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Rural Health
Resources by Topic: Population health

Enduring Cancer Disparities by Persistent Poverty, Rurality, and Race: 1990-1992 to 2014-2018
Examines overall cancer mortality in the U.S. by county characteristics such as persistent poverty and rural versus urban location, as well as by isolating race as a potential determinant. Utilizes 1990-1992 and 2014-2018 National Death Index data to analyze how health disparities in cancer mortality have changed over time.
Author(s): Jennifer L. Moss, Casey N. Pinto, Shobha Srinivasan, Kathleen A. Cronin, Robert T. Croyle
Citation: Journal of the National Cancer Institute, 114(6), 829-836
Date: 03/2022
Type: Document
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Initial Home Dialysis Is Increased for Rural Patients by Accessing Urban Facilities
Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System, broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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"Hard to Say Goodbye Over iPad": Experiences of Palliative Care Providers and Lessons Learned During the COVID-19 Pandemic in Rural Communities of Indiana, United States
Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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Mental Health Care in the United States: The Case for Federal Action
Bipartisan report summarizing findings from three Senate Finance Committee hearings and a request for information regarding challenges in the mental healthcare system. Describes the prevalence of behavioral health conditions in the United States, the impact of the COVID-19 pandemic, and spending on behavioral health. Outlines key challenges across five cross-cutting areas: the behavioral health workforce; children, adolescents, and young adults; access to care, integration, and care coordination; mental health and substance use disorder (SUD) parity; and telehealth. Includes information on challenges facing rural and underserved communities.
Date: 03/2022
Type: Document
Sponsoring organization: Senate Committee on Finance
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A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Reports on a critical review of maternal and infant mortality literature to observe how social determinants of health relate to health disparities for mothers and babies of racial/ethnic minorities, less privileged socioeconomic statuses, and rural geographies. Includes discussion about rural versus urban differences in maternal and infant mortality.
Author(s): Rada K. Dagher, Deborah E. Linares
Citation: Children, 9(3), 394
Date: 03/2022
Type: Document
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Consequences of Structural Urbanism: Urban–Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017–2018 Midwestern Survey
Examines health disparities in supportive cancer care based on data from 326 rural and urban Midwestern cancer patients from November 2017 to May 2018. Includes participant data broken down by rurality, age, sex, race, marital status, insurance status, and related cancer diagnosis. Discusses closures of healthcare services and limited resources in rural areas and their impact on healthcare access for cancer patients.
Author(s): Marquita W. Lewis-Thames, Patricia Fank, Michelle Gates, et al.
Citation: International Journal of Environmental Research and Public Health, 19(6)
Date: 03/2022
Type: Document
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LGBTQIA+ Health in Rural America
Policy brief discussing LGBTQIA+ health and healthcare in rural areas. Explores limitations to address LGBTQIA+ health in rural communities, policy considerations, and policy recommendations to improve community-level disparities in LGBTQIA+ healthcare.
Author(s): Beth O'Connor, Kaitlin Phelon, Bryan Price, et al.
Date: 03/2022
Type: Document
Sponsoring organization: National Rural Health Association
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HHS Strategic Plan FY 2022 - 2026
Identifies the strategic goals and objectives of the U.S. Department of Health and Human Services (HHS). Addresses issues impacting rural and tribal communities, including health disparities, healthcare access, and health workforce. Discusses maternal mortality, emergency preparedness, and other specific concerns.
Date: 03/2022
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Strengthening Federal Mental Health and Substance Use Disorder Programs: Opportunities, Challenges, and Emerging Issues
Presents a full committee hearing of the U.S. Senate Committee on Health, Education, Labor, and Pensions discussing the current state of federal mental health and substance use disorder programs. Features testimonies from representatives of the Heath Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the National Institute of Mental Health, and the National Institute on Drug Abuse.
Additional links: Carole Johnson Testimony, Joshua A. Gordon Testimony, Miriam E. Delphin-Rittmon Testimony, Nora D. Volkow Testimony
Date: 03/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Rural Quality of Life: Opportunities and Challenges for the Rural Care Economy
Recording of a March 22, 2022, hearing of the U.S. Senate Committee on Agriculture, Nutrition, and Forestry on challenges and opportunities for the care economy in rural communities. Features testimony from the U.S. Department of Agriculture Undersecretary for Rural Development, the University of Minnesota Rural Health Research Center, and Southeast Health Group, a Certified Community Behavioral Health Clinic (CCBHC) in rural La Junta, Colorado.
Additional links: Carrie Henning-Smith, University of Minnesota Rural Health Research Center - Testimony, Joseph Carrica, Southeast Health Group - Testimony
Date: 03/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Agriculture, Nutrition, and Forestry
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