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Rural Health
Resources by Topic: Social determinants of health

Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
Study examining barriers, resources, and community support for physical activity to address obesity in rural Appalachia, focusing on Martin County, Kentucky. Describes data related to physical activity, social determinants of health, and physical environment for a cohort of 152 people and 34 focus group participants.
Author(s): Natalie Jones, Dierdre Dlugonski, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(14), 7646
Date: 07/2021
Type: Document
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Arizona Health Improvement Plan Summary Document 2021-2025
Describes state efforts to address health priorities in Arizona, including health equity, social determinants of health, mental well-being, and rural and urban underserved health. Notes visions and strategic plans for each priority area.
Date: 06/2021
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Crosscutting Environmental Risk with Design: A Multi-site, Multi-city Socioecological Approach for Iowa's Diversifying Small Towns
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
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47th Annual Arizona Rural Health Conference
Offers presentation slides and video recordings from the 2021 Annual Arizona Rural Health Conference. Covers a wide variety of topics including infrastructure needs in rural communities, telehealth and distance learning, prevention efforts to address social determinants of health, and more.
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: Arizona Center for Rural Health
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Midwest Initiative Seeks to Reduce Opioid Use in Rural and Tribal Communities
Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Exploring the Role of Critical Health Literacy in Addressing the Social Determinants of Health
Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity — United States, December 14, 2020–May 1, 2021
Examines vaccination coverage by rurality and social vulnerability. Includes data for metropolitan and nonmetro areas for four levels of social vulnerability and by type of vulnerability, based on the CDC social vulnerability index (SVI).
Author(s): Vaughn Barry, Sharoda Dasgupta, Daniel L. Weller, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(22), 818-824
Date: 06/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Disparities in End-of-life Care for Patients with Heart Failure: Are They Due to Geography or Socioeconomic Disparity?
Examines the relationship of rurality, socioeconomic background, and end-of-life care for patients with heart failure in Maine. Includes data on healthcare utilization at end-of-life by age, sex, rurality, insurance type, and area deprivation index.
Author(s): Rebecca N. Hutchinson, Paul K. J. Han, F. Lee Lucas, et al.
Citation: Journal of Rural Health
Date: 05/2021
Type: Document
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
Type: Document
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Health Equity and COVID-19: The Impact of Rural Residence on COVID-19 Disparities
Policy brief discussing rural health disparities, social determinants of health, access to care, and COVID-19 impacts in rural Georgia. Compares rural and urban COVID-19 case and death rates, distribution of cases by race, and disparities in Black and Hispanic rural counties. Offers policy recommendations to address disparities.
Date: 05/2021
Type: Document
Sponsoring organization: Georgia Health Policy Center
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