Rural Health
Resources by Topic: Social determinants of health
The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Economic Cynicism, COVID-19 and Deaths of Despair in Rural Ohio Counties
Explores the relationship between economic cynicism, COVID-19, and deaths of despair (DoDs) in rural counties in Ohio. Highlights rates of social connection, economic disadvantage and cynicism, and how they correlate with DoDs, among other measures.
Author(s): Christopher R. Browning, Bethany Boettner, Catherine A. Calder, Elisabeth Root
Citation: Sociology of Health & Illness, 48(6), e70227
Date: 07/2026
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Explores the relationship between economic cynicism, COVID-19, and deaths of despair (DoDs) in rural counties in Ohio. Highlights rates of social connection, economic disadvantage and cynicism, and how they correlate with DoDs, among other measures.
Author(s): Christopher R. Browning, Bethany Boettner, Catherine A. Calder, Elisabeth Root
Citation: Sociology of Health & Illness, 48(6), e70227
Date: 07/2026
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Mapping Social Vulnerability and Proximity to Pharmacies in Minnesota, 2009–2024
Analyzes the relationship between pharmacy deserts and social vulnerability across Minnesota. Utilizes Minnesota Board of Pharmacy and geocoded data to examine the relationship among social vulnerability, access to pharmacy, and urban, metro, or nonmetro location. Includes census-tract level Minnesota map showing social vulnerability and access to pharmacies.
Author(s): Emma Goldner, Emily Styles, Lindsay Sorge, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Analyzes the relationship between pharmacy deserts and social vulnerability across Minnesota. Utilizes Minnesota Board of Pharmacy and geocoded data to examine the relationship among social vulnerability, access to pharmacy, and urban, metro, or nonmetro location. Includes census-tract level Minnesota map showing social vulnerability and access to pharmacies.
Author(s): Emma Goldner, Emily Styles, Lindsay Sorge, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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The Role of Rurality and Area-Level Disadvantage in Lifestyle Risk Factors and Psychological Well-Being among Cancer Survivors: Findings from the 2021 NCI HINTS-SEER
Examines how rurality and area-level disadvantage are associated with obesity, smoking, and depression or anxiety among cancer survivors, using 2021 HINTS-SEER data. Compares the roles of area-level and individual factors in influencing cancer survivorship outcomes in rural and urban areas.
Author(s): Anita M. Kumar, Carrie A. Miller, Reyna Han, et al.
Citation: Cancer Causes & Control, 37, 125
Date: 07/2026
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Examines how rurality and area-level disadvantage are associated with obesity, smoking, and depression or anxiety among cancer survivors, using 2021 HINTS-SEER data. Compares the roles of area-level and individual factors in influencing cancer survivorship outcomes in rural and urban areas.
Author(s): Anita M. Kumar, Carrie A. Miller, Reyna Han, et al.
Citation: Cancer Causes & Control, 37, 125
Date: 07/2026
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Survivability in Patients with Rare Sigmoid Colon Adenocarcinoma Variants: Exploring the Influence of Rural–Urban Continuum Codes and Social Determinants of Health in the USA
Examines survival rates of patients with rare sigmoid colon adenocarcinoma across geographic and income variables. Utilizes SEER data from 93,020 patients and includes rural versus urban breakdowns according to demographics, cancer characteristics, mortality, and median household income. Discusses impacts of rurality and socioeconomics on survivability.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Rodney Rocconi, et al.
Citation: Cancer Causes & Control, 37, 123
Date: 07/2026
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Examines survival rates of patients with rare sigmoid colon adenocarcinoma across geographic and income variables. Utilizes SEER data from 93,020 patients and includes rural versus urban breakdowns according to demographics, cancer characteristics, mortality, and median household income. Discusses impacts of rurality and socioeconomics on survivability.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Rodney Rocconi, et al.
Citation: Cancer Causes & Control, 37, 123
Date: 07/2026
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Rural Health and Health Disparities in Hypertension Management: A Scientific Statement From the American Heart Association
Discusses factors influencing the high rural prevalence of hypertension and highlights approaches for improving rural hypertension management. Covers topics including nonmedical drivers of health, access to services, medication access and use, nutrition and food insecurity, telehealth, and culturally-tailored service delivery.
Author(s): Cassandra D. Ford, Natalie A. Cameron, Donald Clark, et al.
Citation: Hypertension
Date: 06/2026
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Discusses factors influencing the high rural prevalence of hypertension and highlights approaches for improving rural hypertension management. Covers topics including nonmedical drivers of health, access to services, medication access and use, nutrition and food insecurity, telehealth, and culturally-tailored service delivery.
Author(s): Cassandra D. Ford, Natalie A. Cameron, Donald Clark, et al.
Citation: Hypertension
Date: 06/2026
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 06/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 06/2026
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County Economic Status in Appalachia, FY 2027
Shows 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: 06/2026
Sponsoring organization: Appalachian Regional Commission
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Shows 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: 06/2026
Sponsoring organization: Appalachian Regional Commission
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Concordance Between Social Needs Screening and Availability of Associated Programs in US Hospitals
Examines the extent to which hospitals screen patients for social needs by analyzing data from the 2022 American Hospital Association (AHA) survey. Explores the alignment between hospitals that screen for social needs and the availability of programs to address those needs. Compares data on social needs screening and corresponding programs at hospitals by rural and urban location, Critical Access Hospital (CAH) status, region, ownership, and participation in accountable care organizations (ACOs).
Author(s): Khyathi Gadag, Keith Mueller, Whitney E. Zahnd
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the extent to which hospitals screen patients for social needs by analyzing data from the 2022 American Hospital Association (AHA) survey. Explores the alignment between hospitals that screen for social needs and the availability of programs to address those needs. Compares data on social needs screening and corresponding programs at hospitals by rural and urban location, Critical Access Hospital (CAH) status, region, ownership, and participation in accountable care organizations (ACOs).
Author(s): Khyathi Gadag, Keith Mueller, Whitney E. Zahnd
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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