Social Determinants of Health for Rural People – Resources
Selected recent or important resources focusing on Social Determinants of Health for Rural People.
The 2025 Annual Homelessness Assessment Report (AHAR) to Congress
Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January 2025. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Date: 05/2026
Sponsoring organization: U.S. Department of Housing and Urban Development
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Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January 2025. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Date: 05/2026
Sponsoring organization: U.S. Department of Housing and Urban Development
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Economic Stability of Children, a Key Social Determinant of Health, in the United States: Differences by Rurality
Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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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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