Social Determinants of Health for Rural People – Resources
Selected recent or important resources focusing on Social Determinants of Health for Rural People.
Rural Healthy People 2030
Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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Taking Stock: Rural People, Rural Places, Rural Housing
Provides an overview of rural definitions, people, places, housing, and poverty in the United States. Includes U.S. Census Bureau's American Community Survey (ACS) and Decennial Census of Population and Housing data that illustrate trends in rural demographics and economy, with data depicted through statistics, charts, and maps. Discusses social determinants of health (SDOH) and issues such as COVID-19, natural disasters, equity, and more.
Date: 2023
Sponsoring organization: Housing Assistance Council
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Provides an overview of rural definitions, people, places, housing, and poverty in the United States. Includes U.S. Census Bureau's American Community Survey (ACS) and Decennial Census of Population and Housing data that illustrate trends in rural demographics and economy, with data depicted through statistics, charts, and maps. Discusses social determinants of health (SDOH) and issues such as COVID-19, natural disasters, equity, and more.
Date: 2023
Sponsoring organization: Housing Assistance Council
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Closing the Opportunity Gap for Young Children
Discusses the factors that cause inequities and limited access to resources for young children, such as poverty, food insecurity, abuse and violence, lack of social and emotional safety, inadequate healthcare and schooling, and more. Discusses policy and practices aimed at reducing opportunity gaps, with a focus on historically disadvantaged populations, including those in rural areas.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Discusses the factors that cause inequities and limited access to resources for young children, such as poverty, food insecurity, abuse and violence, lack of social and emotional safety, inadequate healthcare and schooling, and more. Discusses policy and practices aimed at reducing opportunity gaps, with a focus on historically disadvantaged populations, including those in rural areas.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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An Updated Measure of Poverty: (Re)Drawing the Line
Examines the strengths and weaknesses of the Supplemental Poverty Measure (SPM) and makes recommendations to update it to better reflect the resources available to households. Includes discussion of geographic variation in the cost of living in metropolitan versus nonmetro areas and the potential for a finer level of detail to reveal variations for expenses like housing and transportation.
Additional links: Read Online
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Examines the strengths and weaknesses of the Supplemental Poverty Measure (SPM) and makes recommendations to update it to better reflect the resources available to households. Includes discussion of geographic variation in the cost of living in metropolitan versus nonmetro areas and the potential for a finer level of detail to reveal variations for expenses like housing and transportation.
Additional links: Read Online
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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U.S. Poverty Rates Differ by Age and County
Presents a series of U.S. county-level maps that show poverty rates among children and older adults using American Community Service (ACS) 5-year estimates for 2017-2021.
Date: 12/2022
Sponsoring organization: U.S. Census Bureau
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Presents a series of U.S. county-level maps that show poverty rates among children and older adults using American Community Service (ACS) 5-year estimates for 2017-2021.
Date: 12/2022
Sponsoring organization: U.S. Census Bureau
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Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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Assessment of Strategies Used in US Hospitals to Address Social Needs During the COVID-19 Pandemic
Presents findings on efforts to address social determinants of health (SDOH) by rural hospitals, Critical Access Hospitals (CAHs), and safety-net hospitals according to 2020 American Hospital Association survey data. Discusses rates of social needs among patient populations served by rural and urban hospitals and rates of SDOH screening and community partnerships.
Author(s): Jose F. Figueroa, Ciara Duggan, Cristina Toledo-Cornell, et al.
Citation: JAMA Health Forum, 3(10), e223764
Date: 10/2022
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Presents findings on efforts to address social determinants of health (SDOH) by rural hospitals, Critical Access Hospitals (CAHs), and safety-net hospitals according to 2020 American Hospital Association survey data. Discusses rates of social needs among patient populations served by rural and urban hospitals and rates of SDOH screening and community partnerships.
Author(s): Jose F. Figueroa, Ciara Duggan, Cristina Toledo-Cornell, et al.
Citation: JAMA Health Forum, 3(10), e223764
Date: 10/2022
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Rural Young Women Show Increases in Higher Educational Attainment Compared to Rural Young Men
Stacked bar charts showing educational attainment for young women (age 25-34) in 1990 and 2020 and for young men (age 25-34) in 1990 and 2020.
Date: 10/2022
Sponsoring organization: USDA Economic Research Service
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Stacked bar charts showing educational attainment for young women (age 25-34) in 1990 and 2020 and for young men (age 25-34) in 1990 and 2020.
Date: 10/2022
Sponsoring organization: USDA Economic Research Service
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Impact of Social Vulnerability on Comorbid Cancer and Cardiovascular Disease Mortality in the United States
Examines racial and social disparities as related to cancer and cardiovascular disease (CVD) mortality. Utilizes 2015-2019 data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze mortality rates and 2014-2018 data from the CDC's Agency for Toxic Substances and Disease Registry to estimate the respective county-level social vulnerability index (SVI). Includes demographic breakdowns of mortality rates according to age, sex, race/ethnicity, and large metropolitan, medium small metropolitan, or micropolitan/noncore (nonmetropolitan) location.
Author(s): Sarju Ganatra, Sourbha S. Dani, Ashish Kumar, et al.
Citation: Journal of American College of Cardiology: CardioOncology, 4(3), 326-337
Date: 09/2022
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Examines racial and social disparities as related to cancer and cardiovascular disease (CVD) mortality. Utilizes 2015-2019 data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze mortality rates and 2014-2018 data from the CDC's Agency for Toxic Substances and Disease Registry to estimate the respective county-level social vulnerability index (SVI). Includes demographic breakdowns of mortality rates according to age, sex, race/ethnicity, and large metropolitan, medium small metropolitan, or micropolitan/noncore (nonmetropolitan) location.
Author(s): Sarju Ganatra, Sourbha S. Dani, Ashish Kumar, et al.
Citation: Journal of American College of Cardiology: CardioOncology, 4(3), 326-337
Date: 09/2022
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Landscape of Area-Level Deprivation Measures and Other Approaches to Account for Social Risk and Social Determinants of Health in Health Care Payments
Examines social determinants of health (SDOH) at the community level and their impact on health-related social needs (HRSNs) of the individual. Discusses how policies related to federal payment systems can incentivize screening for HRSNs as well as referrals to appropriate social and behavioral services. Provides an environmental scan of what measures can be used to provide accountability for funding and policy efforts targeted at SDOH. Includes an appendix that defines and describes indices of social risk, such as the social vulnerability index (SVI) and area deprivation index (ADI), as well as payment models that include measures of social risk.
Author(s): Joshua Breslau, Laurie Martin, Justin Timbie, Nabeel Qureshi, Deborah Zajdman
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines social determinants of health (SDOH) at the community level and their impact on health-related social needs (HRSNs) of the individual. Discusses how policies related to federal payment systems can incentivize screening for HRSNs as well as referrals to appropriate social and behavioral services. Provides an environmental scan of what measures can be used to provide accountability for funding and policy efforts targeted at SDOH. Includes an appendix that defines and describes indices of social risk, such as the social vulnerability index (SVI) and area deprivation index (ADI), as well as payment models that include measures of social risk.
Author(s): Joshua Breslau, Laurie Martin, Justin Timbie, Nabeel Qureshi, Deborah Zajdman
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Educational attainment
- Employment and unemployment
- Environmental health
- Health literacy
- Housing and homelessness
- Income
- Infrastructure
- Poverty
- Social determinants of health
Last Updated: 10/16/2025