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Rural Health
Resources by Topic: Health conditions

Cancer Disproportionately Impacts Adults Living in Rural Areas
Analyzes cancer disparities in metro and nonmetro areas across the U.S. as well as select states that did not expand Medicaid coverage: Georgia, South Carolina, Tennessee, and Texas. Utilizes multiple data sources to examine cancer incidence, mortality, and survival rates in metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: The National Grange
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Improving Colorectal Cancer Screening in Rural Primary Care: Preliminary Effectiveness and Implementation of a Collaborative Mailed Fecal Immunochemical Test Pilot
Examines the feasibility of implementing a mailed fecal immunochemical test (FIT) program in rural clinics to improve screening rates for colorectal cancer (CRC). Discusses the effectiveness of additional strategies in FIT programs such as auto-calling and live reminder calls from clinics. Provides data on screening success rates and qualitative feedback from clinic staff on the program.
Author(s): Melinda M. Davis, Jen Coury, Jean Hiebert Larson, et al.
Citation: Journal of Rural Health, 39(1), 279-290
Date: 01/2023
Type: Document
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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Remote Implementation of a School-Based Health Promotion and Health Coaching Program in Low-Income Urban and Rural Sites: Program Impact during the COVID-19 Pandemic
Examines the school-based health promotion and coaching skills program, Stanford Youth Diabetes Coaches Program (SYDCP), which was adapted for remote implementation during the COVID-19 pandemic. Discusses results of remote implementation in urban and rural sites and includes comparative data of results related to health knowledge and behaviors, personal growth/youth assets, and more.
Author(s): Liana Gefter, Nancy Morioka-Douglas, Ashini Srivastava, et al.
Citation: International Journal of Environmental Research and Public Health, 20(2), 1044
Date: 01/2023
Type: Document
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Missouri Oral Health Care: Report of Covid-19 Impact on Workforce
Reports on the oral healthcare workforce in Missouri during the COVID-19 pandemic based on 2021 Federally Qualified Health Care Centers (FQHC) surveys and 2022 survey data completed by Missouri dentists and hygienists. Provides county-level data on dentist, dental hygienist, and dental assistant shortage areas.
Date: 01/2023
Type: Document
Sponsoring organization: Missouri Department of Health and Senior Services
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The State of Health in Tennessee: 2023 Annual Report to the 113th Tennessee General Assembly
Provides a comprehensive overview of health in Tennessee, including health outcomes of individuals and information on the health of the state's healthcare system. Includes statistics on rural hospitals that have closed in recent years, and those at risk of closure as of 2022. Features county-level maps showing Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Tennessee Department of Health
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Virtual Home Visiting During the Covid-19 Pandemic: Lessons Learned for Research, Practice, and Policy
Reports on listening sessions regarding the use of virtual technology to perform home visiting in response to the COVID-19 pandemic. Discusses issues such as program implementation and activities, equitable service delivery, and the future of home visiting, with information specific to rural and tribal areas.
Author(s): Alena Hadley, Jasmine Hayes, Shefali Pai-Samant, Francesca Stern
Date: 01/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
Type: Document
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Challenges with Vaccination Data Hinder State and Local Immunization Program Efforts to Combat COVID-19
Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations and American Indians and Alaska Natives (AI/ANs). Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Early Challenges Highlight Areas for Improvement in COVID-19 Vaccination Programs
Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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