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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

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
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
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The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action
Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Sponsoring organization: Health Management Associates
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Rural Healthy People 2030
Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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Missouri Office of Rural Health's Biennial Report 2022-2023
Provides an overview of rural health in Missouri. Focuses on health status and factors that impact health. Covers demographics and population characteristics; health status of rural Missourians; maternal, infant, and child health; social determinants of health; and access to care. Includes information on the leading causes of death in the state and compares urban and rural data on these deaths.
Date: 2023
Sponsoring organization: Missouri Office of Rural Health and Primary Care
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Addressing the Rising Mental Health Needs of an Aging Population: Proceedings of a Workshop
Summary of a May 2023 workshop discussing mental health care for older adults, including challenges and strategies for meeting mental health needs. Discusses disparities, social determinants of health, access, workforce, interventions and support, rural challenges, and more.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disparities in Spatial Accessibility of Primary Care in Louisiana: From Physical to Virtual Accessibility
Evaluates both physical and virtual accessibility to primary care physicians (PCPs) across Louisiana. Analyzes disparities in access between rural and urban areas, the Black population and the general population, and for Area Deprivation Index (ADI) areas.
Author(s): Fahui Wang, Yutian Zeng, Lingbo Liu, Tracy Onega
Citation: Frontiers in Public Health, 11, 1154574
Date: 2023
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Federal Policy to Advance Racial, Ethnic, and Tribal Health Equity
Report explores the role of federal policy in creating or perpetuating racial, ethnic, and tribal health inequities. Discusses how past and current federal policies, directly related to healthcare or not, affect the health and well-being of racial and ethnic minorities, including American Indian and Alaska Native communities.
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Closing the Opportunity Gap for Young Children
Discusses the factors that cause inequities and limited access to resources for young children, such as poverty, food insecurity, abuse and violence, lack of social and emotional safety, inadequate healthcare and schooling, and more. Discusses policy and practices aimed at reducing opportunity gaps, with a focus on historically disadvantaged populations, including those in rural areas.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Sponsoring organization: United Health Foundation
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