Social Determinants of Health for Rural People – Resources
Selected recent or important resources focusing on Social Determinants of Health for Rural People.
Patient-Centered Burdens and Economic Outcomes among Patients Who Are Veterans, People with Intellectual and Developmental Disabilities, and People Living in Rural Areas and Their Caregivers: A Scoping Review
Provides a literature review on patient-centered burdens and economic outcomes (PCBEOs) for military veterans, people with intellectual and developmental disabilities (IDD), and people living in rural areas. Includes 126 studies from 2015-2025 and examines for PCBEOs such as direct medical and non-medical monetary costs, indirect impacts such as unpaid caregiving and time off work, and intangible burdens such as delayed career advancement. Discusses emotional and psychological strain of PCBEOs among these groups.
Author(s): Naomi Buell, Ella Shenkar, Sydney Kirsch, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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Provides a literature review on patient-centered burdens and economic outcomes (PCBEOs) for military veterans, people with intellectual and developmental disabilities (IDD), and people living in rural areas. Includes 126 studies from 2015-2025 and examines for PCBEOs such as direct medical and non-medical monetary costs, indirect impacts such as unpaid caregiving and time off work, and intangible burdens such as delayed career advancement. Discusses emotional and psychological strain of PCBEOs among these groups.
Author(s): Naomi Buell, Ella Shenkar, Sydney Kirsch, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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Review of Current Research Describing the Influence of Non-Health Care Drivers of Health in Rural and Urban Populations
Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Summarizes recent research in social determinants of health and associated health conditions in rural and urban populations. Identifies gaps in the literature relevant to rural health, and highlights findings relevant to rural and urban economic stability, education access and quality, neighborhood and built environment, and other social and community contexts.
Author(s): Katie Youngen, Julia Cecil, Tyrone F. Borders
Date: 04/2026
Sponsoring organization: Rural and Underserved Health Research Center
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The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2024 SAIPE.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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'No Safe Level of Lead': How Mining Towns Are Reducing the Risk of Lead Exposure – And What Other Rural Communities Can Learn from Them
Highlights efforts in rural Idaho and Kansas to raise awareness of the dangers of lead exposure. Discusses health screenings and follow-up care, as well as outreach activities and educational materials.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2026
Sponsoring organization: Rural Health Information Hub
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Highlights efforts in rural Idaho and Kansas to raise awareness of the dangers of lead exposure. Discusses health screenings and follow-up care, as well as outreach activities and educational materials.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2026
Sponsoring organization: Rural Health Information Hub
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Persistent Poverty and Breast Cancer Incidence by Tumor Subtype: Intersections of Rural/Urban Residence and Race Within USA Surveillance Epidemiology and End Results Registries, 2017 to 2021
Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Working on Wellness: The Rural Health and Employment Link
Examines the relationship between rural population health outcomes and employment security. Provides data on labor force participation, life expectancy, unhealthy days, and disability rates across the rural-urban continuum. Discusses metro versus nonmetro differences in workplace hazards and physical exertion.
Author(s): Surekha Carpenter, Bethany Greene, Stephanie Norris
Date: 2026
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines the relationship between rural population health outcomes and employment security. Provides data on labor force participation, life expectancy, unhealthy days, and disability rates across the rural-urban continuum. Discusses metro versus nonmetro differences in workplace hazards and physical exertion.
Author(s): Surekha Carpenter, Bethany Greene, Stephanie Norris
Date: 2026
Sponsoring organization: Federal Reserve Bank of Richmond
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America's Rental Housing 2026
Report details rental housing access across the country. Describes the supply and demand of rental housing, as well as the cost of renting for various income earners. Compares data on the types of housing available to rent and affordability in urban, suburban, and nonmetropolitan communities.
Date: 2026
Sponsoring organization: Joint Center for Housing Studies of Harvard University
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Report details rental housing access across the country. Describes the supply and demand of rental housing, as well as the cost of renting for various income earners. Compares data on the types of housing available to rent and affordability in urban, suburban, and nonmetropolitan communities.
Date: 2026
Sponsoring organization: Joint Center for Housing Studies of Harvard University
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Evidence Matters: Transforming Knowledge into Housing and Community Development Policy - Rural Housing
Examines housing challenges in rural areas such as affordability, structural inadequacy, homelessness, aging in place, and disaster response and recovery. Discusses the importance of defining rural as well as local, state, and federal policy and initiatives that address rural housing issues.
Author(s): Gretchen Armstrong, Amanda Gold, Sage Computing
Date: 2026
Sponsoring organization: U.S. Department of Housing and Urban Development
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Examines housing challenges in rural areas such as affordability, structural inadequacy, homelessness, aging in place, and disaster response and recovery. Discusses the importance of defining rural as well as local, state, and federal policy and initiatives that address rural housing issues.
Author(s): Gretchen Armstrong, Amanda Gold, Sage Computing
Date: 2026
Sponsoring organization: U.S. Department of Housing and Urban Development
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Household Food Security in the United States in 2024
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Community Resilience and Stroke Outcomes in Older Adults: Beyond Rural-Urban Classifications
Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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