Rural Health
Resources by Topic: Social determinants of health
The Paradox of High Greenness and Poor Health in Rural Central Appalachia
Examines the environmental, socioeconomic, and psychological/behavioral factors that result in poor health in rural central Appalachia despite the availability of green areas. Includes discussion about the factors that attenuate or overwhelm potential health benefits of greenness for Appalachian citizens.
Author(s): Jiaying Dong, Matthew H E M Browning, Aaron Reuben, et al.
Citation: Environmental Research, 248, 118400
Date: 05/2024
Type: Document
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Examines the environmental, socioeconomic, and psychological/behavioral factors that result in poor health in rural central Appalachia despite the availability of green areas. Includes discussion about the factors that attenuate or overwhelm potential health benefits of greenness for Appalachian citizens.
Author(s): Jiaying Dong, Matthew H E M Browning, Aaron Reuben, et al.
Citation: Environmental Research, 248, 118400
Date: 05/2024
Type: Document
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San Luis Valley Hospital Delivers When Families Need Obstetric Care
Podcast episode describing challenges with offering obstetric care in rural Colorado. Discusses services offered, cross-training, behavioral health and substance use, and social determinants of health. Offers strategies for other hospitals offering maternal healthcare. Transcript is below the audio player.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode describing challenges with offering obstetric care in rural Colorado. Discusses services offered, cross-training, behavioral health and substance use, and social determinants of health. Offers strategies for other hospitals offering maternal healthcare. Transcript is below the audio player.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Locations and Characteristics of Pharmacy Deserts in the United States: A Geospatial Study
Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
Type: Document
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Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
Type: Document
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The First 1,000 Days of Life: Creating Brighter Futures for New Moms and Babies
Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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American Clusters: Using Machine Learning to Understand Health and Health Care Disparities in the United States
Demonstrates the strengths and weaknesses of using machine learning (ML) to identify social determinants of health, healthcare access, healthcare infrastructure, and geography factors contributing to health inequalities. Discusses use of ML in policy, with different levels of geography, and in future research.
Author(s): Diane M. Bowser, Kaili Maurico, Brielle A. Ruscitti, William H. Crown
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Demonstrates the strengths and weaknesses of using machine learning (ML) to identify social determinants of health, healthcare access, healthcare infrastructure, and geography factors contributing to health inequalities. Discusses use of ML in policy, with different levels of geography, and in future research.
Author(s): Diane M. Bowser, Kaili Maurico, Brielle A. Ruscitti, William H. Crown
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Partnerships to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Use of the Area Deprivation Index and Rural Applications in the Peer-Reviewed Literature
Brief discusses the use of the Area Deprivation Index (ADI) in peer-reviewed literature and interrogates how deprivation is defined and how the ADI is related to rurality. Defines ADI based on a literature review and explores the co-usage of ADI and rural in the literature. Recommends future research topics related to ADI and rurality.
Author(s): Casey P. Balio, Nicole Galler, Stephanie M. Mathis, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Brief discusses the use of the Area Deprivation Index (ADI) in peer-reviewed literature and interrogates how deprivation is defined and how the ADI is related to rurality. Defines ADI based on a literature review and explores the co-usage of ADI and rural in the literature. Recommends future research topics related to ADI and rurality.
Author(s): Casey P. Balio, Nicole Galler, Stephanie M. Mathis, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Rural-Urban Differences in Housing Cost Burden Across the U.S.
Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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2024-2026 Tennessee State Health Plan
Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
Type: Document
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Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
Type: Document
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