Rural Health
Resources by Type: Document
Review of Current Research Describing the Influence of Social Determinants of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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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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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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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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Exploring Systemic Challenges in the Western North Carolina Dental Safety Net: A Qualitative Analysis
Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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First Covid-19 Vaccination Rates Among Pregnant Tennessee Women by Month of Conception and Urbanization Level: March 2021 - November 2021
Describes rates of COVID-19 vaccination during pregnancy among Tennessee women with a live birth who conceived from March-November 2021. Features statistics with breakdowns by month and by 4 levels of population density.
Author(s): Claudia Valenzuela, Anne K. Driscoll, Elizabeth Harvey, Heather Wingate
Citation: Journal of Appalachian Health, 8(1), 85-95
Date: 04/2026
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Describes rates of COVID-19 vaccination during pregnancy among Tennessee women with a live birth who conceived from March-November 2021. Features statistics with breakdowns by month and by 4 levels of population density.
Author(s): Claudia Valenzuela, Anne K. Driscoll, Elizabeth Harvey, Heather Wingate
Citation: Journal of Appalachian Health, 8(1), 85-95
Date: 04/2026
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Agricultural Injuries With Dementia: Double Whammy?
Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Citation: American Journal of Industrial Medicine, 2026
Date: 04/2026
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Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Citation: American Journal of Industrial Medicine, 2026
Date: 04/2026
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2025 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the September-November 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; median swing bed admissions and swing bed length of stay; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; CAH quality payment model participation; and CAH quality improvement topic priorities.
Author(s): Madeleine Pick, Robert Barclay
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the September-November 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; median swing bed admissions and swing bed length of stay; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; CAH quality payment model participation; and CAH quality improvement topic priorities.
Author(s): Madeleine Pick, Robert Barclay
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Overcoming Challenges with Rural-Related Health Data: Lessons Learned from Published Studies
Offers a systematic review of peer-reviewed, rural health-related studies published between 2019-2022. Identifies strategies that could help address challenges related to rural data.
Author(s): Casey P. Balio, Margaret M. Francisco, Nicole Galler, et al.
Date: 04/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Offers a systematic review of peer-reviewed, rural health-related studies published between 2019-2022. Identifies strategies that could help address challenges related to rural data.
Author(s): Casey P. Balio, Margaret M. Francisco, Nicole Galler, et al.
Date: 04/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Rural Residence and Mental Health among US Veterans: Findings from the Millennium Cohort Study
Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Citation: PLOS One, 21(4), e0346780
Date: 04/2026
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Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Citation: PLOS One, 21(4), e0346780
Date: 04/2026
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