Rural Health
Resources by Topic: Social determinants of health
Social Determinants of Health and Variability in Treatment for Patients with Early-Stage Non-Small Cell Lung Cancer
Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2023 SAIPE.
Date: 03/2025
Sponsoring organization: Congressional Research Service
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Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2023 SAIPE.
Date: 03/2025
Sponsoring organization: Congressional Research Service
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Factors Associated with Multiple-Death Suicides among Rural US Decedents
Examines themes related to multiple suicides, or suicide confirmed in 2 or more descendants, in rural areas. Utilizes 2013-2021 data from the National Violent Death Reporting System (NVDRS) to analyze suicide deaths in rural areas based on meticulous planning, mutual dependency, unbearable health conditions, and other social factors.
Author(s): Victor A. Soupene, Timothy Hays, Jonathan Davis, J. Priyanka Vakkalanka
Citation: Journal of Rural Health, 41(1)
Date: 02/2025
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Examines themes related to multiple suicides, or suicide confirmed in 2 or more descendants, in rural areas. Utilizes 2013-2021 data from the National Violent Death Reporting System (NVDRS) to analyze suicide deaths in rural areas based on meticulous planning, mutual dependency, unbearable health conditions, and other social factors.
Author(s): Victor A. Soupene, Timothy Hays, Jonathan Davis, J. Priyanka Vakkalanka
Citation: Journal of Rural Health, 41(1)
Date: 02/2025
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Using Social Risks to Predict Unplanned Hospital Readmission and Emergency Care Among Hospitalized Veterans
Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research, 60(1)
Date: 02/2025
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Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research, 60(1)
Date: 02/2025
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Perinatal Mental Health in Maine
Offers data from various sources, including reviews of pregnancy-associated deaths, to help health professionals, policymakers, and the public understand the current status of perinatal mental health in Maine. Includes a section on mental health needs in rural areas and a county-level map with shadings showing numbers of mental health providers per 10,000 population.
Date: 01/2025
Sponsoring organization: Maine Department of Health and Human Services
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Offers data from various sources, including reviews of pregnancy-associated deaths, to help health professionals, policymakers, and the public understand the current status of perinatal mental health in Maine. Includes a section on mental health needs in rural areas and a county-level map with shadings showing numbers of mental health providers per 10,000 population.
Date: 01/2025
Sponsoring organization: Maine Department of Health and Human Services
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Assessing the Needs of Rural Families Affected by the Opioid Crisis: Issue Brief and Recommendations to the Secretary
Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Farmworker Health Network: 2024 Key Resources for Agricultural Worker Health
Highlights several resources on agricultural worker health, including a toolkit to encourage ag worker participation on health center boards and model programs to address specific health conditions. Provides a summary for each resource and links to more information on each sponsoring program's website.
Date: 01/2025
Sponsoring organizations: Farmworker Justice Fund, Inc., Health Outreach Partners, MHP Salud, Migrant Clinicians Network, National Association of Community Health Centers, National Center for Farmworker Health
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Highlights several resources on agricultural worker health, including a toolkit to encourage ag worker participation on health center boards and model programs to address specific health conditions. Provides a summary for each resource and links to more information on each sponsoring program's website.
Date: 01/2025
Sponsoring organizations: Farmworker Justice Fund, Inc., Health Outreach Partners, MHP Salud, Migrant Clinicians Network, National Association of Community Health Centers, National Center for Farmworker Health
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The 2024 Annual Homelessness Assessment Report (AHAR) to Congress
Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January/February 2024. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Author(s): Tanya de Sousa, Meghan Henry
Date: 01/2025
Sponsoring organizations: Abt Global, U.S. Department of Housing and Urban Development
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Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January/February 2024. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Author(s): Tanya de Sousa, Meghan Henry
Date: 01/2025
Sponsoring organizations: Abt Global, U.S. Department of Housing and Urban Development
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Current Attitudes and Barriers Among Appalachian Patients Towards Orthopaedic Surgery
Describes challenges faced by southern West Virginia rural residents in accessing orthopedic care, due to geographic and socioeconomic barriers. Uses data from 132 electronic surveys collected from patients during an appointment with their primary care provider at an affiliated outreach clinic.
Author(s): Dylan Smith, Justin B. West, Wade Smith, et al.
Citation: Journal of Appalachian Health, 6(4), 67-80
Date: 01/2025
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Describes challenges faced by southern West Virginia rural residents in accessing orthopedic care, due to geographic and socioeconomic barriers. Uses data from 132 electronic surveys collected from patients during an appointment with their primary care provider at an affiliated outreach clinic.
Author(s): Dylan Smith, Justin B. West, Wade Smith, et al.
Citation: Journal of Appalachian Health, 6(4), 67-80
Date: 01/2025
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