Rural Health
Resources by Topic: Social determinants of health
Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Sponsoring organization: Rural Health Value
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Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Sponsoring organization: Rural Health Value
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Assessing Access to Digital Services in Health Care–Underserved Communities in the United States: A Cross-Sectional Study
Grouped 3108 counties in the contiguous U.S. based on their access to broadband, access to healthcare, and social vulnerability. Discusses trends in rural counties and regions of the country within these groups and makes recommendations to decrease the digital divide.
Author(s): Diego F. Cuadros, Claudia M. Moreno, F. DeWolfe Miller, Ryosuke Omori, Neil J. MacKinnon
Citation: Mayo Clinic Proceedings: Digital Health, 1(3), 217-225
Date: 09/2023
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Grouped 3108 counties in the contiguous U.S. based on their access to broadband, access to healthcare, and social vulnerability. Discusses trends in rural counties and regions of the country within these groups and makes recommendations to decrease the digital divide.
Author(s): Diego F. Cuadros, Claudia M. Moreno, F. DeWolfe Miller, Ryosuke Omori, Neil J. MacKinnon
Citation: Mayo Clinic Proceedings: Digital Health, 1(3), 217-225
Date: 09/2023
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The State of Our Health: A Statewide Health Assessment of Pennsylvania, August 2023 Update
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Oklahoma State Department of Health State Health Assessment 2023
Discusses the findings of a 2023 statewide health assessment, noting health inequity at the census tract level and social determinants of health specific to Oklahoma. Includes an overview of health behavior data, demographics, health challenges, and potential interventions for each of the 10 county health department districts and statewide.
Date: 08/2023
Sponsoring organization: Oklahoma State Department of Health
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Discusses the findings of a 2023 statewide health assessment, noting health inequity at the census tract level and social determinants of health specific to Oklahoma. Includes an overview of health behavior data, demographics, health challenges, and potential interventions for each of the 10 county health department districts and statewide.
Date: 08/2023
Sponsoring organization: Oklahoma State Department of Health
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Youth Disconnection in The Rapides Foundation Service Area, 2023
Reporting analyzing young people between 16 and 24 that do not work or go to school, or "disconnected youth," in 8 Louisiana parishes. Offers statewide and national comparisons and considers regional disparities. Discusses the role of rurality and education in disconnection, among other indicators. Includes parish-level data.
Date: 08/2023
Sponsoring organizations: Measure of America, The Rapides Foundation
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Reporting analyzing young people between 16 and 24 that do not work or go to school, or "disconnected youth," in 8 Louisiana parishes. Offers statewide and national comparisons and considers regional disparities. Discusses the role of rurality and education in disconnection, among other indicators. Includes parish-level data.
Date: 08/2023
Sponsoring organizations: Measure of America, The Rapides Foundation
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Race, Poverty, and Foster Care Placement in the United States: Longitudinal and Cross-Sectional Perspectives
Examines how changes in poverty rate are related to foster care placements for Black and White children. Utilizes longitudinal data from 2000 to 2015 to analyze related socio-ecological factors and includes statistics on poverty, foster care admissions rates, and child population, further broken down according to urbanicity.
Author(s): Fred Wulczyn, Xiaomeng Zhou, Jamie McClanahan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(16), 6572
Date: 08/2023
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Examines how changes in poverty rate are related to foster care placements for Black and White children. Utilizes longitudinal data from 2000 to 2015 to analyze related socio-ecological factors and includes statistics on poverty, foster care admissions rates, and child population, further broken down according to urbanicity.
Author(s): Fred Wulczyn, Xiaomeng Zhou, Jamie McClanahan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(16), 6572
Date: 08/2023
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Linking Local-Level Chronic Disease and Social Vulnerability Measures to Inform Planning Efforts: A COPD Example
Examines chronic obstructive pulmonary disease (COPD) and its relationship to community vulnerability. Utilizes multiple data sources to analyze the relationship between chronic disease and social vulnerability at the county and census-tract level, with a focus on socioeconomic factors, household composition and disability, minority status and language, and housing type and transportation. Includes U.S. maps showing prevalence of COPD and social vulnerability.
Author(s): Susan A. Carlson, Kathleen B. Watson, Sarah Rockhill, et al.
Citation: Preventing Chronic Disease, 20
Date: 08/2023
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Examines chronic obstructive pulmonary disease (COPD) and its relationship to community vulnerability. Utilizes multiple data sources to analyze the relationship between chronic disease and social vulnerability at the county and census-tract level, with a focus on socioeconomic factors, household composition and disability, minority status and language, and housing type and transportation. Includes U.S. maps showing prevalence of COPD and social vulnerability.
Author(s): Susan A. Carlson, Kathleen B. Watson, Sarah Rockhill, et al.
Citation: Preventing Chronic Disease, 20
Date: 08/2023
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Socioeconomic and Environmental Determinants of Asthma Prevalence: A Cross-sectional Study at the U.S. County Level Using Geographically Weighted Random Forests
Examines ecological associations of asthma by social and physical determinants at the county level. Includes U.S. maps that depict asthma prevalence as well as determinants such as smoking prevalence, depression prevalence, poverty, insurance rates, and more, which are further analyzed to depict their correlation with asthma.
Author(s): Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
Citation: International Journal of Health Geographics, 22, 18
Date: 08/2023
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Examines ecological associations of asthma by social and physical determinants at the county level. Includes U.S. maps that depict asthma prevalence as well as determinants such as smoking prevalence, depression prevalence, poverty, insurance rates, and more, which are further analyzed to depict their correlation with asthma.
Author(s): Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
Citation: International Journal of Health Geographics, 22, 18
Date: 08/2023
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Contextualizing Physical Activity in Rural Adults: Do Relationships Between Income Inequality, Neighborhood Environments, and Physical Activity Exist?
Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L.K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
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Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L.K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
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Improving the Social Determinants of Health in Rural America Through Medicaid Section 1115 Waivers
Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Sponsoring organization: National Rural Health Association
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Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Sponsoring organization: National Rural Health Association
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