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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

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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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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Reimagining Rural Health and Well-Being
Details effective practices for promoting rural health, addresses community needs, and improves access to care among organizations focused on rural funding, service delivery, and research. Discusses funding strategies, collaborations, and other rural-specific concerns relevant to philanthropic organizations, government funders, health providers, and more. Project findings are discussed in depth via a landscape analysis and summary of listening sessions conducted throughout 2025.
Additional links: Landscape Analysis, Listening Sessions Summary
Author(s): Tanisa Adimu, John Butts, Amy Elizondo, et al.
Date: 01/2026
Sponsoring organizations: Georgia Health Policy Center, Grantmakers in Health, National Rural Health Association
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Perspectives of Community Health Center Employees on Public Bus Transportation in Rural Hawai'i County
Discusses perspectives on employee and patient use of public bus transportation to access a multi-location Federally Qualified Health Center (FQHC) within rural Hawai'i County. Identifies themes and provides interview excerpts from 10 participating employees on topics including the importance of transportation access in rural areas, barriers to bus use, and the role the community health center could play in supporting improved bus transportation.
Author(s): L. Brooke Keliikoa, Claudia Hartz, Ansley Pontalti, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1), 78
Date: 01/2026
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Merging Law and Medicine: Patient Attitudes About and Experiences with Social Needs Screening and Medical-Legal Partnerships in Primary Care
Analyzes survey results of 502 adults who had visited a primary care provider in 2023 to investigate patient experiences with social needs screening (SNS) and medical-legal partnerships (MLP). Discusses rural patients' comfort with MLPs as an option to address social needs.
Author(s): Jamelia D. Graham, Jennifer L. Kraschnewski, Sophia I. Allen, et al.
Citation: Journal of Primary Care & Community Health, 2026
Date: 01/2026
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Persistent Poverty and Breast Cancer Incidence by Tumor Subtype: Intersections of Rural/Urban Residence and Race Within USA Surveillance Epidemiology and End Results Registries, 2017 to 2021
Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Prevalence of Meeting Youth Physical Activity Guidelines Across Income, Sex, Urbanicity, and Sport Participation: 2022–2023 National Survey of Children's Health (NSCH)
Examines the prevalence of youth meeting physical activity guidelines by income, sex, rurality, and sports participation. Draws data from the National Survey of Children's Health from 2022-2023.
Author(s): Ashleigh Johnson
Citation: Journal of Rural Health, 42(1), e70105
Date: 01/2026
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Outcomes Among Patients With Colon Cancer Living in Neighborhoods With Persistent Poverty
Results of a study comparing clinical outcomes for colon cancer patients based on the number of census tracts per ZIP code that were in persistent poverty at the time of diagnosis. Features statistics with breakdowns by urban and rural areas.
Author(s): Leon Naar, Alexa L. Pohl, Arden M. Morris, Aaron J. Dawes,
Citation: JAMA Network Open, 9(1), e2551212.
Date: 01/2026
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Household Food Security in the United States in 2024
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Community Resilience and Stroke Outcomes in Older Adults: Beyond Rural-Urban Classifications
Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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