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Rural Health
Resources by Topic: Income

Lessening the Impact of Financial Toxicity (Lift): A Protocol for a Multi-Site, Single-Arm Trial Examining the Effect of Financial Navigation on Financial Toxicity in Adult Patients with Cancer in Rural and Non-Rural Settings
Describes a trial study that examines financial toxicity (FT) experienced by adults with cancer in both rural and urban settings and implements financial navigation (FN) strategies for the patient. Observes 780 patients over 2 years who are enrolled in the Lessening the Impact of Financial Toxicity (LIFT) study that identifies and screens for FT, connects patients to FN resources, and includes ongoing check-ins and electronic tracking of LIFT patients. Includes rural versus urban breakdowns of oncology settings by organizational characteristics such as cancer program type, hospital ownership structure, presence of satellite locations, number of inpatient beds, and number of counties in catchment area.
Author(s): Stephanie B. Wheeler, Caitlin B. Biddell, Michelle L. Manning, et al.
Citation: Trials, 23, 839
Date: 10/2022
Type: Document
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The State of the Rural Economy in Indiana
Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Type: Document
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Income in the United States: 2021
Reports on income levels for 2020 and 2021, along with the percent change from 2020 to 2021. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2021 and 2022 Current Population Survey Annual Social and Economic Supplements.
Date: 09/2022
Type: Document
Sponsoring organization: U.S. Census Bureau
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Impact of Inflation on Rural Household Expenses, 2021-2022
Report offering estimates of differences in how inflation between 2021-2022 has impacted rural and urban households based on U.S. Bureau of Labor Statistics data. Examines changes in income and expenses, noting concerns about the increased cost of travel for rural people to access healthcare, the ability to pay for unexpected healthcare costs, and the risk of homelessness due to housing shortages and costs.
Author(s): David J. Peters
Date: 07/2022
Type: Document
Sponsoring organization: Iowa State University Extension and Outreach
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Inequities in Physical Activity Environments and Leisure-Time Physical Activity in Rural Communities
Examines access to physical activity (PA) environments in 3 rural counties in Georgia. Analyzes 2019 survey data from 728 participants in relation to leisure-time PA, walking and biking for transport, and perceived PA environments with data broken down by race, household income, and neighborhood rurality.
Author(s): Michelle C. Kegler, Nicole Gauthreaux, April Hermstad, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
Type: Document
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The Economic Effects of Rural Hospital Closures
Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
Type: Document
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Rural Illinois in Numbers: Content-Valid Indicators for Governance
Reports on quality of life (QOL) measures in Illinois such as economic conditions, access to healthcare, educational attainment, crime rates, and more. Includes metro versus nonmetro comparisons using data spanning from 2000 to 2020.
Author(s): Adee Athiyaman
Date: 06/2022
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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How Internal Wealth Influences Communities' Prospects Post-Covid
Examines county-level asset income of 15 community types in the U.S. as defined by the American Communities Project. Discusses issues such as unemployment, income inequality, child poverty, housing, and residential segregation in relation to COVID-19 impacts. Includes a tool to search asset income by county.
Author(s): Dante Chinni, Ari Pinkus
Date: 05/2022
Type: Document
Sponsoring organization: American Communities Project
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After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Type: Document
Sponsoring organization: American Communities Project
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