Rural Health
Resources by Topic: Social determinants of health
Socioeconomic and Environmental Determinants of Asthma Prevalence: A Cross-sectional Study at the U.S. County Level Using Geographically Weighted Random Forests
Examines ecological associations of asthma by social and physical determinants at the county level. Includes U.S. maps that depict asthma prevalence as well as determinants such as smoking prevalence, depression prevalence, poverty, insurance rates, and more, which are further analyzed to depict their correlation with asthma.
Author(s): Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
Citation: International Journal of Health Geographics, 22, 18
Date: 08/2023
Type: Document
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Examines ecological associations of asthma by social and physical determinants at the county level. Includes U.S. maps that depict asthma prevalence as well as determinants such as smoking prevalence, depression prevalence, poverty, insurance rates, and more, which are further analyzed to depict their correlation with asthma.
Author(s): Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
Citation: International Journal of Health Geographics, 22, 18
Date: 08/2023
Type: Document
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Contextualizing Physical Activity in Rural Adults: Do Relationships Between Income Inequality, Neighborhood Environments, and Physical Activity Exist?
Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L. K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
Type: Document
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Examines a selection of rural southern counties to see how social determinants of health (SDOH) are related to physical activity. Utilizes data from an August 2020-March 2021 telephone survey to analyze physical activity in 334 respondents by sex, race, income, obesity status, marriage status, as well as rates of income inequality, social cohesion, and walkability of community.
Author(s): Samuel L. K. Baxter, Giselle Corbie, Sarah F. Griffin
Citation: Health Services Research, 58(S2), 238-247
Date: 08/2023
Type: Document
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Improving the Social Determinants of Health in Rural America Through Medicaid Section 1115 Waivers
Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Sociodemographic and Geographic Risk Factors for All-Cause Mortality in Patients with COPD
Analyzes factors related to chronic obstructive pulmonary disease (COPD) mortality while considering both individual characteristics and community risk factors. Examines 2021 COPD patient data according to sex, race/ethnicity, comorbidities, area deprivation index, and location by highly rural, rural, and urban.
Author(s): C Robichaux, J Aron, CH Wendt, et al.
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 18, 1587-1593
Date: 07/2023
Type: Document
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Analyzes factors related to chronic obstructive pulmonary disease (COPD) mortality while considering both individual characteristics and community risk factors. Examines 2021 COPD patient data according to sex, race/ethnicity, comorbidities, area deprivation index, and location by highly rural, rural, and urban.
Author(s): C Robichaux, J Aron, CH Wendt, et al.
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 18, 1587-1593
Date: 07/2023
Type: Document
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The County Role of Public Health
Provides an overview on how county-level public health agencies are involved in preparedness and response as well as addressing the social determinants of health (SDOH) in their local communities. Covers the core functions of public health departments, their role in local and rural areas, and policy efforts to support local public health authorities.
Date: 07/2023
Type: Document
Sponsoring organization: National Association of Counties
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Provides an overview on how county-level public health agencies are involved in preparedness and response as well as addressing the social determinants of health (SDOH) in their local communities. Covers the core functions of public health departments, their role in local and rural areas, and policy efforts to support local public health authorities.
Date: 07/2023
Type: Document
Sponsoring organization: National Association of Counties
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Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico
Highlights a study on health-related issues in isolated communities in Puerto Rico. Utilizes a community forum to identify health-related issues, such as primary care and mental health access, social determinants of health, emergency preparedness, and COVID-19 vaccinations, among other measures.
Author(s): Yashira M. Sánchez Colón, Edna Acosta Pérez, Mayra L. Roubert Rivera, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6335
Date: 07/2023
Type: Document
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Highlights a study on health-related issues in isolated communities in Puerto Rico. Utilizes a community forum to identify health-related issues, such as primary care and mental health access, social determinants of health, emergency preparedness, and COVID-19 vaccinations, among other measures.
Author(s): Yashira M. Sánchez Colón, Edna Acosta Pérez, Mayra L. Roubert Rivera, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6335
Date: 07/2023
Type: Document
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Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort
Discusses the process of building an index to assess environmental hazards and social stressors on pregnancy. Utilizes factors such as pollution, lack of green space, social economic status, social vulnerability, race/ethnicity, metro versus non-metro location, and more to define exposure risk.
Author(s): Sheena E. Martenies, Mingyu Zhang, Anne E. Corrigan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6339
Date: 07/2023
Type: Document
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Discusses the process of building an index to assess environmental hazards and social stressors on pregnancy. Utilizes factors such as pollution, lack of green space, social economic status, social vulnerability, race/ethnicity, metro versus non-metro location, and more to define exposure risk.
Author(s): Sheena E. Martenies, Mingyu Zhang, Anne E. Corrigan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6339
Date: 07/2023
Type: Document
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A Multi-Year Look at Maternal Mortality in Missouri 2018-2020 Pregnancy-Associated Mortality Review
Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Type: Document
Sponsoring organization: Missouri Department of Health and Senior Services
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Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Type: Document
Sponsoring organization: Missouri Department of Health and Senior Services
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Sourcebook: Rural Health Network Development Program, 2020-2023
Provides brief program descriptions and overviews of the sustained impact of the 44 rural health networks funded during the 2020-2023 grant period. Programs used integrated rural healthcare networks to address health needs including behavioral/mental health, care coordination, chronic disease, social determinants of health, and telehealth. Grantee profiles include a network overview, program outcomes, partners involved, and program sustainability.
Date: 07/2023
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Provides brief program descriptions and overviews of the sustained impact of the 44 rural health networks funded during the 2020-2023 grant period. Programs used integrated rural healthcare networks to address health needs including behavioral/mental health, care coordination, chronic disease, social determinants of health, and telehealth. Grantee profiles include a network overview, program outcomes, partners involved, and program sustainability.
Date: 07/2023
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Rural Health Network Development Program
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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