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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.

Income and Rural–Urban Status Moderate the Association Between Income Inequality and Life Expectancy in US Census Tracts
Examines how income inequality and life expectancy (LE) are impacted by socioeconomic status (SES) and rural versus urban status at the census-tract level. Utilizes 2010-2015 data to examine the relationship of LE to SES, urbanicity, and other sociodemographic factors. Presents the data through descriptive statistics, figures, and graphs.
Author(s): Steven A. Cohen, Caitlin C. Nash, Erin N. Byrne, Mary L. Greaney
Citation: Journal of Health, Population and Nutrition, 42, 24
Date: 03/2023
Type: Document
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Integration of Case-Based Dialogue to Enhance Medical Students' Understanding of Using Health Communication to Address Social Determinants of Health
Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for culturally diverse and underserved patients. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underserved patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
Type: Document
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Crowded Housing and Housing Cost Burden by Disability, Race, Ethnicity, and Rural-Urban Location
Examine rates of crowded housing and housing cost burden, using data from the 2015-2019 American Community Survey. Features statistics on housing characteristics, with breakdowns by race or ethnicity and disability status, and rural or urban location.
Author(s): Alexis Swendener, Katie Rydberg, Mariana Tuttle, Hawking Yam, Carrie Henning-Smith
Date: 03/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Your Neighborhood Matters: An Ecological Social Determinant Study of the Relationship Between Residential Racial Segregation And the Risk of Firearm Fatalities
Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as residential racial segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of racial segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
Type: Document
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Selected Charts from Ag and Food Statistics Charting the Essentials
Report highlights the various measures of the rural and agricultural economy. Includes rates of rural versus urban poverty and unemployment, as well as rates of food security in principal cities, suburban, and rural areas.
Date: 02/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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 2 lists persistent poverty counties based on data from the 1990 Census, Census 2000, and the 2021 Small Area Income and Poverty Estimates (SAIPE).
Date: 02/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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All In: The Federal Strategic Plan to Prevent and End Homelessness
Provides a framework for the federal government's strategic plan to prevent and reduce homelessness in the United States 25% by 2025. Discusses the current state of homelessness; feedback gained from listening sessions and public comments; disparities for LGBTQ+ persons, racial minorities, the formerly incarcerated, and those with disabilities; and the social determinants that cause homelessness. Includes strategic planning that collaborates with federal housing, mental health, and drug control agencies.
Date: 12/2022
Type: Document
Sponsoring organization: United States Interagency Council on Homelessness
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The 2022 Annual Homeless Assessment Report (AHAR) to Congress
Presents a point-in-time estimate of the number of people experiencing sheltered homelessness at a time chosen between January and March 2022. 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. Contains limited information on unsheltered homeless due to some communities choosing not to do a point-in-time count given the increased risk of COVID-19 transmission.
Author(s): Tanya de Sousa, Alyssa Andrichik, Marissa Cuellar, et al.
Date: 12/2022
Type: Document
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 3/28/2023