Rural Health
Resources by Topic: Health conditions
Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Geographic Access to Low-Dose CT Lung Cancer Screening in Tennessee: Disparities by Socioeconomic Variables, Rurality, and Appalachian Status
Examines access to low-dose computed tomography (LDCT) in Tennessee according to rurality and Appalachian status. Analyzes 198 LDCT sites and provides information on travel time and access to sites as well as demographic breakdown of population according to urban, rural, Appalachian, or non-Appalachian location. Discusses access disparities and solutions to improve access to LDCT screening sites in Tennessee.
Author(s): Sima Namin, Martin Whiteside, R. Eric Heidel, et al.
Citation: Journal of Rural Health, 42(3), e70202
Date: 08/2026
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Examines access to low-dose computed tomography (LDCT) in Tennessee according to rurality and Appalachian status. Analyzes 198 LDCT sites and provides information on travel time and access to sites as well as demographic breakdown of population according to urban, rural, Appalachian, or non-Appalachian location. Discusses access disparities and solutions to improve access to LDCT screening sites in Tennessee.
Author(s): Sima Namin, Martin Whiteside, R. Eric Heidel, et al.
Citation: Journal of Rural Health, 42(3), e70202
Date: 08/2026
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Long-Term Poverty, Rurality, and Geographic Disparities in Colorectal Cancer: A Spatial Analysis in Texas
Analyzes the relationship between colorectal cancer (CRC) and multi-decade poverty. Examines CRC incidence using 2017-2021 Texas Cancer Registry data and provides breakdowns according to rurality, poverty level, and persistence of poverty since 1970. Discusses the relationship of health disparities to poverty and geography.
Author(s): Ryan Ramphul, Tracey Farrigan, Yixiao Chen, et al.
Citation: Cancer Causes & Control, 37, 141
Date: 08/2026
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Analyzes the relationship between colorectal cancer (CRC) and multi-decade poverty. Examines CRC incidence using 2017-2021 Texas Cancer Registry data and provides breakdowns according to rurality, poverty level, and persistence of poverty since 1970. Discusses the relationship of health disparities to poverty and geography.
Author(s): Ryan Ramphul, Tracey Farrigan, Yixiao Chen, et al.
Citation: Cancer Causes & Control, 37, 141
Date: 08/2026
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Facilitation of Health Plan-Clinic Partnerships to Improve Colorectal Cancer Screening for Rural Medicaid Enrollees: A Qualitative Study
Examines efforts to increase colorectal cancer (CRC) screening rates, analyzing practice facilitation that supports mailed fecal immunochemical tests (FITs) and patient navigation. Utilizes qualitative data from the SMARTER CRC pragmatic trial that facilitates partnerships between Medicaid health plans and clinics in rural parts of Oregon.
Author(s): Erin S. Kenzie, Anders Herreid-O'Neill, Emily Myers, et al.
Citation: Journal of Rural Health, 42(3), e70203
Date: 08/2026
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Examines efforts to increase colorectal cancer (CRC) screening rates, analyzing practice facilitation that supports mailed fecal immunochemical tests (FITs) and patient navigation. Utilizes qualitative data from the SMARTER CRC pragmatic trial that facilitates partnerships between Medicaid health plans and clinics in rural parts of Oregon.
Author(s): Erin S. Kenzie, Anders Herreid-O'Neill, Emily Myers, et al.
Citation: Journal of Rural Health, 42(3), e70203
Date: 08/2026
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Evaluation of a Minigrant Program for Multilevel Interventions to Promote Human Papillomavirus Vaccination in Rural Communities in Georgia
Examines 4 health department minigrant programs related to human papillomavirus (HPV) vaccine uptake in rural communities. Analyzes program results according to reach of patients, intervention levels, HPV vaccination effectiveness, implementation barriers, and sustainability.
Author(s): Cam Escoffery, Courtney Petagna, Rithika Chari, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Examines 4 health department minigrant programs related to human papillomavirus (HPV) vaccine uptake in rural communities. Analyzes program results according to reach of patients, intervention levels, HPV vaccination effectiveness, implementation barriers, and sustainability.
Author(s): Cam Escoffery, Courtney Petagna, Rithika Chari, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Indiana Kidney Program Improves Outcomes Through Proactive Care and Education
Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Aligning Initiatives to End the HIV Epidemic in the United States
Discusses the alignment of the Ryan White HIV/AIDS Program (RWHAP) and the Ending the HIV Epidemic in the United States (EHE) initiative to provide healthcare to low-income people living with HIV (PLWH) and prevent new infections. Includes commentary on how the programs work in rural areas and the 2019-2026 EHE funding information for Health Centers with rural technical assistance.
Author(s): Jesse P. Anderson, Agata Bodie, Kaushik Ghosh, Sara Te
Date: 08/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the alignment of the Ryan White HIV/AIDS Program (RWHAP) and the Ending the HIV Epidemic in the United States (EHE) initiative to provide healthcare to low-income people living with HIV (PLWH) and prevent new infections. Includes commentary on how the programs work in rural areas and the 2019-2026 EHE funding information for Health Centers with rural technical assistance.
Author(s): Jesse P. Anderson, Agata Bodie, Kaushik Ghosh, Sara Te
Date: 08/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Can Schools Detect Mild Hearing Loss? Evaluating Screening Accuracy and Feasibility
Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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