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Rural Health
Resources by Topic: Social determinants of health

America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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Intergenerational Poverty and Mobility Among Native Americans in the United States: Proceedings of a Workshop
Report aims to identify programs and policies to reduce intergenerational poverty among Native Americans. Discusses the structural and historical factors that contribute to intergenerational poverty and explores promising interventions for addressing those factors.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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5-Year Strategic Plan: How Primary Care Investments Can Increase Access, Improve Quality, Lower Costs, Promote Health Equity & Address Workforce Needs
Details the New Mexico strategic plan to improve primary care by increasing access, improving healthcare quality, implementing financing reforms, promoting workforce sustainability, and integrating behavioral health into primary care. Discusses issues disproportionately represented in rural and frontier areas and provides county-level maps depicting social vulnerability and Medicaid and Children's Health Insurance Program (CHIP) recipients. Provides models and best practices in primary care with examples specific to rural areas.
Date: 2023
Type: Document
Sponsoring organization: New Mexico Primary Care Council
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Future Planning for the Public Health Emergency Preparedness Enterprise: Lessons Learned from the COVID-19 Pandemic: Proceedings of a Workshop
Summarizes discussions held during a May 2022 workshop to explore the nation's public health emergency (PHE) preparedness enterprise. Includes key components, success stories, and failure points, to identify opportunities for effective catastrophic disaster, pandemic, and other large scale PHEs planning at the federal, state, local, tribal, and territorial levels. Mentions disparities between urban and rural or tribal areas throughout.
Additional links: Read Online
Author(s): Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Michigan's Roadmap to Healthy Communities Phase II: 2022-2024
Expands on Phase I of a plan to address the social determinants of health (SDOH) to advance equity, provide social and economic opportunities, and improve health outcomes in Michigan. Focuses on health equity, community information exchange, community health workers (CHWs), chronic disease initiatives, population health, and a partnership with the Michigan Center for Rural Health (MCRH).
Date: 12/2022
Type: Document
Sponsoring organization: Michigan Department of Health and Human Services
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Advancing Equity in Cancer Prevention in Primary Care and Rural Health Settings
Discusses equity and social determinants of health related to cancer prevention in rural primary care health settings. Presents projects and collaborations from the Health Resources and Services Administration (HRSA) grantees and stakeholders to improve cancer prevention and screening. Transcript available below description.
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Health Resources and Services Administration
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"It Was Just Really Hard to Be Pregnant in a Smaller Town …": Pregnant and Parenting Teenagers' Perspectives of Social Support in Their Rural Communities
Examines the levels of support available for pregnant and parenting teenagers in rural communities. Provides information from 26 interviews with current and former pregnant/parenting teenagers who report on the availability of emotional, instrumental, informational, and appraisal social supports.
Author(s): Lauren Baney, Alison Greene, Catherine Sherwood-Laughlin, et al.
Citation: International Journal of Environmental Research and Public Health, 19(24), 16906
Date: 12/2022
Type: Document
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Food Insecurity in the Rural United States: An Examination of Struggles and Coping Mechanisms to Feed a Family among Households with a Low-Income
Analyzes the barriers and strategies of low-income rural families around food insecurity. Reports on interviews with 153 primary grocery shoppers about their experiences related to affordability and adequacy of meals, difficulty in obtaining food and managing household food needs, and more. Includes demographic information about participants as well as selected quotes relating to their food insecurity experiences.
Author(s): Carmen Byker Shanks, Lauri Andress, Annie Hardison-Moody, et al.
Citation: Nutrients, 14(24), 5250
Date: 12/2022
Type: Document
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All In: The Federal Strategic Plan to Prevent and End Homelessness
Provides a framework for the federal government's strategic plan to prevent and reduce homelessness in the United States 25% by 2025. Discusses the current state of homelessness; feedback gained from listening sessions and public comments; disparities for LGBTQ+ persons, racial minorities, the formerly incarcerated, and those with disabilities; and the social determinants that cause homelessness. Includes strategic planning that collaborates with federal housing, mental health, and drug control agencies.
Date: 12/2022
Type: Document
Sponsoring organization: United States Interagency Council on Homelessness
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Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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