Rural Health
Resources by Topic: Social determinants of health
Maniilaq Health Center: Providing High-Quality Obstetric Care to American Indian/Alaska Native People in Rural Kotzebue, Alaska
Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Healthy People 2030, featuring Timothy Callaghan and Morgan Kassabian
An episode of the Exploring Rural Health podcast focused on the Rural Healthy People 2030 project, featuring Timothy Callaghan and Morgan Kassabian. Discusses the rural health priorities covered by this project and changes in rural health concerns over time. Also describes the methods used for collecting insights from rural stakeholders.
Date: 06/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast focused on the Rural Healthy People 2030 project, featuring Timothy Callaghan and Morgan Kassabian. Discusses the rural health priorities covered by this project and changes in rural health concerns over time. Also describes the methods used for collecting insights from rural stakeholders.
Date: 06/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Rural Health Challenges and Opportunities
Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Type: Document
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Type: Document
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Characterizing Social Insecurity in a Rural North Carolina Emergency Department
Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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The Association Between Social Functioning and Health Literacy Among Rural Southeastern African Americans with Hypertension
Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
Type: Document
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Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
Type: Document
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Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide
Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Development Organizations
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Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Development Organizations
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The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study
Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
Type: Document
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Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
Type: Document
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Persistent Poverty in Counties and Census Tracts
Examines persistent poverty, defined as a community with at least 20% poverty for over 30 years, in U.S. counties and census tracts. Utilizes Census and American Community Survey (ACS) poverty estimates that are compared against other datasets. Includes persistent poverty counties, census tracts, and percentages of the population by state, as well as maps of geographical areas in the U.S. depicting persistent poverty census tracts.
Author(s): Craig Benson, Alemayehu Bishaw, Brian Glassman
Date: 05/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Examines persistent poverty, defined as a community with at least 20% poverty for over 30 years, in U.S. counties and census tracts. Utilizes Census and American Community Survey (ACS) poverty estimates that are compared against other datasets. Includes persistent poverty counties, census tracts, and percentages of the population by state, as well as maps of geographical areas in the U.S. depicting persistent poverty census tracts.
Author(s): Craig Benson, Alemayehu Bishaw, Brian Glassman
Date: 05/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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