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Rural Health
Resources by Topic: Social determinants of health

Opioid Epidemic in the United States: Empirical Trends, and A Literature Review of Social Determinants and Epidemiological, Pain Management, and Treatment Patterns
Analyzes trends in U.S. drug overdose mortality by key social determinants. Reports findings from a selective review of the literature on how the opioid crisis is impacting different segments of the population, including rural residents.
Author(s): Gopal K. Singh, Isaac E. Kim, Mehrete Girmay, et al.
Citation: International Journal of Maternal and Child Health and AIDS, 8(2), 89-100
Date: 2019
Type: Document
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Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth
Report highlights research on mental, emotional, and behavioral development in children and youth. Describes the different challenges for cognitive development in both urban and rural areas and explores the necessary structures that facilitate regular development. Available for free download with login.
Date: 2019
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Type: Document
Sponsoring organization: American Heart Association
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HUD Policy Brief: Understanding the Impact and Potential for Health Centers - Rural Homelessness
Provides information to help health centers connect people experiencing rural homelessness with housing and services. Summarizes challenges to ending rural homelessness and efforts of the Department of Housing and Urban Development (HUD) addressing rural homelessness.
Date: 2019
Type: Document
Sponsoring organization: Corporation for Supportive Housing
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2018 National Survey of Health Attitudes: Description and Top-Line Summary Data
Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Type: Document
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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Achieving Behavioral Health Equity for Children, Families, and Communities: Proceedings of a Workshop
Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Type: Document
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disparities in Social Determinants of Health Outcomes and Behaviours Between Older Adults in Alaska and the Contiguous US: Evidence from a National Survey
Examines sociodemographic factors, rural versus urban residence, health outcomes, and behaviors among adults aged 65 years and older living in Alaska to those living in the contiguous 48 states. Assesses if residence, living in Alaska versus the lower 48 states, is associated with the social determinants of health and health outcomes.
Author(s): Steven A. Cohen, Ana X. Talamas, Natalie J. Sabik
Citation: International Journal of Circumpolar Health, 78(1)
Date: 12/2018
Type: Document
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South Carolina State Health Improvement Plan 2018-2023
Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for a variety of topics including child welfare, chronic conditions, and behavioral health. See pages 51-65 for discussion of rural healthcare access and social determinants of health.
Additional links: South Carolina Rural Health Action Plan
Date: 11/2018
Type: Document
Sponsoring organization: Alliance for a Healthier South Carolina (AHSC)
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Evidence Review — Social Determinants of Health for Veterans
Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
Type: Document
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