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Rural Health Information Hub

Rural Schools and Health – Resources

Selected recent or important resources focusing on Rural Schools and Health.

School-Based Health Centers and the Utilization of Primary Care in Rural Communities
Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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School-Based Health Centers and School Attendance in Rural Areas
Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Serving Beyond Summer School: Reaching More Kids with Rural Summer Meals
A recorded webinar that provides 3 program examples of non-congregate summer meal service in rural areas. Discusses program details such as operations, distribution, scheduling, menu, marketing, and overcoming challenges. Transcript available below description.
Additional links: Slide Deck
Author(s): Lucretia Hertzock, Heidi Ottaway, Megan Adams
Date: 05/2025
Sponsoring organization: No Kid Hungry
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School-Based Enhanced Hearing Screening and Specialty Telehealth Follow-Up for Hearing Loss among Children in Rural Alaska: Study Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (North STAR Trial)
Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Spotlighting Programs: A Panel Discussion on Exceptional Nutrition Service Delivery
A recorded webinar that focuses on successful nutrition service delivery in Head Start programs across the United States. Highlights actionable strategies from the various food delivery services, including programming specific to rural, remote, and geographically dispersed areas.
Additional links: Webinar Slides
Date: 05/2025
Sponsoring organization: Administration for Children and Families
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O the Places Rural Children Will Go…to Get Physical Activity: A Cross Sectional Analysis
Examines locations in which children engage in either moderate-to-vigorous physical activity (MVPA) or sedentary time in the rural Midwest. Utilizes data from 44 participants who wore an activity tracker over a 7-day period and discusses activity in locations labeled as home, home neighborhood, school, school neighborhood, or 'other'. Discusses health issues and access barriers for rural children related to overweight/obesity.
Author(s): Bethany Forseth, Jordan A. Carlson, Adrian Ortega, et al.
Citation: BMC Public Health, 25, 1188
Date: 03/2025
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Impact of Rural School-Based Health Centers on Asthma Management
Examines preventive asthma care for rural students who have access to school-based health centers (SBHCs). Analyzes SBHCs in upstate New York and healthcare encounters related to asthma. Discusses disparities in asthma care for rural students who have access to an SBHC versus those who do not.
Author(s): Wendy M. Brunner, Zhuang Han, Sharon Tennyson, et al.
Citation: The Journal of Pediatrics, 277, 114385
Date: 02/2025
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Why Rural Matters 2025: People, Place, and Possibility
Describes educational, social, and health outcomes associated with rural schools. Includes state-level data, rankings, and comparisons to the U.S. as a whole.
Additional links: Communications Toolkit, Executive Summary, Maps, State-by-State Results
Author(s): Daniel Showalter, Sara L. Hartman, Karen Eppley, Jerry Johnson, Bob Klein
Date: 2025
Sponsoring organization: National Rural Education Association
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Districts Try with Limited Success to Reduce Chronic Absenteeism: Selected Findings from the Spring 2024 American School District Panel Survey and Interviews
Discusses the rise of chronic absenteeism in schools in the aftermath of the COVID-19 pandemic and the various causes, such as mental health, flexibility of remote learning, and ongoing COVID-19 pandemic challenges. Provides interview and survey data from 190 school district leaders and includes information on the percentage of districts experiencing chronic absenteeism and at what level; the characteristics of districts, including region, size, and urbanicity; and district methods of reducing chronic absenteeism.
Author(s): Melissa Kay Diliberti, Lydia R. Rainey, Lisa Chu, Heather L. Schwartz
Date: 08/2024
Sponsoring organization: RAND Corporation
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Rural Louisiana Programs Create Healthier Schools
Features two Delta States Rural Development Network grantees working to improve children's health in rural Louisiana schools. A high school program focuses on preventing diabetes and an elementary school program offers nutrition and physical activity opportunities to students.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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