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Rural Health
Resources by Topic: Social determinants of health

Area-Level Deprivation and Adverse Childhood Experiences among High School Students in Maryland
Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county, age, sex, and sexual and gender minority (SGM) status.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
Type: Document
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The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare
Describes the process of translating clinical documentation into medical codes and the impact coding has on healthcare quality and population health. Highlights coding issues specific to rural settings. Also discusses graduate medical education efforts addressing clinical documentation and medical coding.
Author(s): Kay Miller Temple
Date: 04/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019
Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts
Provides an overview of efforts to address social determinants of health (SDOH) that impact people of color, LGBTQ+ persons, individuals living in rural areas, and people with disabilities. Discusses housing, food and nutrition, transportation, social and economic mobility, and social service connections in terms of community (upstream) and individual (downstream) SDOH impacts.
Author(s): Amelia Whitman, Nancy De Lew, Andre Chappel, et al.
Date: 04/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Type: Document
Sponsoring organization: Alabama Department of Public Health
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The State of Our Health: A Statewide Health Assessment of Pennsylvania
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 03/2022
Type: Document
Sponsoring organization: Pennsylvania Department of Health
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A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Reports on a critical review of maternal and infant mortality literature to observe how social determinants of health relate to health disparities for mothers and babies of racial/ethnic minorities, less privileged socioeconomic statuses, and rural geographies. Includes discussion about rural versus urban differences in maternal and infant mortality.
Author(s): Rada K. Dagher, Deborah E. Linares
Citation: Children, 9(3), 394
Date: 03/2022
Type: Document
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Data Elements for Research on the Role of Social Determinants of Health in Coronavirus Disease 2019 Infection and Outcomes in the U.S.
Reviews 27 studies published between December 2019 and August 2021 to explore how social determinants of health (SDOH) are related to outcomes of COVID-19. Focuses on modifiable SDOH such as income, housing, health insurance status, and food insecurity, among others. Examines rural and urban settings in data analysis as possible predictors of COVID-19 outcomes.
Author(s): Katherine K. Kim, Hibah K. Qudsi, Heather M. Halter, et al.
Date: 03/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Assessment of Structural Barriers and Racial Group Disparities of COVID-19 Mortality With Spatial Analysis
Explores social determinants of health such as minority status, income inequality, and lack of health insurance, among others, and their relationship to COVID-19 mortality rates. Analyzes data from rural, suburban, and urban counties across all 50 states from January 2020 to February 2021. Includes demographic data such as age, race and ethnicity, socioeconomic advantage index, and more.
Author(s): Qinyun Lin, Susan Paykin, Dylan Halpern
Citation: JAMA Network Open, 5(3)
Date: 03/2022
Type: Document
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2022-2027 Illinois Comprehensive Cancer Control Plan
Provides an overview of the cancer burden in Illinois as well as strategies to improve screening, treatment, and survivorship. Discusses geographic disparities related to healthcare access and provides county-level data on cancer rates and social determinants of health. Includes a section specific to issues of rural health and cancer control.
Date: 02/2022
Type: Document
Sponsoring organization: Illinois Department of Public Health
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