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Rural Health
Resources by Topic: Uninsured and underinsured

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, 2023(39), 643-655
Date: 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: KFF
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Minnesota Chartbook Section 6: Uninsurance, Forgone Care, and the Safety Net
Reports on uninsurance trends in Minnesota from 2007 to 2021. Discusses statewide measures, population groups, characteristics and potential access to coverage of the uninsured, and uncompensated care. Includes charts showing rural versus urban hospital uncompensated care expenses.
Date: 12/2022
Type: Document
Sponsoring organization: Minnesota Department of Health
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Health and Health Care in the U.S.-Mexico Border Region
Examines the differences in sociodemographic characteristics, health coverage, access to care, and health outcomes of populations in the U.S.-Mexico border states to guide efforts addressing the needs of border communities. Analysis is based on 2019 county-level data from the American Community Survey (ACS) five-year data tables, Health Resources and Services Administration's Area Health Resource Files (AHRF), Behavioral Risk Factors Surveillance System (BRFSS), and 2020 data from Centers for Disease Control and Prevention's (CDC) WONDER database.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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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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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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Farmer's Mental Well-Being Project: Statewide Survey Report
Surveyed 1651 farmers, farm spouses, and farmworkers in 2022 to identify stressors as perceived by farmers in Georgia. Discusses suicide, age, stress, insurance status, job satisfaction, agribusiness, COVID-19, healthcare access, coping mechanisms, and more.
Author(s): Stephanie Basey, Anne Montgomery, Ben West, Chris Scoggins, Lily Baucom
Date: 06/2022
Type: Document
Sponsoring organizations: Georgia Foundation for Agriculture, Georgia Rural Health Innovation Center, Mercer University School of Medicine
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