Rural Health
Resources by Topic: Social determinants of health
The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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Achieving Behavioral Health Equity for Children, Families, and Communities: Proceedings of a Workshop
Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disparities in Social Determinants of Health Outcomes and Behaviours Between Older Adults in Alaska and the Contiguous US: Evidence from a National Survey
Examines sociodemographic factors, rural versus urban residence, health outcomes, and behaviors among adults aged 65 years and older living in Alaska to those living in the contiguous 48 states. Assesses if residence, living in Alaska versus the lower 48 states, is associated with the social determinants of health and health outcomes.
Author(s): Steven A. Cohen, Ana X. Talamas, Natalie J. Sabik
Citation: International Journal of Circumpolar Health, 78(1)
Date: 12/2018
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Examines sociodemographic factors, rural versus urban residence, health outcomes, and behaviors among adults aged 65 years and older living in Alaska to those living in the contiguous 48 states. Assesses if residence, living in Alaska versus the lower 48 states, is associated with the social determinants of health and health outcomes.
Author(s): Steven A. Cohen, Ana X. Talamas, Natalie J. Sabik
Citation: International Journal of Circumpolar Health, 78(1)
Date: 12/2018
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South Carolina State Health Improvement Plan 2018-2023
Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for a variety of topics including child welfare, chronic conditions, and behavioral health. See pages 51-65 for discussion of rural healthcare access and social determinants of health.
Additional links: South Carolina Rural Health Action Plan
Date: 11/2018
Sponsoring organization: Alliance for a Healthier South Carolina (AHSC)
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Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for a variety of topics including child welfare, chronic conditions, and behavioral health. See pages 51-65 for discussion of rural healthcare access and social determinants of health.
Additional links: South Carolina Rural Health Action Plan
Date: 11/2018
Sponsoring organization: Alliance for a Healthier South Carolina (AHSC)
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Evidence Review — Social Determinants of Health for Veterans
Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
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Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
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Rural Poverty, Part 1
Showcases two papers from the Rural Policy Research Institute's (RUPRI) March 2018 "Rural Poverty: Fifty Years After The People Left Behind" Conference. Covers the causes and consequences of rural poverty and discusses the evolving research agenda to address the issue to improve economic opportunities. Includes information on rural and urban poverty rates by gender, education, marital status, and employment.
Citation: IRP Focus, 34(2), 1-24
Date: 10/2018
Sponsoring organization: Institute for Research on Poverty at the University of Wisconsin–Madison
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Showcases two papers from the Rural Policy Research Institute's (RUPRI) March 2018 "Rural Poverty: Fifty Years After The People Left Behind" Conference. Covers the causes and consequences of rural poverty and discusses the evolving research agenda to address the issue to improve economic opportunities. Includes information on rural and urban poverty rates by gender, education, marital status, and employment.
Citation: IRP Focus, 34(2), 1-24
Date: 10/2018
Sponsoring organization: Institute for Research on Poverty at the University of Wisconsin–Madison
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Ensuring Access to Quality Health Care in Vulnerable Communities
Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
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Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
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Declines in Child Poverty Continue in 2017: Overall Rate Still Above Pre-Recession Level
Examines trends in child poverty from 2007 through 2017, with information for rural areas, suburban areas, and cities. Appendix Table 1 provides state-by-state data.
Additional links: Appendix Table 1
Author(s): Jessica A. Carson, Andrew Schaefer, Marybeth J. Mattingly
Date: 09/2018
Sponsoring organization: Carsey School of Public Policy
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Examines trends in child poverty from 2007 through 2017, with information for rural areas, suburban areas, and cities. Appendix Table 1 provides state-by-state data.
Additional links: Appendix Table 1
Author(s): Jessica A. Carson, Andrew Schaefer, Marybeth J. Mattingly
Date: 09/2018
Sponsoring organization: Carsey School of Public Policy
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