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Rural Health
Resources by Topic: Children and youth

HHS Maternal-Child Health Emergency Planning Toolkit
Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural-Urban Differences in Changes and Effects of Tobacco 21 in Youth E-cigarette Use
Highlights a study on youth e-cigarette use across rural and urban communities in light of the increase in Tobacco 21 (T21) policies. Compares under 21 e-cigarette use in rural and urban areas and in T21 and non-T21 areas. Breaks down data by year (2018-2019), gender, and grade in school, among other measures.
Author(s): Hongying Dai, Lisa Chaney, Edward Ellerbeck, et al.
Citation: Pediatrics, 147(5), e2020020651
Date: 05/2021
Type: Document
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Declines in Infant Mortality in Appalachia and the Delta: 1995-1996 Through 2017-2018
Compares infant mortality nationwide to rates in the Delta and Appalachia, examining maternal demographic changes including age, race, and ethnicity. Draws data from the National Vital Statistics System.
Citation: National Vital Statistics Reports, 70(6), 1-13
Date: 05/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Evaluation of the 2020 Pediatric Emergency Physician Workforce in the US
Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
Type: Document
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Rural Child Hunger Summit 2021: Collaborative Planning and Community Engagement Strategies
A recorded webinar that discusses strategies to end child hunger in rural areas, utilizing community-focused strategies, such as collaborative planning, meal delivery, food access in healthcare settings, sustainable planning, the intersection of race/ethnicity and food insecurity, and more.
Additional links: Collaborative Planning and Community Engagement Strategies to Address Rural Child Hunger - Slide Deck, Emerging Strategies in Food Access in Health Care Settings - Slide Deck, Fresh Ideas for Sustainable Programming in Rural Communities - Slide Deck, Inequity in Food Systems: The Impacts of Whiteness and COVID-19 on Food Insecurity, Spotlight on Emergency Meals-to-You: Reimaging Summer Meals in Rural Areas - Slide Deck
Author(s): Mia Medina, Michelle Troup, Evette Tovar-Lugo, Kathy Holt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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Sociodemographic Factors and Outcomes by Intent of Firearm Injury
Analyzed emergency department visits between 2009 and 2016 for patients aged 21 and younger with a firearm injury. Injuries are categorized by intent as either unintentional, assault, or self-harm. Each injury type is further broken down by age, gender, insurance status, rurality of the hospital, patient outcomes, and more. Discusses association of rurality with the different injury types.
Author(s): Shilpa J. Patel, Gia M. Badolato, Kavita Parikh, Sabah F. Iqbal, Monika K. Goyal
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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Law and Policy Pathways to Addressing Rising Youth Suicide Rates
Provides information on how to prevent death by suicide in vulnerable populations, such as rural, indigenous, and LGBTQ youth. Includes evidence-based suicide prevention strategies and ways to engage communities in prevention efforts.
Author(s): April Shaw
Date: 04/2021
Type: Document
Sponsoring organization: Network for Public Health Law
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Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
Type: Document
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Caring for American Indian and Alaska Native Children and Adolescents
Examines the influence of historical trauma and health inequities on the socioeconomic and health status of AI/AN youth. Discusses the disproportionate mental and cardiovascular health needs, and disease processes of AI/AN youth. Identifies strategies for culturally sensitive care to lessen morbidity, and makes policy recommendations supporting institutional and system changes for improving health outcomes.
Author(s): Bell. S., Deen, J.F., Fuentes, M., Moore, K.
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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