Rural Health
Resources by Topic: Social determinants of health
Diabetes in Pennsylvania: Prevention and Maintenance Programs
Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Precision Public Health Alliances as a Model and Method for Community Engagement
Examines the Precision Public Health Alliance (PPHA) approach of utilizing analytics to map social, demographic, and clinical comorbidity variables onto colorectal cancer (CRC) screening data in rural northeastern Kentucky and southeastern Ohio. Provides data on the relationship among sociodemographic information, clinical outcomes, and CRC screening to assess community needs. Discusses the importance of understanding social determinants of health (SDOH) and community collaboration when addressing population health.
Author(s): Margaret L. McGladrey, Mary Elizabeth Lacy, Kristen McQuerry, et al.
Citation: Frontiers in Public Health, 13
Date: 08/2025
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Examines the Precision Public Health Alliance (PPHA) approach of utilizing analytics to map social, demographic, and clinical comorbidity variables onto colorectal cancer (CRC) screening data in rural northeastern Kentucky and southeastern Ohio. Provides data on the relationship among sociodemographic information, clinical outcomes, and CRC screening to assess community needs. Discusses the importance of understanding social determinants of health (SDOH) and community collaboration when addressing population health.
Author(s): Margaret L. McGladrey, Mary Elizabeth Lacy, Kristen McQuerry, et al.
Citation: Frontiers in Public Health, 13
Date: 08/2025
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Community Navigation Intervention for Social Needs in Patients With Abnormal Mammography: A Randomized Controlled Trial Study Protocol
Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate the social need and change the likelihood of cancer patients with unmet social needs to complete their follow-up care. Discusses the importance of follow-up care in the treatment and prevention of cancer and the barriers individuals with unmet social needs face to receive it. Explores rurality as a potential barrier.
Author(s): Kirstin Beck, Mackenzie Mitchell, Andrea S. Wallace, et al.
Citation: BMC Public Health, 25, 2926
Date: 08/2025
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Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate the social need and change the likelihood of cancer patients with unmet social needs to complete their follow-up care. Discusses the importance of follow-up care in the treatment and prevention of cancer and the barriers individuals with unmet social needs face to receive it. Explores rurality as a potential barrier.
Author(s): Kirstin Beck, Mackenzie Mitchell, Andrea S. Wallace, et al.
Citation: BMC Public Health, 25, 2926
Date: 08/2025
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Building Healthier Rural Communities: Economic Development Districts Address Social Determinants of Health
Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Understanding the Influence of Social Determinants of Health on Symptom Reporting in Pediatric Cancer
Highlights a study on the social determinants of health of caregivers of children with cancer in Appalachia. Discusses the symptom burden of child cancer and breaks down data by child's age, rurality, and Appalachian versus non-Appalachian location, among other measures.
Author(s): Micah A. Skeens, Adelaide Booze, Mark Ranalli, Anna Olsavsky
Citation: Journal of Rural Health, 41(3), e70071
Date: 08/2025
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Highlights a study on the social determinants of health of caregivers of children with cancer in Appalachia. Discusses the symptom burden of child cancer and breaks down data by child's age, rurality, and Appalachian versus non-Appalachian location, among other measures.
Author(s): Micah A. Skeens, Adelaide Booze, Mark Ranalli, Anna Olsavsky
Citation: Journal of Rural Health, 41(3), e70071
Date: 08/2025
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Geographic and Demographic Correlates of Living in Manufactured Homes: Implications for Health
Examines rates of living in manufactured homes by rural and urban location, and rates among rural residents by region and socio-demographic characteristics. Features statistics on likelihood of living in manufactured housing, crowded housing by manufactured housing status, and housing quality and cost burden, with breakdowns by urban and rural location.
Author(s): Carrie Henning-Smith, Jonathan Schroeder, Alexis Swendener, Madeleine Pick, Megan Lahr
Date: 07/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rates of living in manufactured homes by rural and urban location, and rates among rural residents by region and socio-demographic characteristics. Features statistics on likelihood of living in manufactured housing, crowded housing by manufactured housing status, and housing quality and cost burden, with breakdowns by urban and rural location.
Author(s): Carrie Henning-Smith, Jonathan Schroeder, Alexis Swendener, Madeleine Pick, Megan Lahr
Date: 07/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Veterans' Thoughts on High Suicide Rates in Their Communities—and on What to Do About It
Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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County Economic Status in Appalachia, FY 2026
Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 05/2025
Sponsoring organization: Appalachian Regional Commission
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Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 05/2025
Sponsoring organization: Appalachian Regional Commission
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Economic Hardship and Health Within Sociodemographic and Occupational Groups — Behavioral Risk Factor Surveillance System, United States, 2022–2023
Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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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 2023 SAIPE.
Date: 03/2025
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 2023 SAIPE.
Date: 03/2025
Sponsoring organization: Congressional Research Service
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