Rural Health
Resources by Topic: Transportation
Economic Hardship and Health Within Sociodemographic and Occupational Groups — Behavioral Risk Factor Surveillance System, United States, 2022–2023
Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Public Transit Supports for Food Access: 2021 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS HEAL)
Examines public transit availability and planning, presence of demand responsive transportation (DRT), and DRT services to food retail destinations in 1,956 municipalities. Provides data on demographic disparities in public transit access and planning, including rural-urban disparities. Discusses health impacts of access to healthy food and the importance of planning for adequate public transit.
Author(s): Brianna L. Smarsh, Young Shin Park, Seung Hee Lee, Diane M. Harris, Heidi M. Blanck
Citation: Preventing Chronic Disease, 22, 240458
Date: 05/2025
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Examines public transit availability and planning, presence of demand responsive transportation (DRT), and DRT services to food retail destinations in 1,956 municipalities. Provides data on demographic disparities in public transit access and planning, including rural-urban disparities. Discusses health impacts of access to healthy food and the importance of planning for adequate public transit.
Author(s): Brianna L. Smarsh, Young Shin Park, Seung Hee Lee, Diane M. Harris, Heidi M. Blanck
Citation: Preventing Chronic Disease, 22, 240458
Date: 05/2025
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Reflections from Lived Experience: Disability and Public Libraries
Examines disability needs as related to rural public libraries and their services. Focuses on library networking, information resources, outreach, and accessing community resources in rural areas. Discusses library services such as assisting with health insurance and benefits enrollment, social connectedness, transportation needs, and more.
Author(s): Jeff Gutierrez
Date: 04/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Examines disability needs as related to rural public libraries and their services. Focuses on library networking, information resources, outreach, and accessing community resources in rural areas. Discusses library services such as assisting with health insurance and benefits enrollment, social connectedness, transportation needs, and more.
Author(s): Jeff Gutierrez
Date: 04/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Barriers to Participation in Clinical Trials of Rural Older Adult Cancer Survivors: A Qualitative Study
Explores barriers to clinical trial participation for older cancer survivors living in rural areas. Utilizes semi-structured interviews to discuss challenges such as lack of transportation, limited communication with providers, age, and more.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: Journal of Rural Health, 41(1), e12852
Date: 2025
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Explores barriers to clinical trial participation for older cancer survivors living in rural areas. Utilizes semi-structured interviews to discuss challenges such as lack of transportation, limited communication with providers, age, and more.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: Journal of Rural Health, 41(1), e12852
Date: 2025
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What We Heard: Initial Feedback on The Strategic Framework for a National Plan on Aging
Summarizes feedback offered to the Administration for Community Living (ACL) on Aging in the United States: A Strategic Framework for a National Plan on Aging, a plan for creating a national set of recommendations for healthy aging and age-friendly communities. Notes rural concerns related to transportation, internet access, safety, and healthcare access.
Date: 12/2024
Sponsoring organization: Administration for Community Living
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Summarizes feedback offered to the Administration for Community Living (ACL) on Aging in the United States: A Strategic Framework for a National Plan on Aging, a plan for creating a national set of recommendations for healthy aging and age-friendly communities. Notes rural concerns related to transportation, internet access, safety, and healthcare access.
Date: 12/2024
Sponsoring organization: Administration for Community Living
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2024 Research Report: Collaborative on Economic Mobility
Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
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Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
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Select Committee on Advancing Rural and Small Town Health Care Final Report - To the General Assembly of Virginia
Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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The Loss of Rural Vital Places: A Case Study Using the Social Determinants of Health Framework
Interviews 26 residents of a rural Pennsylvania town to explore the impact of the loss of vital places (defined as sources of healthy food, recreational facilities, and social spaces) through a social determinants of health lens. Discusses built environments, economic stability, education, and transportation and their impacts on health and wellbeing.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Hazel Velasco Palacios, Kristina Brant
Citation: Wellbeing, Space and Society, 7
Date: 12/2024
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Interviews 26 residents of a rural Pennsylvania town to explore the impact of the loss of vital places (defined as sources of healthy food, recreational facilities, and social spaces) through a social determinants of health lens. Discusses built environments, economic stability, education, and transportation and their impacts on health and wellbeing.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Hazel Velasco Palacios, Kristina Brant
Citation: Wellbeing, Space and Society, 7
Date: 12/2024
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Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association
Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
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Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
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Future Directions for Rural Population Research: Findings from RPRN's Listening Sessions
Summarizes 5 listening sessions with rural development practitioners aiming to identify areas of research need by rural population researchers. Discusses trends in agriculture and food systems, community and economic development, the environment and natural resources, and health, healthcare, and disability services. Offers recommendations related to information sharing, community involvement in research, data gathering, and best practices and evaluation.
Author(s): Kristina Brant, Paige, Kelly, Danielle Rhubart, et al.
Date: 11/2024
Sponsoring organization: Rural Population Research Network
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Summarizes 5 listening sessions with rural development practitioners aiming to identify areas of research need by rural population researchers. Discusses trends in agriculture and food systems, community and economic development, the environment and natural resources, and health, healthcare, and disability services. Offers recommendations related to information sharing, community involvement in research, data gathering, and best practices and evaluation.
Author(s): Kristina Brant, Paige, Kelly, Danielle Rhubart, et al.
Date: 11/2024
Sponsoring organization: Rural Population Research Network
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