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Rural Health
Resources by Topic: Health disparities

Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Building a Pediatric Patient Registry to Study Health Outcomes Among Transgender and Gender Expansive Youth at a Rural Gender Clinic
Describes the creation of a registry of transgender and gender expansive youth patients at a rural New York gender clinic for the purpose of filling gaps about knowledge in gender-affirming therapy. 139 patients consented to enrollment in the registry. Figure 6 includes a rural and urban breakdown of patient residences. Discusses registry design and data gathered including ethical considerations given to geographic data in regards to privacy and low population levels in rural areas.
Author(s): Jane O'Bryan, Kimberly Leon, Carolyn Wolf-Gould, et al.
Citation: Transgender Health 3(1), 179-189
Date: 12/2018
Type: Document
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Literature
Report examines the literature on disability care in Indian Country. Discusses home- and community-based services, trauma-informed care, and family caregivers among other topics related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Procuring Health: Experiences of Mexican Immigrant Women in Rural Midwestern Communities
Thematic study examining health outcomes, perceptions of health, and health promotion for first-generation Mexican immigrant women living in rural Midwestern communities. Compiles data drawn from interviews with 15 women held in 2012, including education, household information, health screening, health issues, transportation, and other data points. Discusses health disparities for Latino populations, the growth of Latino populations in the Midwest, the economic contribution of Latino immigrants to rural communities, and the role of Latina women in family health.
Author(s): Kimberly Greder and Angelica Reina
Citation: Qualitative Health Research, 29(9), 1334-1344
Date: 12/2018
Type: Document
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Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment
Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
Type: Document
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Trend Differences in Men and Women in Rural and Urban U.S. Settings
Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, race, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
Type: Document
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New SASI Analysis: In the Deep South, Significant Percentages of People Most Impacted by HIV Live Outside Large Urban Areas Demonstrating a Need for Increased Federal Resources
Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Type: Document
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America
Discusses the burden of chronic obstructive pulmonary disease (COPD) and its impact on rural America. Covers rural risk factors for COPD and healthcare disparities influencing rural COPD patients' ability to access care. Discusses ongoing federal COPD programs and offers policy recommendations and considerations to improve access to COPD care and treatments for individuals living in rural areas.
Date: 12/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Social Medicine in Practice: Realizing the American Indian and Alaska Native Right to Health
Explores the health disparities facing American Indian and Alaska Native populations and the social determinants of health specific to Native nations. Features a case study of the Maniilaq Social Medicine Program (SMP) in Alaska, which aims to address Native health disparities.
Author(s): Lucas Trout, Corina Kramer, Lois Fischer
Citation: Health and Human Rights Journal, 20(2), 19–30
Date: 12/2018
Type: Document
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