Rural Health
Resources by Topic: Social determinants of health
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
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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
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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
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
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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
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
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
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
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
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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
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Cross-Sectional Analysis of Primary Care Clinics' Policies, Practices, and Availability of Patient Support Services During the COVID-19 Pandemic
Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
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Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
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Children of Migrant Workers: Supporting the Invisible Student
Report discusses the physical, social, and emotional challenges faced by the children of migrant workers pursuing an education. Highlights a number of stressors migrant students face such as language barriers, missed school, poverty, and other social determinants of health. Provides a number of resources from federal programs ans non-profit organizations.
Date: 02/2024
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Report discusses the physical, social, and emotional challenges faced by the children of migrant workers pursuing an education. Highlights a number of stressors migrant students face such as language barriers, missed school, poverty, and other social determinants of health. Provides a number of resources from federal programs ans non-profit organizations.
Date: 02/2024
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Factors Associated With Racial and Ethnic Disparities in Locally Advanced Rectal Cancer Outcomes
Analyzes social determinants of health and demographic factors influencing racial and ethnic disparities in treatment response among rectal cancer patients. Provides data breakdowns of factors associated with patient outcomes, including treatment facilities' level of rurality. Highlights disparities experienced by Hispanic and non-Hispanic Black patients relative to non-Hispanic White patients.
Author(s): Rebecca M. Shulman, Mengying Deng, Elizabeth A. Handorf, et al.
Citation: JAMA Network Open, 7(2), e240044
Date: 02/2024
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Analyzes social determinants of health and demographic factors influencing racial and ethnic disparities in treatment response among rectal cancer patients. Provides data breakdowns of factors associated with patient outcomes, including treatment facilities' level of rurality. Highlights disparities experienced by Hispanic and non-Hispanic Black patients relative to non-Hispanic White patients.
Author(s): Rebecca M. Shulman, Mengying Deng, Elizabeth A. Handorf, et al.
Citation: JAMA Network Open, 7(2), e240044
Date: 02/2024
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Association of Social Vulnerability Index and Masking Adherence among Children Enrolled in COVID-19 Community Research Partnership Study
Examines the relationship between social vulnerability and masking during the COVID-19 pandemic among children aged 2 to 17 years old and living in the Southeast. Provides data on masking adherence according to age, race/ethnicity, sex, social vulnerability, and rural, suburban, or urban location.
Author(s): Keerti L. Dantuluri, Asare Buahin, Diane Uschner, et al.
Citation: BMC Public Health, 24, 410
Date: 02/2024
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Examines the relationship between social vulnerability and masking during the COVID-19 pandemic among children aged 2 to 17 years old and living in the Southeast. Provides data on masking adherence according to age, race/ethnicity, sex, social vulnerability, and rural, suburban, or urban location.
Author(s): Keerti L. Dantuluri, Asare Buahin, Diane Uschner, et al.
Citation: BMC Public Health, 24, 410
Date: 02/2024
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Understanding the Social Determinants (Drivers) of Rural Suicide: A Focus on North Texas
Webinar discussing social determinants of health (SDOH) as a driver for suicide. Includes both national and Texas-specific statistics. Discusses unique factors for rural populations and rural subgroups at the highest risk. Offers resources and strategies for addressing rural SDOH disparities for suicide prevention. Captions available in the video player.
Date: 01/2024
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Webinar discussing social determinants of health (SDOH) as a driver for suicide. Includes both national and Texas-specific statistics. Discusses unique factors for rural populations and rural subgroups at the highest risk. Offers resources and strategies for addressing rural SDOH disparities for suicide prevention. Captions available in the video player.
Date: 01/2024
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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