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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

California State Health Assessment Core Module 2025 Update
Provides data on a variety of health conditions and demographics as part of California's annual State Health Assessment (SHA). Offers data on statewide trends in mortality, disability, social determinants of health, mental health, and rural health. Includes rural-urban data comparisons for select topics.
Date: 2025
Sponsoring organization: California Department of Public Health
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America's Health Rankings 2025 Health of Women and Children Report
Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in mortality, severe morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women at the national level, including a spotlight on chronic conditions among women in rural communities on document page 3. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 2025
Sponsoring organization: United Health Foundation
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2025-2030 Maryland Rural Health Strategic Plan
Recommends priorities for organizations and programs to consider as they provide health services across rural Maryland. Features a county-level map showing distribution of rural regions in Maryland and includes statistics on Maryland's rural population, with breakdowns by region and rural designation.
Additional links: Summary
Date: 2025
Sponsoring organization: Maryland Department of Health
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Why Rural Matters 2025: People, Place, and Possibility
Describes educational, social, and health outcomes associated with rural schools. Includes state-level data, rankings, and comparisons to the U.S. as a whole.
Additional links: Communications Toolkit, Executive Summary, Maps, State-by-State Results
Author(s): Daniel Showalter, Sara L. Hartman, Karen Eppley, Jerry Johnson, Bob Klein
Date: 2025
Sponsoring organization: National Rural Education Association
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Association Between Obesogenic Environments and Childhood Overweight/Obesity Across the United States: Differences by Rurality
Examines the impact of environmental factors on childhood obesity in rural areas. Utilizes the Childhood Obesogenic Environment Index (COEI) to analyze statistical differences in rural versus urban counties in the U.S. Discusses the relationship of COEI variables and childhood overweight/obesity rates.
Author(s): Kara Davis, Demetrius A. Abshire, Courtney Monroe, Caroline Rudisill, Andrew T. Kaczynski
Citation: Journal of Rural Health, 41(2)
Date: 2025
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Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Reconceptualizing Rurality: Exploring Community Capital to Identify Distinct Rural Classes in the United States
Analyzes latent classes of rurality within population health settings, identifying 4 rural classes and examining contextual characteristics and degree of social vulnerability for each class.
Author(s): Jennifer L. Cruz, Douglas A. Luke, Rachel M. Ceballos, Shoba Ramanadhan, Karen M. Emmons
Citation: SSM - Population Health, 29, 101729
Date: 12/2024
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Sponsoring organization: Arizona Department of Health Services
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CMS Office of Minority Health: Health Equity Data Book
Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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