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Rural Health
Resources by Topic: Employment and unemployment

A Snapshot of Racial Inequities in Human Services Programs in Rural Contexts
Examines the need for human services across rural counties and broken down by racial/ethnic groups. Provides data on human services funding per person, unemployment rate, poverty rate, access to broadband, and access to vehicles by rural Black, Hispanic, Native, and White citizens. Includes a 2018 county-level U.S. map that depicts rural counties with high needs for human services by predominant race.
Author(s): Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Type: Document
Sponsoring organizations: 2M Research, Administration for Children and Families
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The Economic Contributions of North Carolina's Health Systems and Hospitals
Presents information for 137 hospital facilities in North Carolina, including number of jobs, wage income, total value added, taxes that result from health system and hospital operations, and community benefits such as reduced cost care. Features statistics including numbers of hospitals and beds, with breakdowns by rural, suburban, and urban areas.
Additional links: Two-Page Summary
Author(s): Sara Nienow, Rizwaan Lakhani, Michael Hogan, Chrystall Davis, Jared Woollacott,
Date: 12/2022
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Appalachian Employment Lagged Rest of United States from 2001 to 2021
Compares growth of employment in Appalachia from 2001-2021 with counties that neighbor Appalachia and counties in the rest of the United States. Features a county-level map with shadings indicating percent change in annual average employment.
Date: 12/2022
Type: Website
Sponsoring organization: Bureau of Labor Statistics
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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
Type: Document
Sponsoring organization: New America
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Webinar recording highlighting a May 2022 report that examines access to healthcare for self-employed workers, their families, and their households in rural areas. Utilizes 2014-2020 data to discuss health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access.
Additional links: Presentation Slides
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 10/2022
Type: Video/Multimedia
Sponsoring organization: North Central Regional Center for Rural Development
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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
Type: Document
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Integrating Employment Services with Substance Use Treatment and Recovery: The Experiences of Five Programs
Reports on the experiences of 5 treatment and recovery programs that integrated employment services into their program structure. Presents key findings that highlight program differences, organizational partnerships, and necessary accommodations for people in recovery from substance use disorder (SUD). Includes case study of a community recovery program situated in rural Virginia.
Author(s): Hannah Betesh, Deena Schwartz, Shelley Rappaport, Karin Martinson
Date: 08/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Building Evidence on Employment Strategies
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Self-Employed Workers Were Covered More Widely Across Health Insurance Sources, but Many Remained Uninsured
Bar chart comparing health insurance coverage type in 2018 for adults 26-64 who are self-employed and those employed by private firms or government. Includes metropolitan and nonmetro data for those covered by employer-based insurance, direct-purchase insurance, public insurance, and those without health insurance.
Date: 08/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Lack of Health Insurance Coverage Among Employed Individuals Increased As the COVID-19 Pandemic Intensified
Line chart showing the percent of workers who lacked health insurance from April 23, 2020 through December 21, 2020, with data for metropolitan and nonmetropolitan self-employed individuals and those otherwise employed.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Counties With High Levels of Self-Employed Workers Dominate the Great Plains and Upper Mountain West
Map showing metro and nonmetro counties with a proportion of self-employed workers in the top 25% for 2014-2018.
Date: 07/2022
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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