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Rural Health
Resources by Topic: Infrastructure

A Descriptive Study of Covid-Era Movers to the Northern Forest Region
Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Sponsoring organization: Carsey School of Public Policy
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Contextualizing Physical Activity in Rural Adults: Do Relationships Between Income Inequality, Neighborhood Environments, and Physical Activity Exist?
Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L. K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
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An Active Roadmap: Best Practices in Rural Mobility
Provides a literature review and cases studies related to the ways rural communities encourage health-focused infrastructure, multimodal transportation, economic development, and environmentally safe practices. Describes the typology and demographics of rural areas and discusses how transportation is linked to wellness and community health outcomes.
Date: 07/2023
Sponsoring organizations: Smart Growth America, The National Complete Streets Coalition
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Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort
Discusses the process of building an index to assess environmental hazards and social stressors on pregnancy. Utilizes factors such as pollution, lack of green space, social economic status, social vulnerability, race/ethnicity, metro versus non-metro location, and more to define exposure risk.
Author(s): Sheena E. Martenies, Mingyu Zhang, Anne E. Corrigan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6339
Date: 07/2023
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Advancing Economic Development in Persistent-Poverty Communities
Examines census tracts to identify areas of "persistent poverty," defined as an area with at least a 20% poverty rate for at least 30 years. Discusses the distribution of the persistently poor population between rural and urban areas and highlights specific regions such as the Southeast, Tribal areas, and Appalachia. Outlines contributors to persistent poverty including workforce development, lack of infrastructure, race and ethnicity, economic conditions, and more. Presents 4 case studies, including 2 rural studies, to highlight overall themes and make recommendations for improving conditions in persistently poor locations. Interactive map provides information and data on persistent poverty counties.
Additional links: Executive Summary, Interactive Map
Author(s): August Benzow, Kenan Fikri, Joanne Kim, Daniel Newman
Date: 06/2023
Sponsoring organization: Economic Innovation Group
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How a Black Community Brought Affordable Health Care and Clean Water to Rural South Carolina in the 1970s
Reports on a predominately Black rural community in South Carolina that worked together to provide indoor plumbing, build a health center, and improve health outcomes of their citizens in the 1970s.
Author(s): Olivia Lewis
Date: 06/2023
Sponsoring organization: National Association of Community Health Centers
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The Built Environment and Social and Emotional Support among Rural Older Adults: The Case for Social Infrastructure and Attention to Ethnoracial Differences
Evaluated 110,850 rural older adults to determine the connection between social infrastructure and social and emotional support (SaES). Looks for variance across race and ethnicity and discusses the implication for mental health.
Author(s): Danielle Rhubart, Jennifer Kowalkowski, Logan Wincott
Citation: Rural Sociology 88(3), 731-762
Date: 05/2023
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Maximizing New Federal Investments in Broadband for Rural America
Policy brief covering the Broadband Equity, Access, and Deployment program with recommendations for stakeholders on how to close the digital divide for rural America. Discusses transparency and accountability, capacity building and community engagement, and implementation.
Author(s): Anthony F. Pipa, Laura Landes, Zoe Swarzenski
Date: 05/2023
Sponsoring organization: The Brookings Institution
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Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide
Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Sponsoring organization: National Association of Development Organizations
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Population Aging and Heat Exposure in the 21st Century: Which U.S. Regions Are at Greatest Risk and Why?
Analyzes the 2050 projected heat exposure alongside the current and 2050 projected size and distribution of the 69 and older population to identify populations and regions at greatest risk for increasing heat exposure. Identifies rural areas at greatest risk of increasing heat and an aging population. Discusses the efficacy of various policy measures and infrastructure needs of various regions to deal with the impacts of increasing heat on the older adult population.
Author(s): Deborah Carr, Giacomo Falchetta, Ian Sue Wing
Citation: Gerontologist, 64(3)
Date: 04/2023
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