Rural Health
Resources by Topic: Economics and the economy
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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The Fifth National Climate Assessment
Report outlining the impacts of climate change in the U.S., discussing impacts to both the physical earth as well as society, economics, and health sectors. Offers a look at both national topics of interest as well as the current and future risks at a regional level. Chapter 11 addresses agriculture, food systems, and rural concerns. Chapter 16 addresses Indigenous Peoples.
Date: 2023
Sponsoring organization: U.S. Global Change Research Program
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Report outlining the impacts of climate change in the U.S., discussing impacts to both the physical earth as well as society, economics, and health sectors. Offers a look at both national topics of interest as well as the current and future risks at a regional level. Chapter 11 addresses agriculture, food systems, and rural concerns. Chapter 16 addresses Indigenous Peoples.
Date: 2023
Sponsoring organization: U.S. Global Change Research Program
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COVID-19 Working Paper: Consumer Food Spending Changes During the COVID-19 Pandemic
Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Sponsoring organization: USDA Economic Research Service
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Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Sponsoring organization: USDA Economic Research Service
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Health, Work, and Care in Rural America
Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Sponsoring organization: New America
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Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Sponsoring organization: New America
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Through Natural Disaster to Prosperity: Five Principles to Improve Health and Economic Outcomes for Rural Communities and Native Nations
Describes 5 principles related to natural disasters and community resilience, including conditions that affect disaster vulnerability, relationships among rural communities and natural systems, equity in disaster response, local capacity, and responsive funding. Offers rural and tribal case studies and perspectives from rural economic and community development practitioners.
Additional links: Executive Summary
Date: 10/2022
Sponsoring organization: Aspen Institute
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Describes 5 principles related to natural disasters and community resilience, including conditions that affect disaster vulnerability, relationships among rural communities and natural systems, equity in disaster response, local capacity, and responsive funding. Offers rural and tribal case studies and perspectives from rural economic and community development practitioners.
Additional links: Executive Summary
Date: 10/2022
Sponsoring organization: Aspen Institute
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How Resilient Are Communities Along the U.S.-Mexico Border?
Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Sponsoring organization: U.S. Census Bureau
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Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Sponsoring organization: U.S. Census Bureau
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Coal Production and Employment in Appalachia
Examines major trends in coal production and employment in Appalachia between 2000-2020 and assesses how those trends may affect economic performance in the region. Includes a section on health outcomes, with statistics comparing the mortality rate in Appalachian coal counties, Appalachian non-coal counties, and the rest of the United States, as well as the mortality rate in Appalachian coal region subregions.
Date: 09/2022
Sponsoring organization: Appalachian Regional Commission
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Examines major trends in coal production and employment in Appalachia between 2000-2020 and assesses how those trends may affect economic performance in the region. Includes a section on health outcomes, with statistics comparing the mortality rate in Appalachian coal counties, Appalachian non-coal counties, and the rest of the United States, as well as the mortality rate in Appalachian coal region subregions.
Date: 09/2022
Sponsoring organization: Appalachian Regional Commission
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The State of the Rural Economy in Indiana
Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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The Economic Effects of Rural Hospital Closures
Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Healthy Iowans: Iowa's State Health Assessment
Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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