Rural Health
Resources by Topic: Poverty
Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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County Economic Status in Appalachia, FY 2025
Map showing levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2024
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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Map showing levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2024
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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The Implications of Using Maternity Care Deserts to Measure Progress in Access to Obstetric Care: A Mixed-Integer Optimization Analysis
Compares geographic access to critical care obstetric (CCO) services in Georgia via a county-level maternal care desert model versus a model of census blocks further than 50 miles from CCO services. Uses each model to estimate how expansion of facilities would affect access to care, and also to estimate race and ethnicity, insurance status, age, and poverty rate of reproductive-aged women with limited access to care using 2017 American Community Survey data.
Author(s): Meghan E. Meredith, Lauren N. Steimle, Stephanie M. Radke
Citation: BMC Health Services Research, 24, 682
Date: 05/2024
Type: Document
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Compares geographic access to critical care obstetric (CCO) services in Georgia via a county-level maternal care desert model versus a model of census blocks further than 50 miles from CCO services. Uses each model to estimate how expansion of facilities would affect access to care, and also to estimate race and ethnicity, insurance status, age, and poverty rate of reproductive-aged women with limited access to care using 2017 American Community Survey data.
Author(s): Meghan E. Meredith, Lauren N. Steimle, Stephanie M. Radke
Citation: BMC Health Services Research, 24, 682
Date: 05/2024
Type: Document
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Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia
Examines the impacts of the COVID-19 pandemic on a rural, Appalachian community in Kentucky. Utilizes focus group data from 39 participants to analyze ongoing issues such as social isolation, cost of living, and food access. Discusses how these issues affect mental health, access to needed medications, and ability to purchase nutritious food.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, Nathan Bandy, Heather Norman-Burgdolf
Citation: International Journal of Environmental Research and Public Health, 21(5), 594
Date: 05/2024
Type: Document
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Examines the impacts of the COVID-19 pandemic on a rural, Appalachian community in Kentucky. Utilizes focus group data from 39 participants to analyze ongoing issues such as social isolation, cost of living, and food access. Discusses how these issues affect mental health, access to needed medications, and ability to purchase nutritious food.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, Nathan Bandy, Heather Norman-Burgdolf
Citation: International Journal of Environmental Research and Public Health, 21(5), 594
Date: 05/2024
Type: Document
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School-Based Health Centers as an Approach to Address Health Disparities among Rural Youth: A Study Protocol for a Multilevel Research Framework
Describes a study protocol to evaluate the impact of school-based health centers (SBHCs) on healthcare utilization, health outcomes, and education in rural, disadvantaged New York counties. Discusses risk factor identification and data collection at the individual, school district, and community levels.
Author(s): Xue Zhang, Mildred E. Warner, Sharon Tennyson, et al.
Citation: PLoS ONE, 19(5), e0303660
Date: 05/2024
Type: Document
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Describes a study protocol to evaluate the impact of school-based health centers (SBHCs) on healthcare utilization, health outcomes, and education in rural, disadvantaged New York counties. Discusses risk factor identification and data collection at the individual, school district, and community levels.
Author(s): Xue Zhang, Mildred E. Warner, Sharon Tennyson, et al.
Citation: PLoS ONE, 19(5), e0303660
Date: 05/2024
Type: Document
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Promoting Rural Financial Well-Being and Inclusion: Aligning Strategies with Community Needs
Provides measures for financial well-being and defines assets across rural county types, such as high-employment agricultural areas, centers of wealth and health, recreational and cultural areas, and more, and includes economic indicators like income and home ownership rate for each county type. Discusses challenges to financial well-being, strategies to improve economies, and policy considerations.
Author(s): Yipeng Su, Anna Morgan
Date: 05/2024
Type: Document
Sponsoring organization: Urban Institute
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Provides measures for financial well-being and defines assets across rural county types, such as high-employment agricultural areas, centers of wealth and health, recreational and cultural areas, and more, and includes economic indicators like income and home ownership rate for each county type. Discusses challenges to financial well-being, strategies to improve economies, and policy considerations.
Author(s): Yipeng Su, Anna Morgan
Date: 05/2024
Type: Document
Sponsoring organization: Urban Institute
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Coming to Terms with Housing and Homelessness in Rural Places with Jess Huff, Erin Carreon, and Mallory VanMeeter
Podcast episode discussing rural youth homelessness. Covers challenges to identifying, counting, and providing services for rural homeless teens; the role of community support services; the long-term impacts of homelessness; and how rural communities can address and prevent youth homelessness.
Date: 05/2024
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing rural youth homelessness. Covers challenges to identifying, counting, and providing services for rural homeless teens; the role of community support services; the long-term impacts of homelessness; and how rural communities can address and prevent youth homelessness.
Date: 05/2024
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Rural Research Brief: Creating A Better Understanding of Farmworker Communities and Their Housing Conditions
Examines the legal, cultural, and geographic determinants that impact housing for farmworkers and their families. Focuses on farmworker demographics, economic characteristics, housing challenges, programs aimed at improving housing, and potential policy solutions.
Author(s): Manda LaPorte
Date: 04/2024
Type: Document
Sponsoring organization: Housing Assistance Council
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Examines the legal, cultural, and geographic determinants that impact housing for farmworkers and their families. Focuses on farmworker demographics, economic characteristics, housing challenges, programs aimed at improving housing, and potential policy solutions.
Author(s): Manda LaPorte
Date: 04/2024
Type: Document
Sponsoring organization: Housing Assistance Council
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North Carolina Medicaid Expansion: A Rural Perspective
Reports on expanded Medicaid coverage in rural North Carolina using state-level monthly enrollment data. Compares expansion enrollment in rural, suburban, and urban counties, and evaluates whether enrollment is associated with poverty at the county level.
Author(s): Dalton Bailey
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Center
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Reports on expanded Medicaid coverage in rural North Carolina using state-level monthly enrollment data. Compares expansion enrollment in rural, suburban, and urban counties, and evaluates whether enrollment is associated with poverty at the county level.
Author(s): Dalton Bailey
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Center
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