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Rural Health Disparities – Resources

Selected recent or important resources focusing on Rural Health Disparities.

Community Susceptibility and Resiliency to COVID‐19 Across the Rural‐Urban Continuum in the United States
Presents a county-level susceptibility scale for COVID-19. Highlights 7 susceptibility factors related to health and socioeconomic resiliency and discusses the different concerns of rural and urban communities.
Additional links: COVID-19 Susceptibility Map
Author(s): David J. Peters
Citation: Journal of Rural Health, 36(3), 446-456
Date: 06/2020
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Rural-Urban Residence and Mortality among Three Cohorts of U.S. Adults
Reports on a study to address gaps in what is known of the rural-urban mortality disparity by analyzing time-to-event birth cohorts using data from the 1997-2009 National Health Interview Survey (NHIS) linking deaths through December 2011. Results of this study may identify potential policy and practice interventions to reduce the disparity in rural-urban mortality.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Katherine Ahrens M.
Date: 05/2020
Sponsoring organization: Maine Rural Health Research Center
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Increase in Suicide Mortality in the United States, 1999–2018
Reports on changes in suicide rates in the U.S. from 1999 through 2018. Includes 2018 age-adjusted suicide rates for men and women by county of residence for urban and rural counties.
Author(s): Holly Hedegaard, Sally C. Curtin, Margaret Warner
Date: 04/2020
Sponsoring organization: National Center for Health Statistics
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Maternal Mortality: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them
Examines trends in pregnancy-related deaths between 2007 and 2016. Analyzes data by cause of death and patient demographic characteristics. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Sponsoring organization: Government Accountability Office
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A Prospective Cohort Analysis of Gut Microbial Co-metabolism in Alaska Native and Rural African People at High and Low Risk of Colorectal Cancer
Presents a study examining the role of diet and gut microbiota in rates of colorectal cancer. Compares the diets of Alaska Natives, who have the highest rates of colorectal cancer in the world, with the diets of rural Africans, who have some of the lowest.
Author(s): Soeren Ocvirk, Annette S. Wilson, Joram M. Posma, et al.
Citation: The American Journal of Clinical Nutrition, 111(2), 406-419
Date: 02/2020
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Sponsoring organization: Clinical Advisor
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Divergent Trends in Life Expectancy Across the Rural-Urban Gradient and Association with Specific Racial Proportions in the Contiguous United States 2000-2005
Study estimating life expectancy at age 25 by rural and urban residence, race, and sex using county-level data from 2000 - 2005. Discusses geographic determinants of disparities in life expectancy in the contiguous U.S., comparing rurality and the proportion of specific race populations to life expectancy. Features color-coded maps of the contiguous U.S. that represents life expectancy at age 25 for White, Black, American Indian/Alaska Native, and Asian males and females.
Author(s): Yun Jian, Lucas Neas, Lynne C. Messer, et al.
Citation: International Journal of Public Health, 64(9), 1367-1374
Date: 12/2019
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Declines In Pediatric Mortality Fall Short For Rural US Children
Examines pediatric mortality rates from 1999-2017 and related factors of race/ethnicity and rurality. Provides data according to age, race/ethnicity, cause-specific mortality, and rural versus urban county.
Author(s): Janice Probst, Whitney Zahnd, Charity Breneman
Citation: Health Affairs, 38, 12
Date: 11/2019
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Sponsoring organization: Indian Health Service
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