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Rural Health
Resources by Topic: Stress and stress disorders

Self-reported Illness Experiences and Psychosocial Outcomes for Reservation-Area American Indian Youth During COVID-19
Results of a Spring 2021 study of 2,559 American Indian students in grades 6-12 in schools on or near Indian reservations. Features statistics on COVID-19 experiences for self and others.
Author(s): Linda R. Stanley, Meghan A. Crabtree, Randall C. Swaim, Mark A. Prince.
Citation: JAMA Network Open, 5(9), e2231764
Date: 09/2022
Type: Document
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Moral Distress Among Clinicians Working in US Safety Net Practices During the COVID-19 Pandemic: A Mixed Methods Study
Explores the causes and levels of moral distress experienced by clinicians treating low-income primary care, dental, and behavioral health patients in safety net practices and participating in education loan repayment programs during the COVID-19 pandemic. Features statistics on reported degree of moral distress related to work experienced during the pandemic, with breakdowns by discipline and practice type, including Federally Qualified Health Centers, Indian Health Service or tribal site, and Rural Health Clinics.
Author(s): Donald E. Pathman, Jeffrey Sonis, Thomas E Rauner, et al.
Citation: BMJ Open, 2022
Date: 08/2022
Type: Document
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Achieving Health Equity in US Suicides: A Narrative Review and Commentary
Discusses suicide mortality disparities by different demographics, such as age, race, veteran status, and rurality, among others. Tracks suicide rates from 1999-2019 and highlights rates by specific demographic group.
Author(s): Seth W. Perry, Jacob C. Rainey, Stephen Allison, et al.
Citation: BMC Public Health, 22, 1360
Date: 07/2022
Type: Document
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Anxiety, Depression, and Access to Mental Health Care by Sexual Orientation and Rurality
Presents a study on rates of anxiety and depression by sexual orientation in relation to access to mental healthcare. Compares rates of anxiety and depression between lesbian, gay, bisexual, and heterosexual individuals in rural and urban areas.
Author(s): Carrie Henning-Smith, Courtney Sarkin, Mariana Tuttle, Gilbert Gonzales
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Recent Trends in Mental Health and Substance Use Concerns Among Adolescents
Report highlights the state of adolescent mental health and substance use across the country. Breaks down rates of suicides, drug use, drug-related deaths, and other behavioral health issues by race, sex, and sexual orientation, as well as by rurality.
Author(s): Nirmita Panchal, Robin Rudowitz, Cynthia Cox
Date: 06/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Geographic Disparities in New Onset of Internalizing Disorders in Pennsylvania Adolescents Using Electronic Health Records
Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al.
Citation: Spatial and Spatio-Temporal Epidemiology, 41
Date: 06/2022
Type: Document
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Characteristics of Suicide Among Farmers and Ranchers: Using the CDC NVDRS 2003-2018
Presents a study on farmer and rancher suicide and mental health. Details rates of suicide and thoughts of suicide by demographic information, such as age, race, and sex, and explores generational trends of suicide and mental health issues in farm families.
Author(s): Cristina D. M. Miller, Josie M. Rudolphi
Citation: American Journal of Industrial Medicine
Date: 06/2022
Type: Document
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Work-Life Stress During the Coronavirus Pandemic among Latina Farmworkers in a Rural California Region
Study examining work-related stress among Latina farmworkers in the U.S.-Mexico region of California. Discusses issues related to work environment, work-home demands, and the effects of the COVID-19 pandemic on the mental health of Latina farmworkers based on surveys of 77 individuals.
Author(s): Annie J. Keeney, Amy Quandt, Daniela Flores, Luis Flores, Jr.
Citation: International Journal of Environmental Research and Public Health, 19(8), 4928
Date: 04/2022
Type: Document
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Minnesota's Health Care Workforce: Pandemic-Provoked Workforce Exits, Burnout, and Shortages
Reports on loss of healthcare professionals in Minnesota due to turnover, burnout, reduction in working hours, early retirement, and more. Provides charts of workforce professionals in 2019 compared to 2021 by vacancy, working a position unrelated to healthcare license, job dissatisfaction, and more, as well as charts showing rural versus urban comparisons of workforce issues.
Date: 03/2022
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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