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Rural Health
Resources by Topic: Children and youth

A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs
Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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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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Challenges Associated With Rural-Urban Stratification for Generalizing Birth Outcomes: Insights From the ECHO Cohort
Analyzes the validity of preterm birth (PTB) prevalence and generalizability related to rural versus urban stratification within the Environmental influences on Child health Outcomes (ECHO) Cohort. Examines PTB prevalence during the 2017-2019 and 2020-2022 ECHO cohorts as compared to county-level PTB prevalence from the National Center for Health Statistics (NCHS), further broken down by rural versus urban location and demographic variables. Discusses similarities and differences in PTB prevalence proportions using ECHO versus NCHS and the importance of further context when defining rural places.
Author(s): Daniel Beene, Debra A. MacKenzie, Carlos A. Camargo Jr., et al.
Citation: Journal of Rural Health, 42(2), e70163
Date: 05/2026
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Occupant Restraint Use in 2025: Results From the NOPUS Controlled Intersection Study
Presents results from the 2025 National Occupant Protection Use Survey (NOPUS) Controlled Intersection Study. Features statistics from 2024 and 2025 including child restraint use by age, with breakdowns by urban and rural areas.
Author(s): National Center for Statistics and Analysis
Date: 05/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Integrated Care for Kids (InCK) Model: Evaluation Report 3
Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Emergency Department Visits and Deaths Due to ATV Crashes - Alaska, 2019 - 2024
Describes the geographic distribution, age range, and injury type of 4,421 all-terrain vehicle (ATVs) related emergency department visits in Alaska between 2019 and 2024. Discusses frequent use of ATVs in rural Alaska and offers safety messaging for use in intervention initiatives.
Author(s): Joe McLaughlin, Jared Parrish
Date: 04/2026
Sponsoring organization: Alaska Department of Health
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The Distribution of the Youth Behavioral Health Workforce in Rural and Urban America in 2025
Examines the distribution of school counselors; youth, family, or school psychologists; youth or family mental health nurses; school social workers; and pediatric psychiatrists or behavioral pediatricians across rural and urban areas of the U.S. Features statistics with breakdowns by provider type and location by 6 levels of population density, and a county-level map with shadings showing rural counties with and without youth behavioral health clinicians.
Author(s): Janessa M. Graves, Sara C. Woolcock, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Alabama Vital Statistics, 2023
Statistics on births, deaths, marriage, and population in Alabama in 2023. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 04/2026
Sponsoring organization: Alabama Public Health
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