Rural Health
Resources by Type: Document
Bullying Prevalence and Persistence in Rural and Urban Settings
Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Receipt of Glucagon-Like Peptide-1 Receptor Agonists Among Rural Patients with Obstructive Sleep Apnea and Excess Weight
Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Barriers and Solutions to Effective Mental Health Services in Rural Schools: A Delphi Study
Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Resourcefulness, Ingenuity, and Community Strengths in Meeting Rural Youth Mental Health Needs: A Multiple Case Study
Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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Inpatient Outcomes and Complications After Left Atrial Appendage Occlusion in Rural Versus Urban Hospitals in the United States
Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Declining Immigration Undermines Urban and Rural Population Growth
Examines the impact of immigration on rural and urban population growth. Provides interactive data on population and natural change, net immigration and domestic migration, and natural change plus domestic migration according to urban, suburban, smaller metro, and non-metro location as well as by U.S. county.
Author(s): Riordan Frost
Date: 06/2026
Sponsoring organization: Joint Center for Housing Studies
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Examines the impact of immigration on rural and urban population growth. Provides interactive data on population and natural change, net immigration and domestic migration, and natural change plus domestic migration according to urban, suburban, smaller metro, and non-metro location as well as by U.S. county.
Author(s): Riordan Frost
Date: 06/2026
Sponsoring organization: Joint Center for Housing Studies
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Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rhode Island Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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School-Based Telehealth Interventions: Evidence Roundup
Provides an overview on school-based telehealth services, focusing on service type, policy and funding, evidence on effectiveness, and replicable models. Includes discussion on the value of school-based telehealth for rural communities as well as examples of rural programs.
Author(s): Kelsey Brykman
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Provides an overview on school-based telehealth services, focusing on service type, policy and funding, evidence on effectiveness, and replicable models. Includes discussion on the value of school-based telehealth for rural communities as well as examples of rural programs.
Author(s): Kelsey Brykman
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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2024 Preparedness Profile Study
Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Chloe Garofalini, Kellie Perkins, Krishna Patel, et al.
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Chloe Garofalini, Kellie Perkins, Krishna Patel, et al.
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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