Rural Health
Resources by Type: Document
Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Pesticide Exposure Among Latinx Children in Rural Farmworker and Urban Non-Farmworker Communities: Associations With Locality and Season
Presents a study on pesticide exposure of Latinx children. Compares exposure rates of rural children from farmworker families and urban children from non-farmworker families. Breaks down data by sex, family size, and types of pesticide detected, among other measures.
Author(s): Thomas A. Arcury, Haiying Chen, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5647
Date: 04/2023
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Presents a study on pesticide exposure of Latinx children. Compares exposure rates of rural children from farmworker families and urban children from non-farmworker families. Breaks down data by sex, family size, and types of pesticide detected, among other measures.
Author(s): Thomas A. Arcury, Haiying Chen, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5647
Date: 04/2023
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Stigma and Opioid Use Disorder in Northern New England
Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York.
Date: 04/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York.
Date: 04/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Considerations for a National Drinking Water Quality Compliance Assessment
Outlines what an assessment of compliance related to safe drinking water in the United States would look like in 4 phases: quality compliance definition and identification, spatial location considerations, compliance solutions and their costs, and solution funding and gaps. Includes considerations for tribal and rural areas.
Author(s): Gregory Pierce, Laura Landes, Grace Harrison, Lena Schlichting, Lauren Dunlap
Date: 04/2023
Sponsoring organizations: Rural Community Assistance Partnership, UCLA Luskin Center for Innovation
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Outlines what an assessment of compliance related to safe drinking water in the United States would look like in 4 phases: quality compliance definition and identification, spatial location considerations, compliance solutions and their costs, and solution funding and gaps. Includes considerations for tribal and rural areas.
Author(s): Gregory Pierce, Laura Landes, Grace Harrison, Lena Schlichting, Lauren Dunlap
Date: 04/2023
Sponsoring organizations: Rural Community Assistance Partnership, UCLA Luskin Center for Innovation
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Small and Disadvantaged Community Water Funding Roadmap
Provides information and background about water systems in the United States for rural and disadvantaged areas, such as solutions in water innovation, best practices for utilizing funding, and outlining policies needed to build water infrastructure. Includes contact information for regions and organizations working to build capacity in water infrastructure.
Date: 04/2023
Sponsoring organizations: The Water Center, University of Pennsylvania, U.S. Chamber of Commerce, Veolia
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Provides information and background about water systems in the United States for rural and disadvantaged areas, such as solutions in water innovation, best practices for utilizing funding, and outlining policies needed to build water infrastructure. Includes contact information for regions and organizations working to build capacity in water infrastructure.
Date: 04/2023
Sponsoring organizations: The Water Center, University of Pennsylvania, U.S. Chamber of Commerce, Veolia
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Addressing the Oral Health Needs of Hispanics in the U.S. – An Exploration of Oral Health Status, Dental Needs, Utilization of Dental Services, and Workforce
Report highlights the factors affecting the oral health of Hispanic and Latino populations in the U.S. Explores access, healthcare utilization, and workforce issues, among others. Discusses the use of emergency departments for oral health issues in rural areas, as well as access issues faced by migrants.
Date: 04/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Report highlights the factors affecting the oral health of Hispanic and Latino populations in the U.S. Explores access, healthcare utilization, and workforce issues, among others. Discusses the use of emergency departments for oral health issues in rural areas, as well as access issues faced by migrants.
Date: 04/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial
Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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