Rural Health
Resources by Topic: Social determinants of health
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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Profiles of Non-Medical Drivers and Health Burden Associated With Care Seeking Among Rural Women
Examines social, demographic, and geographic determinants of health impacting women's health in 29 rural Texas counties. Analyzes survey data from 159 participants and provides data on health burden, health-related social needs, and geographic access to care.
Author(s): Elizabeth Ekren, Saksham Adhikari, Shadi Maleki, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Examines social, demographic, and geographic determinants of health impacting women's health in 29 rural Texas counties. Analyzes survey data from 159 participants and provides data on health burden, health-related social needs, and geographic access to care.
Author(s): Elizabeth Ekren, Saksham Adhikari, Shadi Maleki, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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WIC Participant and Local Agency Staff Perspectives on Increased Cash-Value Benefits for Fruits and Vegetables Within an American Indian Tribal Organization
Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Accountable Health Communities (AHC) Model Evaluation: Final Report
Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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Health Care Access from the Rural Perspective: A Narrative Review
Examines rural healthcare access in the dimensions of geographic, temporal, financial, cultural, and virtual. Discusses rural versus urban access challenges and access disparities related to geographic distance and available transportation, broadband internet access and digital literacy, healthcare workforce shortages, and the social determinants of health.
Author(s): Peter Kaboli, Adam Blaine, Jasmine Mares, et al.
Citation: Journal of Rural Health, 42(1), e70119
Date: 02/2026
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Examines rural healthcare access in the dimensions of geographic, temporal, financial, cultural, and virtual. Discusses rural versus urban access challenges and access disparities related to geographic distance and available transportation, broadband internet access and digital literacy, healthcare workforce shortages, and the social determinants of health.
Author(s): Peter Kaboli, Adam Blaine, Jasmine Mares, et al.
Citation: Journal of Rural Health, 42(1), e70119
Date: 02/2026
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Utilizing a Steering Committee to Implement Health in All Policies in a Rural, Micro-Urban Community
Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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