Includes 126 studies from 2015-2025 and examines for PCBEOs such as direct medical and non-medical monetary costs, indirect impacts such as unpaid caregiving and time off work, and intangible burdens such as delayed career advancement. Discusses emotional and psychological strain of PCBEOs among these groups.
Author(s): Naomi Buell, Ella Shenkar, Sydney Kirsch, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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County-Level Social Determinants of Health and Suicide Mortality Trends Among Formerly Incarcerated Persons in North Carolina, 2010–2018
Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Review of Current Research Describing the Influence of Non-Health Care Drivers of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Evaluating the Feasibility and Preliminary Effectiveness of a Tailored Diabetes Education Program for Rural Residents
Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Identification and Characteristics of Under-Resourced and High-Need Rural Counties
Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Virginia's Plan for Well-Being: 2025-2029
Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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Community Resources and Hazards Across the Rural-Urban Continuum
Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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