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Rural Health Information Hub

Rural Health
Resources by Topic: Wellness, health promotion, and disease prevention

Environmental Supports, Expectations, and Barriers to Leisure-Time Physical Activity During Pregnancy: A Rural–Urban Comparison
Discusses leisure-time physical activity (LTPA) during pregnancy among rural and urban populations. Utilizes data from 374 pregnant women regarding their LTPA and related environmental support for LTPA in the first trimester with data broken down according to demographics as well as urban, micropolitan, or small town rural location.
Author(s): Carly Williamson Rogers, Alex Crisp, Katrina Wilhite, et al.
Citation: Journal of Rural Health, 42(2), e70166
Date: 05/2026
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Knowledge, Attitudes, and Practices Regarding Avian Influenza Among Owners of Backyard Flocks — United States, July–December 2025
Reports findings from a survey of 638 backyard bird flock owners regarding their knowledge of signs and symptoms of avian influenza in humans and birds and intentions to use personal protective equipment if in contact with potentially infected birds. Includes data on the characteristics of the flock owners and flocks by urban, suburban, and rural setting.
Author(s): Melissa A. Rolfes, Leah Bauck, Beth A. Lipton, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(18), 234-239
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Feasibility Study of a Screening Decision Tool for Allocating Adults into Food Is Medicine Programs as an Effective Approach to Target Clinical and Dietary Outcomes among Rural and Urban Adults
Examines the feasibility of utilizing a food insecurity screening tool to identify hypertension patients in a Kentucky hospital system needing medically tailored meals (MTM) or grocery prescription (Rx). Provides rural versus urban program comparisons, with data on clinical results as well as qualitative feedback from participants. Discusses the screening tool's effectiveness in identifying nutrition needs in both rural and urban patients.
Author(s): Alison Gustafson, Carolyn Lauckner, Joshua L. Bush, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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Whole Health, Whole Communities — Dialogues to Reduce Rural Health Disparities
Summarizes discussions from the 2025 Whole Health, Whole Communities: Dialogues to Reduce Rural Health Disparities symposium on the short, intermediate, and long-term policy, financing, workforce, and data infrastructure reforms needed to implement Whole Health principles across rural health systems.
Author(s): Jyoti Savla, Taryn Pelletier, Karen A. Roberto, et al.
Citation: NEJM Catalyst Innovations in Care Delivery, 7(s2)
Date: 04/2026
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Influenza Vaccination Coverage Among Nursing Home Residents and Health Care Personnel — United States, 2024–25 Influenza Season
Reports on influenza vaccination during the 2024–25 influenza season for nursing home residents and healthcare workers. Provides pooled influenza coverage data by facility for nursing home residents and for nursing home personnel, with data by urbanicity for metropolitan, micropolitan, and noncore areas.
Author(s): Jeneita M. Bell, Kira Barbre, Lu Meng, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(15), 195-201
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Social Determinants of Sleep Health Inequities Among Rural Appalachian Adults
Evaluates the sociodemographic characteristics, health behaviors, and psychosocial factors of 327 rural Appalachian adults to identify associations with insufficient sleep duration, insomnia, and obstructive sleep apnea risk.
Author(s): Mairead E. Moloney, Emily Slade, Joon Chung
Citation: JAMA Network Open, 9(4)
Date: 04/2026
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Evaluating the Feasibility and Preliminary Effectiveness of a Tailored Diabetes Education Program for Rural Residents
Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Peer Recovery Supports for Behavioral Health in Rural Communities
Discusses behavioral health peer recovery support services in rural and agricultural communities. Highlights innovative and promising practices for overcoming behavioral health barriers, such as addressing stigma, social isolation, and scarcity of services through community and peer supports.
Date: 04/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Impact of Food Literacy Education on Rural, Uninsured Patients With Diabetes
Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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