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Rural Health Information Hub

Alabama Resources

Failing Septic Systems in Lowndes County, Alabama: Citizen Participation, Science, and Community Knowledge
Discusses sanitation infrastructure access in predominantly Black, rural Lowndes County, Alabama. Provides data on household demographics, sewage treatment type and availability, home ownership, and more. Discusses barriers to septic system installation and health risks of sewage exposure.
Author(s): Elizabeth A. Albright, Catherine Coleman Flowers, Randall A. Kramer, Erika S. Weinthal
Citation: Local Environment, 29(2), 135-142
Date: 10/2023
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Four Mindsets for Funding Economic Mobility in the Black Rural South
Highlights opportunities for philanthropy to contribute to economic mobility in the Black rural South, based on conversations with nonprofit leaders, cooperative extension staff at historically Black colleges and universities (HBCUs), funders, researchers, and others. Identifies 4 mindsets that, if changed, could impact the effectiveness and support of existing institutions that are already active in the Black rural South. Features statistics on per capita grantmaking from 2010-2014 with breakdowns including the Alabama Black Belt and Mississippi Delta region, Alabama, Mississippi, and Georgia.
Author(s): Mike Soskis, Angie Estevez Prada, Mark McKeag, Rich Pierre, Cynthia Phoel
Date: 08/2023
Sponsoring organizations: National 4-H Council, The Bridgespan Group
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Influences on Lung Cancer Screening Initiation and Retention in Rural Alabama
Examines the facilitators of lung cancer screening initiation and retention in mostly Black and rural areas of Alabama. Provides feedback from 58 interviews with people who had a lung cancer screening between December 2019 and January 2022. Includes data on patient demographics, reasons for being screened, and intention to screen annually.
Author(s): Amy Copeland, Kathy Levy, Claudia M. Hardy, Jennifer C. King, Maureen Rigney
Citation: Journal of Primary Care & Community Health, 14
Date: 04/2023
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Social Determinants of Health and Emergency Department Utilization in Alabama Children's Health Insurance Program
Examines the relationship between social determinants of health (SDOH) and emergency department (ED) use in Alabama children. Utilizes 2015-2017 data from ALL Kids, Alabama's Children's Health Insurance Program, to analyze ED use by race, socioeconomic status (SES), urbanicity, availability of pediatricians, immigrant-density factors, and more.
Author(s): Ye Liu, Pradeep Sharma, David J. Becker, et al.
Citation: The American Journal of Managed Care, 29(3)
Date: 03/2023
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COVID Community-Engaged Testing in Alabama: Reaching Underserved Rural Populations Through Collaboration
Provides an overview of the National Institutes of Health's Rapid Acceleration of Diagnostics–Underserved Populations initiative that fostered collaborations to increase COVID-19 testing in rural areas of Alabama. Discusses intervention, implementation, and evaluation of initiative and includes county-level data on tests administered.
Author(s): Christopher Greer McCollum, Thomas N. Creger, Aadia I. Rana, et al.
Citation: American Journal of Public Health, 112(10), 1399-1403
Date: 10/2022
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Audiology, Medicine, and Pharmacy Interprofessional Preliminary Interviews and Discussions: Improving Hearing Health Care in Rural Alabama
Results of a study to determine the feasibility of interprofessional collaboration among physicians and audiologists and pharmacists and audiologists, to improve access and affordability of hearing health care in rural communities. Based on information from online surveys and virtual discussion groups with 16 family physicians and medicine residents at the University of Alabama and 15 pharmacists who worked in independently owned community pharmacies in Alabama.
Author(s): Emma B. Brothers, Marcia J. Hay-McCutcheon, Peter J. Hughes, M. Louanne Friend
Citation: American Journal of Audiology, 31(3), 656-668
Date: 09/2022
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Expanding Access to Substance Use Services and Mental Health Care for People with HIV in Alabama, a Technology Readiness Assessment Using a Mixed Methods Approach
Results of a study exploring opportunities for enhanced substance use disorder and mental health screening using electronic patient reported outcomes and telehealth at 5 Ryan White HIV/AIDS Program-funded clinics in Alabama. Features a county-level map showing HIV prevalence in Alabama in 2019.
Author(s): Ellen F. Eaton, Kaylee Burgan, Greer McCollum, et al.
Citation: BMC Health Services Research, 22(1), 919
Date: 07/2022
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
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2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Sponsoring organization: Alabama Public Health
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Additional resources are available. See a full list of Alabama Resources.


Last Updated: 10/8/2025