Rural Health
Resources by Type: Document
Universal School Meal Policies and Perceived Stigma: Quantitative Evidence From Eight US States
Examines relationships among universal school meals (USMs) policies, stigma surrounding USM, and perceptions of school lunch. Utilizes survey data from 1,066 middle and high school students regarding their feelings of embarrassment surrounding school lunch, with breakdowns according to participant sociodemographics and rural versus urban location.
Author(s): Dania Orta-Aleman, Monica D. Zuercher, Leah E. Chapman, et al.
Citation: Journal of School Health, 96(1), e70098
Date: 01/2026
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Examines relationships among universal school meals (USMs) policies, stigma surrounding USM, and perceptions of school lunch. Utilizes survey data from 1,066 middle and high school students regarding their feelings of embarrassment surrounding school lunch, with breakdowns according to participant sociodemographics and rural versus urban location.
Author(s): Dania Orta-Aleman, Monica D. Zuercher, Leah E. Chapman, et al.
Citation: Journal of School Health, 96(1), e70098
Date: 01/2026
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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Working Across Contexts: Critical Events in Rural Teletherapy in Alaska
Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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Community Perceptions of the Health Equity Navigators Program: A Cross-Sectional Study in Rural and Medically Underserved Areas of Georgia, USA
Examines the Health Equity Navigators Program (HENP) and its perceived impact on healthcare access in rural and underserved areas of Georgia. Utilizes survey data from 269 adults participating in HENP and analyzes their perceptions regarding HENP's effectiveness.
Author(s): Ransome Eke, Jones Aneesa, Shermeeka Hogans-Mathews, Joedrecka Brown Speights
Citation: BMC Public Health, 25, 4212
Date: 12/2025
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Examines the Health Equity Navigators Program (HENP) and its perceived impact on healthcare access in rural and underserved areas of Georgia. Utilizes survey data from 269 adults participating in HENP and analyzes their perceptions regarding HENP's effectiveness.
Author(s): Ransome Eke, Jones Aneesa, Shermeeka Hogans-Mathews, Joedrecka Brown Speights
Citation: BMC Public Health, 25, 4212
Date: 12/2025
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Travel Time to Treating Facility and Mortality in Men With Prostate Cancer
Examines the association between longer travel time to treatment and survival among prostate cancer patients. Uses data from a survey of 159,943 patients from Hawaii, Louisiana, Massachusetts, New Jersey, Ohio, Utah, and Washington. Features statistics with breakdowns by two levels of population density.
Author(s): Stephan M. Korn, Filippo Dagnino, Danesha Daniels, et al.
Citation: JAMA Network Open, 8(12), e2546812
Date: 12/2025
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Examines the association between longer travel time to treatment and survival among prostate cancer patients. Uses data from a survey of 159,943 patients from Hawaii, Louisiana, Massachusetts, New Jersey, Ohio, Utah, and Washington. Features statistics with breakdowns by two levels of population density.
Author(s): Stephan M. Korn, Filippo Dagnino, Danesha Daniels, et al.
Citation: JAMA Network Open, 8(12), e2546812
Date: 12/2025
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A Scoping Review Comparing Individual and Multi-Level Physical Activity Interventions in Rural Women in the United States
Scoping review comparing the outcomes of 38 individual and multi-level physical activity interventions for rural women. Discusses aspects of physical activity intervention research including population groups studied, characteristics of effective programs, and priorities for continued physical activity intervention research.
Author(s): Katrina L. Wilhite, Alexis Thrower, Sarah Modlin, et al.
Citation: BMC Public Health, 25, 4211
Date: 12/2025
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Scoping review comparing the outcomes of 38 individual and multi-level physical activity interventions for rural women. Discusses aspects of physical activity intervention research including population groups studied, characteristics of effective programs, and priorities for continued physical activity intervention research.
Author(s): Katrina L. Wilhite, Alexis Thrower, Sarah Modlin, et al.
Citation: BMC Public Health, 25, 4211
Date: 12/2025
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Measuring State Flex Program Impact: Tools to Support Outcome Measurement and Evaluation
Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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All Texas Access Report for Fiscal Year 2025
Reports on access to mental health services for rural Texans. Includes information on service availability, objectives and strategies, and challenges and strengths in each region in Texas.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on access to mental health services for rural Texans. Includes information on service availability, objectives and strategies, and challenges and strengths in each region in Texas.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Advancing Trauma Systems in the United States: Bridging Disparities Through State-Level Legislation and a Health Systems Approach
Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2022 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 15 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 12/2025
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2022 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 15 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 12/2025
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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