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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Sexual Minorities Are Not a Homogeneous Population: Health Disparity Differences Based on Residence in Rural Versus Urban Settings
Evaluated 210,392 sexual minorities (SMs) between 2015 and 2019 to determine whether rural SMs are at increased risk for chronic disease. Includes discussion of insurance status, sex, rural and urban comparisons, and multiple chronic illnesses.
Author(s): Ethan Morgan, Kathryn Lancaster, Yootapichai Phosri, Janelle Ricks, Christina Dyar
Citation: Rural and Remote Health, 23(3), 8052
Date: 08/2023
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California 2023 Regional Health Coverage Fact Sheets
9 fact sheets showing insurance rates in California counties. Includes uninsurance rates, race and ethnicity information, Medi-Cal (Medicaid) and Medicare enrollment data, and more.
Date: 07/2023
Sponsoring organization: Insure the Uninsured Project
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Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Sponsoring organizations: Perry Undem, St. David's Foundation
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Rural NC at a Glance
Fact sheet on North Carolina's rural counties. Provides statistics on topics including population and age, race and ethnicity, poverty, income, education, health workforce, uninsured population, employment and economy, and agriculture.
Date: 05/2023
Sponsoring organization: NC Rural Center
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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Rural Working-Age Adults Report More Cost Barriers to Health Care
Policy brief examining rural-urban differences in affordability of care and cost-saving strategies among adults ages 18-64. Features demographics and statistics on prescription drug cost-saving measures and difficulty affording medical care in the past year, with breakdowns by rural and urban location.
Author(s): Erika C. Ziller, Carly Milkowski, Amanda Burgess
Date: 03/2023
Sponsoring organization: Maine Rural Health Research Center
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Inflation Impacts on Rural Household In the U.S., 2020-2022
Report offering estimates of differences in how inflation between 2020-2022 has impacted rural and urban households based on U.S. Bureau of Labor Statistics data. Examines changes in income and expenses, noting concerns about the increased cost of travel and the cost of health insurance. Discusses the impact of inflation on health and safety concerns including household repairs, uninsured health expenses, and groceries in addition to general economic security.
Author(s): David Peters
Date: 01/2023
Sponsoring organization: Iowa State University Extension and Outreach
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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
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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, and more.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Rural Health, 2023(39), 643-655
Date: 2023
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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
Sponsoring organization: KFF
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