Rural Health
Resources by Topic: Social determinants of health
2024 Research Report: Collaborative on Economic Mobility
Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Type: Document
Sponsoring organization: ACF Office of Community Services
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Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Type: Document
Sponsoring organization: ACF Office of Community Services
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The Loss of Rural Vital Places: A Case Study Using the Social Determinants of Health Framework
Interviews 26 residents of a rural Pennsylvania town to explore the impact of the loss of vital places (defined as sources of healthy food, recreational facilities, and social spaces) through a social determinants of health lens. Discusses built environments, economic stability, education, and transportation and their impacts on health and wellbeing.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Hazel Velasco Palacios, Kristina Brant
Citation: Wellbeing, Space and Society, 7
Date: 12/2024
Type: Document
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Interviews 26 residents of a rural Pennsylvania town to explore the impact of the loss of vital places (defined as sources of healthy food, recreational facilities, and social spaces) through a social determinants of health lens. Discusses built environments, economic stability, education, and transportation and their impacts on health and wellbeing.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Hazel Velasco Palacios, Kristina Brant
Citation: Wellbeing, Space and Society, 7
Date: 12/2024
Type: Document
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Maternal Mortality in Tennessee: Annual Report 2024
Findings from Tennessee's review of maternal deaths, focusing on pregnancy-related deaths from 2020-2022. Examines trends, leading causes, contributing factors, and disparities, and outlines recommendations to reduce pregnancy-related deaths and improve maternal health outcomes. Features statistics on pregnancy-related mortality rate by social drivers of health, with breakdowns by rural or urban residence.
Date: 12/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Findings from Tennessee's review of maternal deaths, focusing on pregnancy-related deaths from 2020-2022. Examines trends, leading causes, contributing factors, and disparities, and outlines recommendations to reduce pregnancy-related deaths and improve maternal health outcomes. Features statistics on pregnancy-related mortality rate by social drivers of health, with breakdowns by rural or urban residence.
Date: 12/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Comparing Models That Integrate Obstetric Care and WIC on Improved Program Enrollment During Pregnancy: A Protocol for a Randomized Controlled Trial
A study protocol that outlines the potential impact of linking women who are receiving obstetric care directly with the Women, Infants, and Children's (WIC) Program. Discusses plans to recruit 240 low-income, rural, pregnant patients from Pennsylvania and analyze WIC usage, social determinants of health, health status, and more.
Author(s): Kirstie M. Herb Neff, Kelsey Brandt, Alex R. Chang, et al.
Citation: BMC Public Health, 24, 3393
Date: 12/2024
Type: Document
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A study protocol that outlines the potential impact of linking women who are receiving obstetric care directly with the Women, Infants, and Children's (WIC) Program. Discusses plans to recruit 240 low-income, rural, pregnant patients from Pennsylvania and analyze WIC usage, social determinants of health, health status, and more.
Author(s): Kirstie M. Herb Neff, Kelsey Brandt, Alex R. Chang, et al.
Citation: BMC Public Health, 24, 3393
Date: 12/2024
Type: Document
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Domestic Violence in American Indian and Alaska Native Populations: A New Framework for Policy Change and Addressing the Structural Determinants of Health
Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
Type: Document
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Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
Type: Document
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The Impact of Internet Connectivity When Conducting a Virtual Clinical Trial with Participants Living in Rural Areas
Evaluates the effectiveness of virtual randomized clinical trials for research involving rural family caregivers. Analyzes notes across 1,003 visits with research participants in Minnesota, Iowa, and Wisconsin to identify internet reliability issues and impact on the research. Discusses internet access a social determinant of health.
Author(s): Diane E. Holland, Catherine E. Vanderboom, Jay Mandrekar, et al.
Citation: Contemporary Clinical Trials Communications, 42, 101366
Date: 12/2024
Type: Document
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Evaluates the effectiveness of virtual randomized clinical trials for research involving rural family caregivers. Analyzes notes across 1,003 visits with research participants in Minnesota, Iowa, and Wisconsin to identify internet reliability issues and impact on the research. Discusses internet access a social determinant of health.
Author(s): Diane E. Holland, Catherine E. Vanderboom, Jay Mandrekar, et al.
Citation: Contemporary Clinical Trials Communications, 42, 101366
Date: 12/2024
Type: Document
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Residential Instability, Neighborhood Deprivation, and Outcomes for Children
Examines the effects of residential instability and neighborhood deprivation on children's educational outcomes via an analysis of North Carolina births, lead testing, and standardized testing score data. Includes data on differences in study outcomes based on movement between rural and urban areas.
Author(s): Mercedes A. Bravo, Dominique Zephyr, Marie Lynn Miranda
Citation: BMC Public Health, 24, 3343
Date: 11/2024
Type: Document
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Examines the effects of residential instability and neighborhood deprivation on children's educational outcomes via an analysis of North Carolina births, lead testing, and standardized testing score data. Includes data on differences in study outcomes based on movement between rural and urban areas.
Author(s): Mercedes A. Bravo, Dominique Zephyr, Marie Lynn Miranda
Citation: BMC Public Health, 24, 3343
Date: 11/2024
Type: Document
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Building a Rural Cancer Care Network: Federal Funding Supports Collaboration of Urban, Regional, and Local Organizations
Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Health Research Recap: Rural-Urban Differences in Housing Crowdedness, Cost Burden, Stability, and Quality
Examines housing as a social driver of health. Features statistics on proportions of residents living in crowded housing, experiencing housing cost burden, living with housing inadequacies, and owning their homes, with breakdowns by urban or rural location.
Author(s): Jessica Rosencrans, Per Ostmo
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Examines housing as a social driver of health. Features statistics on proportions of residents living in crowded housing, experiencing housing cost burden, living with housing inadequacies, and owning their homes, with breakdowns by urban or rural location.
Author(s): Jessica Rosencrans, Per Ostmo
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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