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Rural Health
Resources by Topic: Health disparities

Broken Promises: Continuing Federal Funding Shortfall for Native Americans
Updates the 2003 report, A Quiet Crisis: Federal Funding and Unmet Needs in Indian Country, evaluating federal spending on Native American programs, including those related to healthcare, housing, education, infrastructure, criminal justice, and economic development. Provides policy recommendations addressing funding, tribal sovereignty, and data collection.
Date: 12/2018
Type: Document
Sponsoring organization: U.S. Commission on Civil Rights
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Health Insurance Coverage for Women of Reproductive Age, 2013-16
Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Type: Document
Sponsoring organization: Urban Institute
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How Far Americans Live from the Closest Hospital Differs by Community Type
Features an examination of the differences in the distance traveled between home and the nearest hospital for communities across the nation. Compares the travel time in rural, urban, and suburban areas, as well as by census region.
Date: 12/2018
Type: Document
Sponsoring organization: Pew Research Center
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South Carolina State Health Improvement Plan 2018-2023
Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for a variety of topics including child welfare, chronic conditions, and behavioral health. See pages 51-65 for discussion of rural healthcare access and social determinants of health.
Additional links: South Carolina Rural Health Action Plan
Date: 11/2018
Type: Document
Sponsoring organization: Alliance for a Healthier South Carolina (AHSC)
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Emergency Department Utilization by Native American Children
Examines pediatric emergency department (ED) utilization in Native American (NA) populations in urban and rural areas. Analyzes 8,294 visits by 5,275 NA patients and 44,503 visits by 33,945 White patients across 6 EDs between 2011-2012 to observe health disparities in different areas and populations. Includes data breakdowns of ED patient demographics and characteristics according to rural, mid-size urban, and large urban location.
Author(s): Heather G. Zook, Anupam B. Kharbanda, Susan E. Puumala, et al.
Citation: Pediatric Emergency Care, 34(11), 802-809
Date: 11/2018
Type: Document
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Rates of Obesity and Obesogenic Behaviors of Rural Appalachian Adolescents: How Do They Compare to Other Adolescents or Recommendations?
Evaluates data from a sample of Appalachian adolescents in Ohio to compare obesity and related behaviors to that of the national adolescent population. Includes comparisons for body mass index (BMI), mean body fat percentage, daily physical activity behaviors, and sugar-sweetened beverage consumption.
Author(s): Laureen H. Smith, Devin Laurent, Erica Baumker, Rick L. Petosa
Citation: Journal of Physical Activity and Health, 15(11), 874-881
Date: 11/2018
Type: Document
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Rural-Urban Differences in Cancer Incidence and Trends in the United States
Examines the North American Association of Central Cancer Registries' public use dataset to compare rural and urban population-based cancer incidence rates from 2009-2013 and trends from 1995-2013. Explores factors associated with rural cancer disparities, including demographic, geographic, and socioeconomic characteristics as well as exposure to carcinogens, like tobacco and HPV.
Author(s): Whitney E. Zahnd, Aimee S. James, Wiley D. Jenkins, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1265-1274
Date: 11/2018
Type: Document
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Utility and Generalizability of Multi-State, Population-Based Cancer Registry Data for Rural Cancer Surveillance Research in the United States
Analyzes various cancer registries to determine the usability of these sources in rural cancer surveillance research. Includes data from 2009-2013 on rural and urban cancer incidence rates by cancer site and race/ethnicity.
Author(s): Whitney Zahnd, Wiley Jenkins, Aimee James, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(11), 1252-1260
Date: 11/2018
Type: Document
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Factors Associated with Depression Detection in a New Hampshire Mental Health Outreach Program
Presents a study on the accuracy of depression detection in older adults in New Hampshire. Compares a number of demographic factors, such as age, gender, and rural status, among others.
Author(s): Angela R. Ghesquiere, Renée Pepin, Jennifer Kinsey, et al.
Citation: Aging and Mental Health, 22(11), 1471-1476
Date: 11/2018
Type: Document
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HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2017
Details the rates of HIV infection nationally, with breakdowns by age, race/ethnicity, geographical region, metropolitan statistical area of residence, and many other categories. Highlights infection rates for American Indian and Alaska Native populations, among other groups.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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