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Social Determinants of Health for Rural People – Resources

Selected recent or important resources focusing on Social Determinants of Health for Rural People.

Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Survivability in Patients with Rare Sigmoid Colon Adenocarcinoma Variants: Exploring the Influence of Rural–Urban Continuum Codes and Social Determinants of Health in the USA
Examines survival rates of patients with rare sigmoid colon adenocarcinoma across geographic and income variables. Utilizes SEER data from 93,020 patients and includes rural versus urban breakdowns according to demographics, cancer characteristics, mortality, and median household income. Discusses impacts of rurality and socioeconomics on survivability.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Rodney Rocconi, et al.
Citation: Cancer Causes & Control, 37, 123
Date: 07/2026
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County Economic Status in Appalachia, FY 2027
Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2026
Sponsoring organization: Appalachian Regional Commission
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Rural Water Infrastructure: Better Agency Coordination Could Help Unserved Communities Address Their Needs
Discusses issues related to rural water infrastructure, including what the U.S. Department of Agriculture (USDA) and the U.S. Environmental Protection Agency (EPA) know about rural communities not served by drinking water or wastewater utilities. Describes USDA and EPA programs that can provide financial and technical assistance to rural communities for water infrastructure, how the agencies prioritize these communities, and challenges rural unserved communities face in accessing financial and technical assistance from USDA and EPA. Offers recommendations to USDA and EPA regarding increasing access to water infrastructure funding and technical assistance.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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Health-Related Social Needs as a Rural Health Transformation Strategy
Analyzes how state Rural Health Transformation Program (RHTP) applications have planned to address health-related social needs (HRSNs) or non-medical drivers of health. Provides recommendations for implementing HRSN policies at the state level.
Author(s): Charles W. Mathias, Kathryn Jantz, Elena M. Marks, Carlos A. Cruz
Date: 06/2026
Sponsoring organization: Rice University's Baker Institute for Public Policy
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Association Between Well-Being and Occupational Class in Small Businesses in the Rural United States
Examines mental health, stress, productivity, and more across different occupational roles in the rural United States. Utilizes 2024 survey data from 1,910 employees and analyzes mental health according to blue-collar versus white-collar occupation, demographics, and mental health condition.
Author(s): Laxmi D. Adhikari, Sampada Wagle, Bhagyashree Katare
Citation: Journal of Rural Health, 42(2), e70172
Date: 06/2026
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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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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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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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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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Additional resources are available related to this guide. See the full list of resources by topic for: