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Rural Health
Resources by Type: Document

America's Health Rankings 2026 Health of Women and Children Report
Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in maternal mortality, severe maternal morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women and children at the national level. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 10/2026
Sponsoring organization: United Health Foundation
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Cancer Risk Factors, Screening, and Neighborhood Socioeconomic Deprivation Across the U.S. Urban-to-Frontier Continuum
Presents a study on geographic variation in cancer risk behaviors and screening across the metropolitan-to-frontier continuum. Identifies demographic characteristics and cancer-related behaviors and screening access in rural, urban, and frontier areas. Explores rates of alcohol use, tobacco use, and physical activity, among other factors, by geography.
Author(s): Brody Gibson, Laurie Grieshober, Rachel M Ceballos, et al.
Citation: Journal of the National Cancer Institute Monographs, lgag021
Date: 10/2026
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Rural Health Transformation Program: Early Implementation Actions and Monitoring Plans
Provides an overview of actions taken by the Centers for Medicare & Medicaid Services (CMS) to establish the Rural Health Transformation (RHT) Program, including how state applications were reviewed and scored; how CMS plans to determine future funding allotments; and the circumstances under which CMS may withhold, reduce, or recover a state's funding. Describes how CMS plans to monitor state RHT Program activities.
Additional links: Full Report
Date: 10/2026
Sponsoring organization: Government Accountability Office
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Medical Debt and Advanced Cancer Stage at Diagnosis
Explores how medical debt burden is associated with incidence of 9 common cancers at the county level, using 2017-2021 data from multiple national datasets. Includes comparisons of medical debt prevalence in rural versus urban counties.
Author(s): Jiazhang Xing, Xuesong Han, Xin Hu, et al.
Citation: JAMA Network Open, 9(10), e2637508
Date: 10/2026
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Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024
Examines how the supply of direct care workers varies by rural or urban location using 2015-2024 American Community Survey data. Includes data comparisons by pre-pandemic, pandemic, and post-pandemic periods.
Author(s): Diogo Miguel Goncalves Fortes, Katherine Miller
Citation: Journal of Applied Gerontology
Date: 10/2026
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Regional Highlights: Changes in Hospital-Based Obstetric Care in the US, 2010-2024
Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy Backes Kozhimannil
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Assessing the Accuracy and Completeness of OpenStreetMap Sidewalks: A Comparative Study With Google Street View
Compares the walkability geospatial database OpenStreetMap (OSM) with Google Street View (GSV) to analyze its accuracy and completeness in providing sidewalk data. Examines the agreement between OSM and GSV for pedestrian-accessible roads in 141 census tracts in Maryland. Includes a census tract-level map of Maryland, breakdowns of social vulnerability index variables by population density group, and discussion of how OSM and GSV images perform in rural areas.
Author(s): Brianne L. Nichols, Caroline Groth, Tyler D. Quinn
Citation: Preventing Chronic Disease, 23
Date: 10/2026
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School Nurses' Perceptions of Mental Health Responsibilities Within School Nursing Practice: A Q Methodology Study
Examines the perspectives of school nurses on addressing mental health needs of students in rural schools. Analyzes feedback from 70 school nurses working in eastern North Carolina on issues such as nursing responsibilities, mental health, suicide risk, crisis response, and more.
Author(s): Travis E. Lewis, Deby E. Tyndall, Mitzi C. Pestaner
Citation: Journal of School Health, 96(10), e70242
Date: 10/2026
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The Utility of Psychological Capital Theory in Rural Adolescent Mental Health Research
Explores the psychological capital (PsyCap), or one's sense of hope, self-efficacy, resilience, and optimism, and mental health among rural adolescents. Bases findings on a survey of 59 adolescents in rural Texas. Discusses the utility of PsyCap as a model for evaluating rural adolescent mental health.
Author(s): Angela J. Preston, Lynn Rew, Cara C. Young, John Lowe, Huaxin Song
Citation: Clinical Child Psychology and Psychiatry, 31(4), 1374-1388
Date: 10/2026
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Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 10/2026
Sponsoring organization: National Conference of State Legislatures
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