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Rural Health Information Hub

Rural Health Disparities – Resources

Selected recent or important resources focusing on Rural Health Disparities.

Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Which Definition of Rurality Should I Use?: The Relative Performance of 8 Federal Rural Definitions in Identifying Rural-Urban Disparities
Study comparing 8 definitions of rural used by the federal government in order to understand how often the same areas were identified as rural and to measure rural-urban disparities related to socioeconomic status, demographics, healthcare access, and health outcomes. Analyzes 20210 census tract-level spatial data from the U.S. Census Bureau, 2014-2019 5-year American Community Survey (ACS) population estimates, the Provider of Services file, and the National Plan and Provider Enumeration System files from the Centers for Medicare and Medicaid Services (CMS).
Author(s): Julianna C. Long, Paul L. Delamater, George M. Holmes
Citation: Medical Care, 59, S413-S419
Date: 10/2021
Type: Document
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Investigating Rurality as a Risk Factor for State and Trait Hopelessness in Hospitalized Patients With Ischemic Heart Disease
Highlights a study on the correlation between rurality and hopelessness among adults with ischemic heart disease (IHD). Compares rates of hopelessness of patients with IHD in rural and urban areas. Breaks down data by gender, employment, and marriage status, among other factors.
Author(s): Deb Bomgaars, Gwenneth A. Jensen, Lynn L. White, et al.
Citation: The Journal of the American Heart Association, 10(17), e020768
Date: 09/2021
Type: Document
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COVID-19 Working Paper: Meatpacking Working Conditions and the Spread of COVID-19
Report details the working conditions of meatpacking plants and how they affected the spread of COVID-19 during the first months of the pandemic. Compares manufacturing jobs in rural versus total counties and highlights specific rural counties where meatpacking plants were infected. Discusses occupational characteristics that may have contributed to the spread.
Author(s): Thomas P. Krumel, Jr., Corey Goodrich
Date: 09/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Healthy People: Where We've Been and Where We're Going
August 25, 2021 webinar presenting key findings from Rural Healthy People 2010 and Rural Healthy People 2020, studying the top 10 rural health priorities for the previous two decades. Presents early findings from the Rural Healthy People 2030 survey and discusses what comes next. Features statistics on mortality rates from diabetes, heart disease, suicide, and cancer, with breakdowns by 6 levels of population density.
Additional links: Presentation Slides, Transcript
Author(s): Timothy Callaghan, Alva O. Ferdinand, Morgan Kassabian
Date: 08/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
Study examining barriers, resources, and community support for physical activity to address obesity in rural Appalachia, focusing on Martin County, Kentucky. Describes data related to physical activity, social determinants of health, and physical environment for a cohort of 152 people and 34 focus group participants.
Author(s): Natalie Jones, Dierdre Dlugonski, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(14), 7646
Date: 07/2021
Type: Document
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Cancer Mortality and Research Outcomes in a Rural State
Highlights a study exploring the factors contributing to high cancer rates in rural North Dakota. Breaks down cancer data by sex, ethnicity, and geography, among other measures.
Author(s): Mark R. Williamson, Rashid M. Ahmed
Citation: Wisconsin Medical Journal, 120(2), 120-126
Date: 07/2021
Type: Document
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The Synchronicity of COVID-19 Disparities: Statewide Epidemiologic Trends in SARS-CoV-2 Morbidity, Hospitalization, and Mortality among Racial Minorities and in Rural America
Presents a study of patterns in COVID-19 infection, hospitalization, and mortality among all adults tested for COVID-19 infection in Indiana between March 1 and December 31, 2020. Analyzes data by gender, age, race/ethnicity, and rural/urban location, discussing disparities for rural and minority populations during the Fall 2020 surge.
Author(s): Brian E. Dixon, Shaun J. Grannis, Lauren R. Lembcke, et al.
Citation: PLoS One, 16(7), e0255063
Date: 07/2021
Type: Document
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program: Highlights and Lessons Learned from the Planning Year (2019 – 2020)
Webinar recording discusses the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program and evaluates its successes and challenges. Includes information on network models and planning year activities, as well as baseline characteristics of the maternal health population prior to program implementation. Features presentations from Mission Analytics and Insight Policy Research.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Last Updated: 1/18/2022