Rural Health
Resources by Topic: Social determinants of health
Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
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Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Sponsoring organization: Arizona Department of Health Services
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Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Sponsoring organization: Arizona Department of Health Services
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CMS Office of Minority Health: Health Equity Data Book
Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
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
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
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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
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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
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
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
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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
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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
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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
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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
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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
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