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Rural Health
Resources by Topic: Social determinants of health

Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Additional links: Appendix
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Identifying Vulnerable Rural Populations During COVID-19: The CDC's Social Vulnerability Index
Issue brief describing the multifactor Social Vulnerability Index (SVI), developed by the Centers for Disease Control and Prevention (CDC) to identify rural populations at greatest risk of impact by hazardous events, including natural disasters and pandemics. Examines ways in which the SVI can be used to determine which populations have high risk of spreading COVID-19 and which populations have high risk of infection.
Additional links: NOSORH COVID-19 Data Tool
Citation: NOSORH Issue Brief, 2(4)
Date: 06/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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COVID-19 and Health Disparities in the United States
Examines the socioeconomic and health disparities that have contributed to the impact of the COVID-19 epidemic for certain populations, including rural residents and Native Americans, as well as other groups. Offers policy recommendations to help mitigate the impact of COVID-19, covering topics related to healthcare access, data collection, protecting frontline workers, and the social determinants of health.
Date: 06/2020
Type: Document
Sponsoring organizations: HIV Medicine Association, Infectious Diseases Society of America
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Spatial Disparities in Coronavirus Incidence and Mortality in the United States: An Ecological Analysis as of May 2020
Explores the spread of COVID-19 across the U.S. Details the virus's relation to different levels of socioeconomic status by mapping the spacial patterns of its spread through both rural and urban communities. Aims to inform first responders and policy makers.
Author(s): Charlie H. Zhang, Gary G. Schwartz
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Community Susceptibility and Resiliency to COVID‐19 Across the Rural‐Urban Continuum in the United States
Presents a county-level susceptibility scale for COVID-19. Highlights 7 susceptibility factors related to health and socioeconomic resiliency and discusses the different vulnerabilities of rural and urban communities.
Author(s): David J. Peters
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Susceptibility of Southwestern American Indian Tribes to Coronavirus Disease 2019 (COVID‐19)
Discusses the risk of COVID-19 for American Indian tribes in the Southwestern U.S. Provides a historical perspective regarding the spread of pandemics among Southwestern tribes and discusses the current social determinants of health for American Indians in the area.
Author(s): Monika Kakol, Dona Upson, Akshay Sood
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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COVID-19 Demographic and Economic Resources
Provides access to U.S. Census Bureau data useful in pandemic-related decision-making. Offers state and county impact planning reports that provide sociodemographic data, including data on at-risk populations, poverty, and health insurance coverage. Also provides data on businesses and employment.
Date: 06/2020
Type: Website
Sponsoring organization: U.S. Census Bureau
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Traffic Safety Facts, 2018 Data: Rural/Urban Comparison of Traffic Fatalities
Reports 2018 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by time of day, speed, alcohol use, seat belt use, and rollover crashes.
Date: 05/2020
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Being African American and Rural: A Double Jeopardy from COVID-19
Presents the particular risk rural African Americans face during the COVID-19 pandemic. Discusses the social determinants of health driving the disparities faced by rural African Americans and how they affect COVID-19 outcomes.
Author(s): Lakshay Sood, Vanita Sood
Citation: Journal of Rural Health
Date: 05/2020
Type: Document
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COVID-19 Among Workers in Meat and Poultry Processing Facilities ― 19 States, April 2020
Examines COVID-19 cases among workers in 115 meat and poultry processing facilities reported by 19 states. Discusses factors potentially affecting risk for infection, including difficulties with workplace physical distancing and hygiene and crowded living and transportation conditions. Includes recommended changes to address these issues.
Author(s): Jonathan W. Dyal, Michael P. Grant, Kendra Broadwater, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(18), 557-561
Date: 05/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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