Rural Health
Resources by Topic: COVID-19
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Cancer-Related Health Behaviors During the COVID 19 Pandemic in Geographically Diverse Samples Across the US
Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
Type: Document
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Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
Type: Document
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Household Food Sourcing Patterns and their Associations with Food Insecurity in Appalachian Ohio
Examines food insecurity and patterns in rural, Appalachian Ohio during the COVID-19 pandemic. Analyzes data from 663 households at 4 separate time periods between July 2020 and April 2021 according to household demographics, food sourcing locations, and more.
Author(s): Kyle R. Busse, Kathryn I. Poppe, Qiang Wu, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 125(1), 54-68.e4
Date: 01/2025
Type: Document
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Examines food insecurity and patterns in rural, Appalachian Ohio during the COVID-19 pandemic. Analyzes data from 663 households at 4 separate time periods between July 2020 and April 2021 according to household demographics, food sourcing locations, and more.
Author(s): Kyle R. Busse, Kathryn I. Poppe, Qiang Wu, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 125(1), 54-68.e4
Date: 01/2025
Type: Document
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Epidemiological Model Can Forecast COVID-19 Outbreaks from Wastewater-Based Surveillance in Rural Communities
Examines the ability of wastewater-based epidemiology (WBE) to identify potential outbreaks of SARS-CoV-2 in rural communities. Analyzes wastewater in 6 communities and observes WBE's predictive accuracy to forecast SARS-CoV-2 outbreaks.
Author(s): Tyler Meadows, Erik R. Coats, Solana Narum, et al.
Citation: Water Research, 268
Date: 01/2025
Type: Document
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Examines the ability of wastewater-based epidemiology (WBE) to identify potential outbreaks of SARS-CoV-2 in rural communities. Analyzes wastewater in 6 communities and observes WBE's predictive accuracy to forecast SARS-CoV-2 outbreaks.
Author(s): Tyler Meadows, Erik R. Coats, Solana Narum, et al.
Citation: Water Research, 268
Date: 01/2025
Type: Document
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
Type: Document
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Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
Type: Document
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Behavioral Health Service Use among Individuals Enrolled in Medicaid and CHIP Before and During The COVID-19 Public Health Emergency
Examines behavioral health (BH) service usage changes among Medicaid and Children's Health Insurance Program (CHIP) enrollees during the COVID-19 public health emergency (PHE). Compares BH service initiation and treatment before the PHE (2018-2019) and during the PHE (2019-2020), with further data breakdowns by enrollee BH condition and demographic variables, including rural versus urban location.
Date: 12/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines behavioral health (BH) service usage changes among Medicaid and Children's Health Insurance Program (CHIP) enrollees during the COVID-19 public health emergency (PHE). Compares BH service initiation and treatment before the PHE (2018-2019) and during the PHE (2019-2020), with further data breakdowns by enrollee BH condition and demographic variables, including rural versus urban location.
Date: 12/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Role of Relaxed Telehealth Policy on Health Equity in Telehealth Utilization and Outcomes During the COVID-19 Public Health Emergency: A Living Systematic Review
Outlines the findings from living systematic reviews to describe the evidence measuring the association between telehealth use during the COVID-19 pandemic and health equity. Research questions include comparisons between telehealth use in rural and urban areas.
Author(s): Nicholas M. Mohr, J. Priyanka Vakkalanka, Lauren Lavin, et al.
Date: 12/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Outlines the findings from living systematic reviews to describe the evidence measuring the association between telehealth use during the COVID-19 pandemic and health equity. Research questions include comparisons between telehealth use in rural and urban areas.
Author(s): Nicholas M. Mohr, J. Priyanka Vakkalanka, Lauren Lavin, et al.
Date: 12/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Sobering Statistics: Acceleration of Alcohol-Attributable Deaths Across the United States During the COVID-19 Pandemic
Provides information on alcohol use and drinking guidelines. Includes data on alcohol-attributable deaths in the U.S. per 100,00 people from 2006-2022, with breakdowns by state, race/ethnicity, sex, age, and large metro, small/medium metro, or nonmetro location.
Author(s): Andrea Stewart, Colin Planalp, Tyler Winkelman
Date: 12/2024
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Provides information on alcohol use and drinking guidelines. Includes data on alcohol-attributable deaths in the U.S. per 100,00 people from 2006-2022, with breakdowns by state, race/ethnicity, sex, age, and large metro, small/medium metro, or nonmetro location.
Author(s): Andrea Stewart, Colin Planalp, Tyler Winkelman
Date: 12/2024
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Trends in Gestational Weight Gain and Prepregnancy Obesity in South Carolina, 2015–2021
Examines prepregnancy and gestational weight gain in South Carolina women before and during the COVID-19 pandemic. Utilizes 2015-2021 data from 239,597 mothers with data broken down by weight gain, relative prenatal risk, lifestyle and clinic factors, and sociodemographics of patients, including rurality.
Author(s): Sarah E. Simpson, Angela M. Malek, Chun-Che Wen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Examines prepregnancy and gestational weight gain in South Carolina women before and during the COVID-19 pandemic. Utilizes 2015-2021 data from 239,597 mothers with data broken down by weight gain, relative prenatal risk, lifestyle and clinic factors, and sociodemographics of patients, including rurality.
Author(s): Sarah E. Simpson, Angela M. Malek, Chun-Che Wen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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