Rural Health
Resources by Topic: Health disparities
Trends in Pancreatic Cancer Mortality in the United States 1999–2020: A CDC Database Population-Based Study
Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
Type: Document
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Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
Type: Document
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
Type: Document
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Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
Type: Document
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The Rural Mortality Penalty in U.S. Hospital Patients with COVID-19
Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
Type: Document
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Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
Type: Document
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Exposure to Climate Events and Mental Health: Risk and Protective Factors from the California Health Interview Survey
Examines the association between personal characteristics and negative mental health effects following exposure to extreme weather, utilizing data from the 2021 California Health Interview survey. Analyzes characteristics including age, race, gender, education, housing stability, neighborhood safety, level of rurality, and more.
Author(s): Daniel Zhao, Elissa Epel, Elaine Allen, Alison R. Hwong
Citation: PLoS Climate, 3(8), e0000387
Date: 08/2024
Type: Document
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Examines the association between personal characteristics and negative mental health effects following exposure to extreme weather, utilizing data from the 2021 California Health Interview survey. Analyzes characteristics including age, race, gender, education, housing stability, neighborhood safety, level of rurality, and more.
Author(s): Daniel Zhao, Elissa Epel, Elaine Allen, Alison R. Hwong
Citation: PLoS Climate, 3(8), e0000387
Date: 08/2024
Type: Document
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Rural Health Equity in HHS Region 7
Presentation slides that provide highlights related to rural health equity in the U.S. Department of Health and Human Services (HHS) Region 7, which consists of Iowa, Nebraska, Missouri, and Kansas. Discusses issues such as COVID-19 health equity funding, housing, farmworker and immigrant health, maternal healthcare access, and more.
Author(s): Whitney Zahnd
Date: 07/2024
Type: Presentation Slides
Sponsoring organization: Iowa College of Public Health
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Presentation slides that provide highlights related to rural health equity in the U.S. Department of Health and Human Services (HHS) Region 7, which consists of Iowa, Nebraska, Missouri, and Kansas. Discusses issues such as COVID-19 health equity funding, housing, farmworker and immigrant health, maternal healthcare access, and more.
Author(s): Whitney Zahnd
Date: 07/2024
Type: Presentation Slides
Sponsoring organization: Iowa College of Public Health
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Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Type: Document
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Type: Document
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Factors Associated With Surveillance Testing in Individuals With COVID-19 Symptoms During the Last Leg of the Pandemic: Multivariable Regression Analysis
Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
Type: Document
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Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
Type: Document
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Comprehensive Assessment of Pesticide Use Patterns and Increased Cancer Risk
Evaluates the impact of the use of 60 different agricultural pesticides on cancer rates at the county level. Discusses trends for 6 types of cancers, the relation to agricultural productivity, and accounting for various socioeconomic vulnerability variables.
Author(s): Jacob Gerken, Gear Thomas Vincent, Demi Zapata, Ileana G. Barron, Isain Zapata
Citation: Frontiers in Cancer Control and Society, 2, 1368086
Date: 07/2024
Type: Document
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Evaluates the impact of the use of 60 different agricultural pesticides on cancer rates at the county level. Discusses trends for 6 types of cancers, the relation to agricultural productivity, and accounting for various socioeconomic vulnerability variables.
Author(s): Jacob Gerken, Gear Thomas Vincent, Demi Zapata, Ileana G. Barron, Isain Zapata
Citation: Frontiers in Cancer Control and Society, 2, 1368086
Date: 07/2024
Type: Document
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Adverse Childhood Experiences: Health Care Utilization And Expenditures In Adulthood
Uses 2021 Medical Expenditure Panel Survey-Household Component data to estimate healthcare utilization and expenditures for adults with and without adverse childhood experiences (ACEs) in addition to various health conditions and behaviors. Exhibit 1 includes prevalence and relative risk of various demographic and geographic factors by number of ACEs. Discusses policy implications of study findings.
Author(s): Thomas M. Selden, Didem M. Bernard, Sandra L. Decker, Zhengyi Fang
Citation: Health Affairs, 43(8)
Date: 07/2024
Type: Document
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Uses 2021 Medical Expenditure Panel Survey-Household Component data to estimate healthcare utilization and expenditures for adults with and without adverse childhood experiences (ACEs) in addition to various health conditions and behaviors. Exhibit 1 includes prevalence and relative risk of various demographic and geographic factors by number of ACEs. Discusses policy implications of study findings.
Author(s): Thomas M. Selden, Didem M. Bernard, Sandra L. Decker, Zhengyi Fang
Citation: Health Affairs, 43(8)
Date: 07/2024
Type: Document
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The State of Mental Health in America
Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert, Danielle Fritze, Theresa Nguyen
Date: 07/2024
Type: Document
Sponsoring organization: Mental Health America
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Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert, Danielle Fritze, Theresa Nguyen
Date: 07/2024
Type: Document
Sponsoring organization: Mental Health America
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