Rural Health
Resources by Type: Document
Cancer in Rural America: Improving Access to Clinical Trials and Quality of Oncologic Care
Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Illegally Made Fentanyl Use in the United States: 2022 and 2023
Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Rural Veterans' Thoughts on High Suicide Rates in Their Communities—and on What to Do About It
Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Sustainability of the Growth of the Local Public Health Workforce During the COVID-19 Pandemic, 2019–2022
Examines changes in the local health department (LHD) workforce during the COVID-19 pandemic, utilizing 2019-2022 NACCHO National Profile of Local Health Departments data. Breaks down LHD workforce composition and size data by LHD jurisdiction size and rurality.
Author(s): Krishna Patel, Timothy C. McCall, Margaret Cunningham, et al.
Citation: American Journal of Public Health, 115, 1271-1277
Date: 07/2025
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Examines changes in the local health department (LHD) workforce during the COVID-19 pandemic, utilizing 2019-2022 NACCHO National Profile of Local Health Departments data. Breaks down LHD workforce composition and size data by LHD jurisdiction size and rurality.
Author(s): Krishna Patel, Timothy C. McCall, Margaret Cunningham, et al.
Citation: American Journal of Public Health, 115, 1271-1277
Date: 07/2025
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Applying the NIOSH Worker Well-Being Framework to Migrant and Seasonal Farmworkers: Insights From the Literature
Highlights a study on the efficacy of applying the NIOSH Worker Well-Being Framework to the health and well-being of migrant and seasonal farmworkers. Explores the ways the structure of the framework are described in studies of farmworkers and the ways the structure is not aligned.
Author(s): Tessa Bonney, Dana Madigan, Vinay Espinosa-Ravi, Linda Forst
Citation: American Journal of Industrial Medicine, 68(7), 573-587
Date: 07/2025
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Highlights a study on the efficacy of applying the NIOSH Worker Well-Being Framework to the health and well-being of migrant and seasonal farmworkers. Explores the ways the structure of the framework are described in studies of farmworkers and the ways the structure is not aligned.
Author(s): Tessa Bonney, Dana Madigan, Vinay Espinosa-Ravi, Linda Forst
Citation: American Journal of Industrial Medicine, 68(7), 573-587
Date: 07/2025
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Composition of the Public Health Workforce: Distribution, Training, and Tenure
Examines the composition of the public health workforce and the characteristics of their respective jurisdictions. Analyzes 248 local health departments (LHDs) and includes rural versus urban data breakdowns according to number and tenure of employees, employee education, demographic characteristics, and more.
Author(s): Casey P. Balio, Haleigh Leslie, Michael B. Meit
Citation: Journal of Public Health Management & Practice, 31(4), 214-221
Date: 07/2025
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Examines the composition of the public health workforce and the characteristics of their respective jurisdictions. Analyzes 248 local health departments (LHDs) and includes rural versus urban data breakdowns according to number and tenure of employees, employee education, demographic characteristics, and more.
Author(s): Casey P. Balio, Haleigh Leslie, Michael B. Meit
Citation: Journal of Public Health Management & Practice, 31(4), 214-221
Date: 07/2025
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Trends in United States Mortality among Patients with Atrial Fibrillation/Flutter Related Heart Failure (1999–2024): Disparities by Gender, Race/Ethnicity and Region
Examines the correlation between atrial fibrillation (AF) and heart failure (HF) mortality across various demographic groups in the United States. Utilizes 1999-2024 Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze deaths due to AF related HF by demographic groups, states, U.S. regions, and metro versus nonmetro areas.
Author(s): Suraksha Rani, Laksh Kumar, Sheikh Muhammad Ebtehaj Ali, et al.
Citation: BMC Cardiovascular Disorders, 25, 558
Date: 07/2025
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Examines the correlation between atrial fibrillation (AF) and heart failure (HF) mortality across various demographic groups in the United States. Utilizes 1999-2024 Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze deaths due to AF related HF by demographic groups, states, U.S. regions, and metro versus nonmetro areas.
Author(s): Suraksha Rani, Laksh Kumar, Sheikh Muhammad Ebtehaj Ali, et al.
Citation: BMC Cardiovascular Disorders, 25, 558
Date: 07/2025
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