Rural Health
Resources by Topic: Wellness, health promotion, and disease prevention
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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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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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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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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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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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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Program Impact Report: Healthy Families Produce Rx Program
Examines Healthy Families Produce Rx, a produce prescription program in rural Louisiana focused on reducing food insecurity and increasing access to fresh produce. Provides data on program and participant characteristics as well the impact on food security and participant health.
Date: 06/2025
Sponsoring organization: No Kid Hungry
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Examines Healthy Families Produce Rx, a produce prescription program in rural Louisiana focused on reducing food insecurity and increasing access to fresh produce. Provides data on program and participant characteristics as well the impact on food security and participant health.
Date: 06/2025
Sponsoring organization: No Kid Hungry
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Difference-Making Factors for Successful Implementation of a Multicomponent Colorectal Cancer Screening Program in Rural Clinics (SMARTER CRC)
Evaluates multicomponent colorectal cancer screening programs at 14 rural primary care clinics to identify factors associated with higher rates of screening. Interventions include using mailed outreach materials and patient navigation programs in partnership with health plans. Discusses the effectiveness of outreach activities conducted by the clinic or a third-party vendor as well as collaborations between clinics and health plans.
Author(s): Amanda F. Petrik, Brittany Badicke, Melinda M. Davis, et al.
Citation: Frontiers in Medicine, 12
Date: 06/2025
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Evaluates multicomponent colorectal cancer screening programs at 14 rural primary care clinics to identify factors associated with higher rates of screening. Interventions include using mailed outreach materials and patient navigation programs in partnership with health plans. Discusses the effectiveness of outreach activities conducted by the clinic or a third-party vendor as well as collaborations between clinics and health plans.
Author(s): Amanda F. Petrik, Brittany Badicke, Melinda M. Davis, et al.
Citation: Frontiers in Medicine, 12
Date: 06/2025
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Georgia Farmworker Health Program
Describes the Georgia Farmworker Health Program (GFHP) and gives contact information for all GFHP clinic sites.
Date: 06/2025
Sponsoring organization: Georgia State Office of Rural Health
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Describes the Georgia Farmworker Health Program (GFHP) and gives contact information for all GFHP clinic sites.
Date: 06/2025
Sponsoring organization: Georgia State Office of Rural Health
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North Central Region Community Development Extension 2024 Impact Report
Provides an overview of the activities and impact of Extension programming in the North Central Region, comprising Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Washington. Focuses on impacts such as resilient communities and economies, leadership and civic engagement, and community health and wellness. Includes examples in rural communities.
Date: 06/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Provides an overview of the activities and impact of Extension programming in the North Central Region, comprising Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Washington. Focuses on impacts such as resilient communities and economies, leadership and civic engagement, and community health and wellness. Includes examples in rural communities.
Date: 06/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Fluoride Knowledge, Attitudes, and Behaviors: Adults in Rural Alabama
Highlights a study on rural adults knowledge, attitudes, and behaviors regarding fluoride use in water and toothpaste as method of cavity prevention. Bases findings on a survey of 291 adults in Green Hill, Alabama.
Author(s): Alex Harper, Steven M. Levy, Wei Shi
Citation: Journal of Primary Care and Community Health, 16
Date: 06/2025
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Highlights a study on rural adults knowledge, attitudes, and behaviors regarding fluoride use in water and toothpaste as method of cavity prevention. Bases findings on a survey of 291 adults in Green Hill, Alabama.
Author(s): Alex Harper, Steven M. Levy, Wei Shi
Citation: Journal of Primary Care and Community Health, 16
Date: 06/2025
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Promoting Health through Transdisciplinary Local Food System Partnerships: Insights from the North Carolina Local Food Council
Discusses the impact of the North Carolina Local Food Council (NCLFC) Community Health Working Group and their efforts to strengthen statewide and local food systems. Focuses on the North Carolina Medicaid 1115 Waiver Healthy Opportunities Pilots (HOPs) case study that aimed to integrate local food into health systems and healthcare initiatives. Includes information about partnerships, collaborations, pilot structure, and network leads in specific North Carolina regions.
Author(s): Amanda S. Hege, Morgan Cooper, K. Alexander Soltany, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development
Date: 06/2025
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Discusses the impact of the North Carolina Local Food Council (NCLFC) Community Health Working Group and their efforts to strengthen statewide and local food systems. Focuses on the North Carolina Medicaid 1115 Waiver Healthy Opportunities Pilots (HOPs) case study that aimed to integrate local food into health systems and healthcare initiatives. Includes information about partnerships, collaborations, pilot structure, and network leads in specific North Carolina regions.
Author(s): Amanda S. Hege, Morgan Cooper, K. Alexander Soltany, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development
Date: 06/2025
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Integrating Mental Health Support into Rural Libraries: Evaluation of the Libraries for Health (L4H) Initiative
Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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