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Rural Health
Resources by Topic: Black or African American

Factors Influencing Evidence-Based Cardiovascular Disease Prevention Programming in Rural African American Communities: A Community-Engaged Concept Mapping Study
Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
Type: Document
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Rural Roads to Cognitive Resilience (RRR): A Prospective Cohort Study Protocol
Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
Type: Document
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The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote Area (FAR) codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Black or African American Population for Nonmetropolitan Counties
Printable map that shows the percent of the U.S. population by county who are Black or African American. Data source: U.S. Census Bureau, American Community Survey (ACS) 5-Year Estimates
Date: 12/2024
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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County-Level Racial Disparities in Prostate Cancer–Specific Mortality from 2005 to 2020
Examines Black-White differences in prostate cancer mortality from 2005 to 2020, utilizing Area Health Resource File (AHRF) and Surveillance, Epidemiology, and End Results (SEER) data. Compares county-level factors associated with change over time, including level of rurality.
Author(s): Samuel L Washington III, Mary Fakunle, Lufan Wang, et al.
Citation: JNCI Cancer Spectrum, 8(6), pkae109
Date: 11/2024
Type: Document
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Ten Americas: A Systematic Analysis of Life Expectancy Disparities in the USA
Evaluates life expectancy disparities among 10 population groups based on geography, race, urbanicity, income, and homicide data between 2000 and 2021. Includes analysis of the Black, low-income population in nonmetropolitan counties in the South by age, gender, and educational attainment.
Author(s): Laura Dwyer-Lindgren, Mathew M. Baumann, Zhuochen Li, et al.
Citation: The Lancet, 2024
Date: 11/2024
Type: Document
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Geographic Variations in Urban-Rural Particulate Matter (PM2.5) Concentrations in the United States, 2010–2019
Compares fine particulate matter 2.5 (PM2.5) ambient air concentration in rural versus urban areas from 2010 to 2019, utilizing the AHRQ database on Social Determinants of Health. Examines rural-urban changes in PM2.5 concentration over time, with breakdowns by census tract race and ethnicity, poverty, residents under age 15, and residents over age 65.
Author(s): Daniel J. Kilpatrick, Peiyin Hung, Elizabeth Crouch, et al.
Citation: GeoHealth, 8(9), e2023GH000920
Date: 09/2024
Type: Document
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Hospital Accreditation Status and Treatment Differences among Black Patients with Colon Cancer
Examines likelihood of receiving guideline-concordant care and risk of mortality for Black patients with colon cancer at Commission on Cancer (CoC) accredited hospitals relative to non-CoC accredited hospitals. Utilizes 2019-2020 United States Cancer Statistics database data. Includes data on the association between patient characteristics, including rurality, and attendance at accredited versus nonaccredited hospitals.
Author(s): Kelley Chan, Bryan E. Palis, Joseph H. Cotler, et al.
Citation: JAMA Network Open, 7(8), e2429563
Date: 08/2024
Type: Document
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Trends in Pancreatic Cancer Mortality in the United States 1999–2020: A CDC Database Population-Based Study
Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
Type: Document
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