Rural Health
Resources by Topic: Social determinants of health
Oral Health in America: Advances and Challenges
Report explores the relationship oral health has to overall health and wellness. Discusses the societal factors that affect oral health and oral healthcare access. Features a discussion on rural oral health disparities and access to care in rural areas.
Additional links: Errata Notice, Executive Summary
Date: 12/2021
Sponsoring organizations: National Institute of Dental and Craniofacial Research, National Institutes of Health
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Report explores the relationship oral health has to overall health and wellness. Discusses the societal factors that affect oral health and oral healthcare access. Features a discussion on rural oral health disparities and access to care in rural areas.
Additional links: Errata Notice, Executive Summary
Date: 12/2021
Sponsoring organizations: National Institute of Dental and Craniofacial Research, National Institutes of Health
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Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
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Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
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Association Between Neighborhood Social Deprivation and Stage at Diagnosis among Breast Cancer Patients in South Carolina
Examines breast cancer stage at diagnosis in Black and White patients as related to the social deprivation index (SDI). Utilizes data from the South Carolina Central Cancer Registry (SCCCR) to analyze 52,803 breast cancer patients between 1996 and 2015. Includes demographic breakdowns of patient data by race, marriage status, tumor grade and year of diagnosis, SDI, living in a Healthcare Professional Shortage Area (HPSA), involvement in the Best Chance Network (BCN), and rural versus urban designation.
Author(s): Oluwole Adeyemi Babatunde, Whitney E. Zahnd, Jan M. Eberth, et al.
Citation: International Journal of Environmental Research and Public Health, 18(22), 11824
Date: 11/2021
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Examines breast cancer stage at diagnosis in Black and White patients as related to the social deprivation index (SDI). Utilizes data from the South Carolina Central Cancer Registry (SCCCR) to analyze 52,803 breast cancer patients between 1996 and 2015. Includes demographic breakdowns of patient data by race, marriage status, tumor grade and year of diagnosis, SDI, living in a Healthcare Professional Shortage Area (HPSA), involvement in the Best Chance Network (BCN), and rural versus urban designation.
Author(s): Oluwole Adeyemi Babatunde, Whitney E. Zahnd, Jan M. Eberth, et al.
Citation: International Journal of Environmental Research and Public Health, 18(22), 11824
Date: 11/2021
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Missouri State Health Assessment 2024
Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Sponsoring organization: Missouri Department of Health and Senior Services
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Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Sponsoring organization: Missouri Department of Health and Senior Services
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Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study
Examines 2005-2015 Tennessee Cancer Registry data of adults with prostate cancer to determine the relationship between population characteristics and prostate cancer treatment delay. Discusses geographic residence, insurance status, and social determinants of health (SDOH) such as race, marital status, and others. An urban versus rural breakdown is included.
Author(s): Francisco A. Montiel Ishino, Emmanuel A. Odame, Kevin Villalobos, et al.
Citation: American Journal of Men's Health, 15(6)
Date: 11/2021
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Examines 2005-2015 Tennessee Cancer Registry data of adults with prostate cancer to determine the relationship between population characteristics and prostate cancer treatment delay. Discusses geographic residence, insurance status, and social determinants of health (SDOH) such as race, marital status, and others. An urban versus rural breakdown is included.
Author(s): Francisco A. Montiel Ishino, Emmanuel A. Odame, Kevin Villalobos, et al.
Citation: American Journal of Men's Health, 15(6)
Date: 11/2021
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NIH Rural Health Seminar: Structural-Level Determinants of Rural Health Disparities
Recording of a seminar that examines structural-level determinants of rural health disparities, including sociocultural and economic determinants, physical environmental determinants, and research, evaluation, measurement, and policy methods and implications.
Additional links: Seminar Agenda, Speaker Biographies
Date: 11/2021
Sponsoring organizations: National Institute on Minority Health and Health Disparities, National Institutes of Health
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Recording of a seminar that examines structural-level determinants of rural health disparities, including sociocultural and economic determinants, physical environmental determinants, and research, evaluation, measurement, and policy methods and implications.
Additional links: Seminar Agenda, Speaker Biographies
Date: 11/2021
Sponsoring organizations: National Institute on Minority Health and Health Disparities, National Institutes of Health
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The State of the World's Children 2021 - On My Mind: Promoting, Protecting and Caring for Children's Mental Health
Examines child, adolescent, and caregiver mental health, focusing on risks and protective factors at critical moments in the life course. Discusses COVID-19's effect on mental health, and the social determinants that shape mental health and well-being. Features statistics on child mortality rates, maternal and child health, HIV/AIDS, nutrition, early childhood development, and education, with breakdowns by countries and territories including Palau, Samoa, Federated States of Micronesia, and the Marshall Islands.
Date: 10/2021
Sponsoring organization: United Nations Children's Fund (UNICEF)
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Examines child, adolescent, and caregiver mental health, focusing on risks and protective factors at critical moments in the life course. Discusses COVID-19's effect on mental health, and the social determinants that shape mental health and well-being. Features statistics on child mortality rates, maternal and child health, HIV/AIDS, nutrition, early childhood development, and education, with breakdowns by countries and territories including Palau, Samoa, Federated States of Micronesia, and the Marshall Islands.
Date: 10/2021
Sponsoring organization: United Nations Children's Fund (UNICEF)
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Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Addressing Health-Related Social Needs to Improve Rural Health: Ideas to Action
Identifies strategies for building community and regional systems of care to better address the social needs of patients and inform the design of community-level rural health transformation initiatives, pilots, or demonstrations in rural Maine. Examines existing literature and evidence from similar initiatives in Vermont, Idaho, and Oregon, and highlights key observations. Describes key components of a demonstration designed to build, implement, and test strategies for aligning health, social service, and other systems in order to advance whole-person care.
Author(s): Andrew F. Coburn, Deborah A. Deatrick
Date: 09/2021
Sponsoring organizations: Maine Rural Health Action Network, New England Rural Health Association
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Identifies strategies for building community and regional systems of care to better address the social needs of patients and inform the design of community-level rural health transformation initiatives, pilots, or demonstrations in rural Maine. Examines existing literature and evidence from similar initiatives in Vermont, Idaho, and Oregon, and highlights key observations. Describes key components of a demonstration designed to build, implement, and test strategies for aligning health, social service, and other systems in order to advance whole-person care.
Author(s): Andrew F. Coburn, Deborah A. Deatrick
Date: 09/2021
Sponsoring organizations: Maine Rural Health Action Network, New England Rural Health Association
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Utilization of Z Codes for Social Determinants of Health among Medicare Fee-for-Service Beneficiaries, 2019
Discusses how Z codes help report and track social determinants of health and reduce health disparities. Describes Z code claim data collected from 2016-2019, including the top 5 Z codes used in 2019 and the propositions of Medicare beneficiaries with Z codes across demographic characteristics. Highlights potential strategies to increase Z code utilization.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses how Z codes help report and track social determinants of health and reduce health disparities. Describes Z code claim data collected from 2016-2019, including the top 5 Z codes used in 2019 and the propositions of Medicare beneficiaries with Z codes across demographic characteristics. Highlights potential strategies to increase Z code utilization.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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