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Rural Health
Resources by Topic: Stress and stress disorders

Family-Centered Prevention Effects on the Association Between Racial Discrimination and Mental Health in Black Adolescents: Secondary Analysis of 2 Randomized Clinical Trials
Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
Type: Document
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, gender, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RAND Corporation
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Relationships between Physical and Mental Health in Adolescents from Low-Income, Rural Communities: Univariate and Multivariate Analyses
Highlights a study on the relationship between physical and mental health among 10th and 11th graders in rural Alabama. Explores the role socioeconomic status and rural versus urban location play in the mental and physical health of teenagers. Breaks down data by sex, age, ethnicity, and household income, among other factors.
Author(s): Robyn Feiss, Melissa M. Pangelinan
Citation: International Journal of Environmental Research and Public Health, 18(4), 1372
Date: 02/2021
Type: Document
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Impacts of the COVID-19 Pandemic on Rural America
Highlights a study on the effects of the COVID-19 pandemic on rural America. Explores outcomes in the areas of physical and mental health, household income, and overall well-being. Discusses shifts in employment and their impact on personal and local economies.
Author(s): J. Tom Mueller, Kathryn McConnell, Paul Berne Burow, et al.
Citation: PNAS, 118(1), 2019378118
Date: 01/2021
Type: Document
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Ensuring Contact: Calling Rural Appalachian Older Adults During the COVID-19 Epidemic
Presents a study on the well-being and healthcare needs of socially isolated adults 75 years and older during the COVID-19 pandemic in rural West Virginia. Bases conclusions on telephone interviews with seniors from April 1-22, 2020. Breaks down data by demographic characteristics, mental and physical health conditions, and comfort with different forms of communication technology, among other factors.
Author(s): Robert B Walker, Michael Grome, William Rollyson, Adam D Baus
Citation: Rural and Remote Health, 21, 6122
Date: 01/2021
Type: Document
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Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
Type: Document
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): D Bhushan, K Kotz, J McCall, et al.
Date: 12/2020
Type: Document
Sponsoring organization: California Office of the Surgeon General
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Rural/Urban Differences in Children's Health
Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Impaired Driving Among Rural Female Drug-Involved Offenders
Highlights a study on women convicted of impaired driving in rural areas. Breaks down data by demographic data such as age, race, and education, as well as prior history of mental health and substance use issues.
Author(s): J. Matthew Webster, Martha Tillson, Megan F. Dickson, Michele Staton
Citation: Traffic Injury Prevention, 21(8), 513-520
Date: 09/2020
Type: Document
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Frequent Mental Distress Among Adults, by Disability Status, Disability Type, and Selected Characteristics — United States, 2018
Reports on prevalence of mental distress among adults with and without disabilities, by disability type and selected demographic characteristics. Features statistics with breakdowns by metropolitan or nonmetropolitan designation.
Author(s): Robyn A. Cree, Catherine A. Okoro, Matthew M. Zack, Eric Carbone
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(36), 1238-1243
Date: 09/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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