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Rural Health
Resources by Topic: Social determinants of health

Rural Health Research Recap: Rural Ethnic/Racial Disparities: Social and Systemic Inequities
Highlights the racial and ethnic disparities related to the social determinants of health. Breaks down rates of poverty, broadband access, education, and insurance, among other measures, of Black, Hispanic, American Indian and Alaska Native, and Asian American and Pacific Islander populations in rural and urban areas.
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Income Disparities Widen the Gap in Oral Health of California Adults
Policy brief discussing associations between social determinants of health (SDOH) and oral health in California adults using data from the 2017 and 2018 California Health Interview Surveys (CHIS). Describes barriers related to oral health education, literacy, access to care, and oral health screening for low-income populations. Related infographic offers a map of oral health differences by region, noting disparities in rural California counties and data on income and racial/ethnic population characteristics.
Additional links: Infographic: Oral Health of Californians Differs by Where They Live
Author(s): Nadereh Pourat, Maria Ditter
Date: 11/2020
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Listening to Rural Stories: Q&A with Alisa Druzba
An interview with Alisa Druzba, director of the New Hampshire's Office of Rural Health and Primary Care, who discusses her journey to becoming a State Office of Rural Health (SORH) director, the impact of the COVID-19 pandemic on her state, and the work her office focuses on to support rural New Hampshire.
Author(s): Allee Mead
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Examining Social Determinants of Health in Rural America
#RuralHealthChat discusses social determinants of health (SOD) in rural communities and how they contribute to rural health disparities. Features experts from the Rural Health Research Gateway, the American Hospital Association, and the Centers for Disease Control and Prevention, among others.
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Ensuring Health Across Rural Minnesota in 2030
Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Value
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Rural Legal Deserts Are a Critical Health Determinant
Highlights the role attorneys play in addressing social determinants of health (SDH) during the COVID-19 pandemic and how their absence in rural areas exacerbates SDH. Discusses the concept of "legal deserts" in rural areas, how they affect SDH, and how things have changed during the pandemic.
Author(s): Michele Statz, Paula Termuhlen
Citation: American Journal of Public Health, 110(10), 1519–1522
Date: 10/2020
Type: Document
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Association Between Social Vulnerability and a County's Risk for Becoming a COVID-19 Hotspot — United States, June 1–July 25, 2020
Examines associations between social vulnerability and COVID-19 hotspot locations, based on June 1–July 25, 2020 county-level COVID-19 cases and data from the 2018 CDC social vulnerability index. Includes data by level of urbanicity for large metropolitan, small/medium metro, and nonmetro counties. Looks at both social vulnerability overall and specific components, including racial/ethnic minority population, percent of residents who speak English less than well, and housing and transportation vulnerability.
Author(s): Sharoda Dasgupta, Virginia B. Bowen, Andrew Leidner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(42), 1535-1541
Date: 10/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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NRHA Policy Paper: Rural Obesity
Policy position paper examining rural-urban differences in obesity prevalence, obesity as a factor in health disparities, differences in weight-related behaviors, and social determinants of health influencing rural obesity. Offers strategies and policy recommendations to address rural obesity.
Author(s): Demetrius Abshire, Cassity Gutierrez
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Health Equity Report 2019-2020: Special Feature on Housing and Health Inequalities
Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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