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Rural Health
Resources by Topic: Social determinants of health

The Role of Comorbidities, Medications, and Social Determinants of Health in Understanding Urban-Rural Outcome Differences among Patients with Heart Failure
Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health, 40(2), 386-393
Date: 2024
Type: Document
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Rural-Urban Differences in Social and Emotional Protective Factors and Their Association with Child Health and Flourishing
Examines differences in childhood protective factors in rural and urban communities that correlate with childhood health and wellness. Utilizes 2018-2021 data from the National Survey of Children's Health to analyze protective factors such as caregiver emotional and social support, caregiver mental and physical health, family resilience and connectedness, neighborhood and school safety, and more. Includes rural versus urban comparisons with data further broken down by race/ethnicity, sex, age, health status, and marriage status of caregiver.
Author(s): Rose Y. Hardy, Samantha J. Boch, Mattina A. Davenport, Laura J. Chavez, Kelly J. Kelleher
Citation: Journal of Rural Health, 40(2), 314-325
Date: 2024
Type: Document
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Rural/Urban Differences in Receipt of Governmental Rental Assistance: Relationship to Health and Disability
Examines the relationship of housing to health and disability. Utilizes 2021 National Health Interview Survey data to analyze home ownership and rental assistance by rural versus urban location, with further breakdowns by age, gender, race/ethnicity, sexual orientation, marital status, education and employment status, self-rated health, region, and disability status.
Author(s): Carrie Henning-Smith, Alexis Swendener, Katie Rydberg, Megan Lahr, Hawking Yam
Citation: Journal of Rural Health, 40(2), 394-400
Date: 2024
Type: Document
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Redlining The Reservation: The Brutal Cost Of Financial Services Inaccessibility In Native Communities
Report discusses the lack of financial services for American Indian communities. Explores the consequences of a lack of financial investment in native communities, such as a lack of small businesses, new construction, and economic growth. Provides county-level and tribe-level data for Arizona and New Mexico. Discusses the effect this has on social determinants of health.
Author(s): Dave Castillo, Bruce C. Mitchell, Jason Richardson, Jad Edlebi
Date: 12/2023
Type: Document
Sponsoring organization: National Community Reinvestment Coalition
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Health Equity: A Native American Perspective
Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe
Citation: Milbank Quarterly
Date: 12/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers
Details a study exploring how rural and underserved urban communities in Kansas are screening for social determinants of health and using community health workers to address challenges. Bases findings on surveys of providers and clinic managers.
Author(s): Kristina M. Bridges, Joseph W. LeMaster, Daniel J. Parente, et al
Citation: Journal of Primary Care and Community Health, 14
Date: 12/2023
Type: Document
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Impacts of Transit on Health in Rural and Small Urban Areas
Overview of how public transportation affects health in rural and small urban areas. Summarizes findings from a literature review that looked at public transportation as it relates to the social determinants of health, healthcare access, physical activity, social isolation, and mental health. Also reports results from a survey of rural older adults supplemented by data analysis looking at travel for healthcare, challenges related to public transportation, and the impacts of missed or delayed healthcare trips.
Author(s): Jeremy Mattson, Bright Quayson
Date: 12/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including race, income, mental health, rurality, environment, violence, trauma, and more. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by underserved and vulnerable women. Discusses racial and ethnic groups, gender minority population, and rural population, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Ba┼čak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
Type: Document
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2023 - 2028 Oklahoma State Health Improvement Plan
Offers overview of Oklahoma resident health indicators and improvement goals with specific focus on social determinants of health, mental health, substance use, obesity, diabetes, and cardiovascular disease. Notes statewide resources and assets for each indicator. Includes a health inequity map at the census tract level.
Date: 12/2023
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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