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Rural Health
Resources by Topic: Uninsured and underinsured

Epidemiology of Antibiotic Use and Drivers of Cross-Border Procurement in a Mexican American Border Community
Examines preference for antibiotics sourced from either Mexico or the U.S. for Mexican American antibiotic users in Starr County, Texas since significant changes in prescription regulation in Mexico in 2010. Recruited 616 participants between March 2018 and March 2020 and followed their antibiotic sourcing and use for 1 year from recruitment. Lists associations with crossing the border to obtain antibiotics including health insurance status. Data showing preference for one country over another is broken down by gender, age, education level, insurance status, and more.
Author(s): Heather T. Essigmann, David A. Aguilar, William B, Perkison, et al.
Citation: Frontiers in Public Health, 10, 832266
Date: 03/2022
Type: Document
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California Patient Characteristics by County and Facility
Interactive charts showing patient characteristics in general acute care hospital settings in California in 2022. Offers statewide data as well as comparisons at the county and facility level.
Date: 2022
Type: Chart/Graph
Sponsoring organization: California Department of Health Care Access and Information
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The School-Based Health Alliance Child Health and Education Mapping Tool
An interactive mapping resource that focuses on education and healthcare access among low-income children using geographic information systems (GIS). County-level data and statistics included for child health, education, and socioeconomic status.
Date: 2022
Type: Map/Mapping System
Sponsoring organization: School-Based Health Alliance
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Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study
Examines 2005-2015 Tennessee Cancer Registry data of adults with prostate cancer to determine the relationship between population characteristics and prostate cancer treatment delay. Discusses geographic residence, insurance status, and social determinants of health (SDOH) such as race, marital status, and others. An urban versus rural breakdown is included.
Author(s): Francisco A. Montiel Ishino, Emmanuel A. Odame, Kevin Villalobos, et al.
Citation: American Journal of Men's Health, 15(6)
Date: 11/2021
Type: Document
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Disparities in Breast Cancer Survivors in Rural West Texas
Examines a rural Texan county with increased breast cancer mortality to understand the relationship between sociodemographic variables and breast cancer outcomes. Reviews data from 406 women between 1995 and 2014 to explore survival probability among variables such as race and ethnicity, insurance status, age, zip code, and stage of cancer, among others.
Author(s): Hafiz Khan, Drew Rasmussen, Kemesha Gabbidon, et al.
Citation: Cancer Control, 28
Date: 09/2021
Type: Document
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Preconception Health Disparities and Birth Outcomes among Foreign-Born and Native-Born Hispanic Women in Oklahoma
Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Small Area Health Insurance Estimates: 2019
Reports on health insurance coverage in the U.S. in 2018 and changes between 2018 and 2019, as well as changes between 2013 and 2019. Includes maps showing county-level uninsured rates.
Author(s): Sara Robinson, Katherine Ann Willyard
Date: 06/2021
Type: Document
Sponsoring organization: U.S. Census Bureau
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part II: Availability among Uninsured Non-elderly Adults under the American Rescue Plan
Analyzes the expanded access to federally-sponsored Health Insurance Marketplace low premium plans among eligible uninsured non-elderly adults under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes uninsured non-elderly adult data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part I: Availability among Uninsured Non-Elderly Adults and Healthcare.gov Enrollees Prior to the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Chart Book: The Far-Reaching Benefits of the Affordable Care Act's Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals for Medicaid revenue, operating margins, and uncompensated care on page 18.
Date: 10/2020
Type: Document
Sponsoring organization: Center on Budget and Policy Priorities
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