Rural Health
Resources by Topic: Social determinants of health
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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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Congruence Between County Dental Health Provider Shortage Area Designations and the Social Vulnerability Index
Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
Type: Document
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Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
Type: Document
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Rural Health Disparities in Skin Cancer Amplified Among Skin of Color
Analyzes how geography and the social determinants of health impact skin cancer disparities. Analyzes skin cancer history in rural versus urban populations, with data further broken down by gender, race, health plan, healthcare provider access, age, and income.
Author(s): Rachel R. Lin, Juwon Lee, Andrea D. Maderal, Scott A. Elman
Citation: Journal of Drugs in Dermatology, 23(6), 480-484
Date: 06/2024
Type: Document
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Analyzes how geography and the social determinants of health impact skin cancer disparities. Analyzes skin cancer history in rural versus urban populations, with data further broken down by gender, race, health plan, healthcare provider access, age, and income.
Author(s): Rachel R. Lin, Juwon Lee, Andrea D. Maderal, Scott A. Elman
Citation: Journal of Drugs in Dermatology, 23(6), 480-484
Date: 06/2024
Type: Document
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Voices of Experience: Lay Perspectives on Severe Maternal Morbidity in Appalachia
Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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State Requirements for Demographic Data Reporting upon Hospital Discharge: An Overview for State Flex Programs
Summarizes results of an environmental scan of state-level policies regarding current state requirements regarding hospitals' collection and reporting of demographic data among 37 of the 45 states participating in the Medicare Rural Hospital Flexibility (Flex) Program. Describes requirements for sex, gender, and sexual orientation data; race, ethnicity, and language data; and other data and reporting, as well as variations in how categories are defined across states. Discusses challenges Critical Access Hospitals (CAHs) may face in meeting state requirements.
Author(s): Madeleine Pick, Carson Crane, Megan Lahr
Date: 05/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Summarizes results of an environmental scan of state-level policies regarding current state requirements regarding hospitals' collection and reporting of demographic data among 37 of the 45 states participating in the Medicare Rural Hospital Flexibility (Flex) Program. Describes requirements for sex, gender, and sexual orientation data; race, ethnicity, and language data; and other data and reporting, as well as variations in how categories are defined across states. Discusses challenges Critical Access Hospitals (CAHs) may face in meeting state requirements.
Author(s): Madeleine Pick, Carson Crane, Megan Lahr
Date: 05/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examining the Dental Care Crisis in America: How Can We Make Dental Care More Affordable and More Available?
Recording of a May 16, 2024, U.S. Senate Committee on Health, Education, Labor & Pensions hearing on the accessibility and affordability of dental care, including in rural areas. Features testimony from the CareQuest Institute for Oral Health.
Additional links: Myechia Minter-Jordan, CareQuest Institute for Oral Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Recording of a May 16, 2024, U.S. Senate Committee on Health, Education, Labor & Pensions hearing on the accessibility and affordability of dental care, including in rural areas. Features testimony from the CareQuest Institute for Oral Health.
Additional links: Myechia Minter-Jordan, CareQuest Institute for Oral Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
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Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
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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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