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Rural Health
Resources by Topic: Social determinants of health

Wisconsin State Health Improvement Plan: 2023-2027 Summary
Provides an overview on the collaboration and partnerships to create the state health improvement plan, with a focus on social and community conditions, safety, social belonging and wellness, and mental health. Includes strategies specific to rural areas as well as tribal and local health departments.
Additional links: Implementation Guide
Date: 02/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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Health Equity in Rural America, Part 2: The Two Georgias Initiative, with Lisa Medellin, Arlene Parker Goldson, and Tara Gardner
An episode of the Exploring Rural Health podcast focused on rural health equity and the work of the Two Georgias Initiative. Features Lisa Medellin, Director of Programs for the Healthcare Georgia Foundation, Arlene Parker Goldson, health consultant for the Partnership for Southern Equity, and Tara Gardner, project coordinator for the Two Georgias coalition in Clay County, Georgia.
Date: 02/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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 2 lists persistent poverty counties based on data from the 1990 Census, Census 2000, and the 2021 Small Area Income and Poverty Estimates (SAIPE).
Date: 02/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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The State of Health in Tennessee: 2023 Annual Report to the 113th Tennessee General Assembly
Provides a comprehensive overview of health in Tennessee, including health outcomes of individuals and information on the health of the state's healthcare system. Includes statistics on rural hospitals that have closed in recent years, and those at risk of closure as of 2022. Features county-level maps showing Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Tennessee Department of Health
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Arizona Rural and Public Health Policy Forum Session Recordings
Lists recorded sessions from the 2023 Arizona Rural & Public Health Policy Forum. Includes topics such as health equity, social determinants of health, tribal health, policy updates, information technology, healthcare cost, and more.
Date: 01/2023
Type: Website
Sponsoring organization: Arizona Center for Rural Health
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Building a Better Wisconsin: Investing in the Health and Well-Being of Wisconsinites - 2023 Governor's Health Equity Council Report
Provides an overview of the Wisconsin Governor's Health Equity Council 2023 recommendations which are focused on upstream health interventions related to the economic, social, and physical environment, with specific attention to health and community services, education and housing, justice, governance, and family-sustaining fiscal policy. Includes strategies specific to rural communities as well as county-level maps on health outcomes and percentage of children in poverty.
Date: 01/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
Type: Document
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Shorter Time to Treatment Is Associated With Improved Survival in Rural Patients With Breast Cancer Despite Other Adverse Socioeconomic Factors
Analyzes the relationship between time to treatment initiation (TTI) and overall survival (OS) of cancer patients. Examines 1,205,031 women with breast cancer from 2004 to 2012 by socioeconomic and demographic information, with data further broken down by rural versus urban location.
Author(s): Minh-Tri Nguyen, Wei Wei, Gregory Cooper, Alok A. Khorana, Suneel D. Kamath
Citation: Oncology, 37(1), 19-24
Date: 01/2023
Type: Document
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