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

Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2024
Reports on vaccination coverage among U.S. adolescents for ages 13 through 17. Includes nonmetro data on vaccination for the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), and HPV (human papillomavirus), as well as data on provider recommendation for HPV vaccination.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(30), 466-472
Date: 08/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Evaluating the Effectiveness of a Mobile HIV Prevention App to Increase HIV and Sexually Transmitted Infection Testing and Pre-Exposure Prophylaxis Initiation Among Rural Men Who Have Sex With Men in the Southern United States: Protocol for a Randomized Controlled Trial
A study protocol that plans to analyze the effectiveness of using a mobile app to increase HIV and sexually transmitted infection (STI) testing and pre-exposure prophylaxis (PrEP) initiation among men who have sex with men (MSM) in the rural South. Discusses recruitment and analysis methods in this type 2 hybrid effectiveness-implementation randomized controlled trial.
Author(s): Jeb Jones, Georgia Manley, Tiffany R. Glynn, et al.
Citation: JMIR Research Protocols, 14, e69540
Date: 07/2025
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The Boost Team: Transforming Outreach for Female Veterans in Rural Communities
Evaluates the impact of The Boost Team, a telephone-based outreach program focusing on improving access and engagement with Veterans Health Administration (VHA) services among rural female veterans. Provides data and discussion on types of assistance provided through Boost, participant and clinician feedback on program impacts, and facilitators and barriers of care among rural, female veterans.
Author(s): Jenny Krause Cohen, Kara Zamora-Rogoski, Caitlin McLean, et al.
Citation: Frontiers in Health Services, 5
Date: 07/2025
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Cancer in Rural America: Improving Access to Clinical Trials and Quality of Oncologic Care
Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Cost-Effectiveness of the Rural Lifestyle Eating and Activity Program (Rural LEAP)
Analyzes the cost-effectiveness of telephone-based coaching sessions after participation in a weight loss intervention, utilizing data from a trial conducted from 2013-2018 in rural Florida counties. Discusses the importance of delivering cost-effective treatment for obesity in rural areas.
Author(s): Tiffany A. Radcliff, Murray J. Côté, Meena N. Shankar, et al.
Citation: PLoS One, 20(7), e0326383
Date: 07/2025
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Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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2024 Forces of Change Survey
Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
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Using Implementation Strategies to Promote the Maintenance Of Kids SIPsmartER In Rural Appalachian Middle Schools: A Process Evaluation
Examines implementation data from the Kids SIPsmartER nutrition behavioral intervention, which was implemented in 12 rural Appalachian middle schools. Utilizes data from 24 teachers and 11 principals to examine intervention fidelity, delivery, perceptions, and student impact. Discusses the importance of implementation evaluation and the scalability of evidence-based behavioral interventions (EBBIs) in schools.
Author(s): Kathleen J. Porter, Annie L. Reid, Theresa Markwalter, et al.
Citation: BMC Public Health, 25, 2324
Date: 07/2025
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Promoting Intergenerational Health in Rural Kentuckians With Diabetes (PIHRK'D): Protocol for a Longitudinal Cohort Study
Study protocol analyzing whether family participation influences the effectiveness of a nutritional education intervention for rural Kentuckians with type 2 diabetes mellitus.
Author(s): Brittany L. Smalls, Courtney L. Ortz, Makenzie Barr-Porter, et al.
Citation: JMIR Research Protocols, 14, e69301
Date: 07/2025
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AAAs' Partnership With School of Medicine Expands Dementia Caregiving Services
Case study highlighting the implementation of a program promoting wellness for unpaid caregivers in Indiana, including in rural areas. Discusses collaboration between Area Agencies on Aging and community and state partners.
Date: 07/2025
Sponsoring organization: USAging
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