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Rural Health
Resources by Topic: Uninsured and underinsured

Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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Access and Coverage for Mental Health Care: Findings from the 2022 KFF Women's Health Survey
Presents data from the national 2022 KFF Women's Health Survey of 5,145 women and 1,225 men ages 18-64 where respondents were asked about their experiences in obtaining mental health services, including the use of telehealth, over the past two years. Data is focused on the mental health service needs of women by age, race/ethnicity, income, insurance, and on rural and urban telehealth usage.
Author(s): Karen Diep, Brittni Frederiksen, Michelle Long, Usha Ranji, Alina Salganicoff
Date: 12/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Community Sociodemographics and Rural Hospital Survival
Explores differences in specific community-level sociodemographic factors associated with the survival or closure of rural hospitals at risk of financial distress between 2010 and 2019. Examines the relationship between the risk of hospital closure and median family income, unemployment rate, uninsured rate, education, race, and more.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Rural Health, 2022
Date: 12/2022
Type: Document
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State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau's 2021 American Community Survey
Uses data from the 2021 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2022
Type: Database
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Geographic Variation in Health Insurance Coverage: United States, 2021
Reports on rates of people who had private health insurance, public insurance, and who were uninsured according to the 2021 National Health Interview Survey. Presents coverage rates by urbanization level for adults aged 18-64 and for children aged 0-17.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 11/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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An Insurance Profile of Rural America: Chartbook
Provides information on the health insurance status of rural Americans under the age of 65. Describes trends in sources of health insurance coverage, insurance market dynamics in rural communities, and trends in out-of-pocket expenditures. Compares metro and non-metro data on insurance coverage by region and sociodemographic characteristics; the relationship of health status to insurance coverage; affordability; trends in Marketplace and Medicare Advantage coverage offerings at the county level; and more.
Author(s): Timothy McBride, Abigail Barker, Emily Hernandez, et al.
Date: 10/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Small Area Health Insurance Estimates: Uninsured Rates for the Population Under Age 65 in 2020
Map depicting the percentage of uninsured persons under age 65 at the county level based on 2020 data from the Small Area Health Insurance Estimates (SAHIE) program.
Date: 08/2022
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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Self-Employed Workers Were Covered More Widely Across Health Insurance Sources, but Many Remained Uninsured
Bar chart comparing health insurance coverage type in 2018 for adults 26-64 who are self-employed and those employed by private firms or government. Includes metropolitan and nonmetro data for those covered by employer-based insurance, direct-purchase insurance, public insurance, and those without health insurance.
Date: 08/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Lack of Health Insurance Coverage Among Employed Individuals Increased As the COVID-19 Pandemic Intensified
Line chart showing the percent of workers who lacked health insurance from April 23, 2020 through December 21, 2020, with data for metropolitan and nonmetropolitan self-employed individuals and those otherwise employed.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Cervical Cancer Screening Outcomes Among a Sample of Low-Income Uninsured Women: A Program-Based Study
Examines cervical screening outcomes in low-income and uninsured women by sociodemographic factors such as age, marital status, race/ethnicity, rurality, and Papanicolaou (Pap) test screening history. Analyzes outcomes of Pap tests, human papillomavirus (HPV) tests, and colposcopies administered to 841 women between 2013 and 2019 by urban, large rural, small rural, and isolated location, as well as other sociodemographic factors.
Author(s): Samson Olowolaju, Morgan Kassabian, Marvellous A. Akinlotan, et al.
Citation: Women's Health Reports, 3(1), 85-92
Date: 06/2022
Type: Document
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