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Rural Health
Resources by Topic: Sexual and reproductive health

Contraception and Healthcare Utilization by Reproductive-Age Women Who Use Drugs in Rural Communities: a Cross-Sectional Survey
Study examining contraceptive use by women aged 18-49 in rural areas, comparing overall rates of contraceptive use to those of women who use opioid and/or non-opioid injection drugs. Analyzes data from the Rural Opioids Initiative (ROI) and the National Survey of Family Growth (NSFG). Discusses the study's implications for access to services, targeted interventions, and testing for infectious diseases.
Author(s): Ximena A. Levander, Canyon A. Foot, Sara L. Magnusson, et al.
Citation: Journal of General Internal Medicine
Date: 06/2022
Type: Document
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White House Blueprint for Addressing the Maternal Health Crisis
Provides an overview of the maternal health crisis, including maternal mortality and morbidity disparities, and outlines investments and initiatives to address these issues. Presents goals and actions related to access to maternal and behavioral health services, improving data collection and policy, expanding and diversifying the maternal health workforce, and strengthening economic and social supports.
Date: 06/2022
Type: Document
Sponsoring organization: The White House
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Cervical Cancer Screening Outcomes Among a Sample of Low-Income Uninsured Women: A Program-Based Study
Examines cervical screening outcomes in low-income and uninsured women by sociodemographic factors such as age, marital status, race/ethnicity, rurality, and Papanicolaou (Pap) test screening history. Analyzes outcomes of Pap tests, human papillomavirus (HPV) tests, and colposcopies administered to 841 women between 2013 and 2019 by urban, large rural, small rural, and isolated location, as well as other sociodemographic factors.
Author(s): Samson Olowolaju, Morgan Kassabian, Marvellous A. Akinlotan, et al.
Citation: Women's Health Reports, 3(1), 85-92
Date: 06/2022
Type: Document
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The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Examines the extent of missed opportunities (MOs) for human papillomavirus (HPV) vaccination among adolescents in Iowa between the ages of 11 to 13 and continuously enrolled in private health insurance. Compares the number of MOs by gender and rurality.
Author(s): Grace Ryan, Sato Ashida, Paul A. Gilbert, et al.
Citation: Journal of Community Health, 47, 783-789
Date: 06/2022
Type: Document
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Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations
Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Citation: JAMA Network Open, 5(6)
Date: 06/2022
Type: Document
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2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Type: Document
Sponsoring organization: Alabama Department of Public Health
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A Quality Improvement Initiative Addressing STI Services Provided in Rural South Carolina Primary Care Clinics
Provides an overview of HIV and STI trends in South Carolina and best practices for testing and prevention. Discusses barriers to HIV and STI treatments in rural areas and a pilot project to increase STI testing among Pre-exposure Prophylaxis PrEP patients. Includes county-level HIV and STI statistics in South Carolina as well as national trends.
Author(s): Sayward Harrison
Date: 2022
Type: Presentation Slides
Sponsoring organization: University of South Carolina
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Texas STD Surveillance Report
Provides an annual report on sexually transmitted disease (STD) prevalence in Texas. Appendices include data by county of residence for 2013-2022.
Date: 2022
Type: Document
Sponsoring organization: Texas Health and Human Services
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South Carolina STD/HIV/AIDS Annual Surveillance Report, 2021
Reports cases of AIDS, HIV, chlamydia, gonorrhea, and syphilis in South Carolina through December 31, 2021. Provides data on the age, sex, race, and ethnicity of diagnosed individuals, and includes additional data on exposure categories of new AIDS and HIV diagnoses. Also presents data on cases and rates by county.
Date: 12/2021
Type: Document
Sponsoring organization: South Carolina Department of Public Health
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Accessibility of Pharmacist-Prescribed Contraceptives in Utah
Surveys 210 Utah pharmacies in 2019 to determine participation in pharmacist-prescribed contraceptives one year after authorization by the Utah State Legislature. Also evaluates access to contraceptives based on geographic distribution of pharmacies. Participating pharmacies are designated either rural or non-rural. Discusses participating pharmacy locations compared with locations of people living below the poverty line and minority races and ethnicities.
Author(s): Brianna M. Magnusson, Sarah R. Christensen, Ashley B. Tanner, et al.
Citation: Obstetrics & Gynecology 138(6), 871-877
Date: 12/2021
Type: Document
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