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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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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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American Cancer Society's Report on the Status of Cancer Disparities in the United States, 2025
Reports on cancer disparities by various demographic factors, socioeconomic status, geography, and other factors, utilizing 2018-2022 North American Association of Central Cancer Registries (NAACCR) data. Contains metropolitan versus nonmetropolitan data comparisons throughout, and discusses factors influencing access to cancer screening and treatment, including rurality.
Author(s): Farhad Islami, Gladys Arias, Dongjun Lee, et al.
Citation: CA: A Cancer Journal for Clinicians, 76(1), e70045
Date: 12/2025
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Associations of Social Deprivation and Oncology Physician Network Vulnerability With Acute Care Utilization in the SEER-Medicare Population
Discusses the socioeconomic factors that correlate with acute care utilization among cancer patients, as well as the effect of regional specialist scarcity. Draws from Medicare data on patients with breast, lung, or colorectal cancer who have visited emergency departments or had non-elective hospitalizations and explores correlating social and regional factors, such as sex, rurality, social deprivation index score, and proximity to an oncology physician, among others.
Author(s): Ashlee A. Korsberg, Gabriel A. Brooks, A. James O'Malley, et al.
Citation: Health Services Research, e70070
Date: 11/2025
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Association of Injury-Related Mortality with Unique Domains of Social Determinants of Health Across the Urban-Rural Continuum
Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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2025 Nebraska Rural Poll Research Report: Well Being
Analyzes 2025 Nebraska Rural Poll results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, impact of marital status, feelings of loneliness, and more. Includes survey data and demographic information on survey respondents.
Author(s): Heather Akin, Cheryl Burkhart-Kriesel, Mary Emery, et al.
Date: 10/2025
Sponsoring organization: University of Nebraska-Lincoln
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