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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

Issue Brief: Social Services
Discusses the types, prevalence, and the agencies providing social services in schools, with information on city, suburban, and rural schools. Includes data on mental health services, health services, and other types of supports.
Date: 07/2017
Sponsoring organization: U.S. Department of Education
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Screening for Social Determinants of Health in Michigan Health Centers
Examines screening practices for the social determinants of health in Michigan health center settings, including Federally Qualified Health Centers (FQHCs). Includes map of Michigan with health center locations, health center characteristics and statistics, patients in the study, and percentages of health center screenings for core domains.
Author(s): Elena Byhoff, Alicia J. Cohen, Mary C. Hamati, et al.
Citation: Journal of the American Board of Family Medicine, 30(4), 418-427
Date: 07/2017
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Impact of Patient Race and Geographical Factors on Initiation and Adherence to Adjuvant Endocrine Therapy in Medicare Breast Cancer Survivors
Study exploring racial and geographical disparities in adjuvant endocrine therapy for female Medicare patients diagnosed between 2007-2011. Features statistics with breakdowns including race or ethnicity, urban or rural residence, age group, and marital status.
Author(s): Fabian T. Camacho, Xi Tan, Hector E. Alcala, et al.
Date: 06/2017
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"We Need Help in the Delta": Barriers to Health Promotion Among Older African American Men in the Mississippi Delta
Studies the challenges of promoting health in the rural Mississippi Delta, focusing on older African American men who participated in a small study group. Describes interviews with individuals and focus groups, emphasizing different understandings of the term "health" and structural concerns about health disparities that create barriers for health promotion.
Author(s): Sherry Wang, LaShaundrea Crook, Carol Connell, Kathy Yadrick
Citation: American Journal of Men's Health, 11(2), 414-425
Date: 03/2017
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Thinking "Bigger" About Smaller Places: Why Rural Health Planning is Critical to Successful Rural Collective Impact Approaches
Video of a speech by the president and CEO of the Rural Policy Research Institute. Presented as part of the Rural Health Lecture Series at the Arnold School of Public Health, University of South Carolina and co-sponsored by the South Carolina Office of Rural Health. Explores how rural health is affected by social determinants of health, such as availability of safe housing, employment opportunities, and healthy food.
Author(s): Charles W. Fluharty
Date: 03/2017
Sponsoring organizations: Arnold School of Public Health, University of South Carolina, South Carolina Office of Rural Health
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Social Determinants of Health
Policy brief informed by a September 2016 National Advisory Committee on Rural Health and Human Services meeting held in Albuquerque, New Mexico, with site visits to update the committee about factors that affect health outcomes. Identifies emerging payment models and financing strategies, and provides policy recommendations for addressing the social determinants of health in rural communities.
Date: 01/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Accounting for Social Risk Factors in Medicare Payment
Fifth and final report in a series designed to identify social risk factors that affect the health outcomes of Medicare beneficiaries and methods to account for these factors in Medicare payment programs. Offers thoughts about selecting the best methods to account for social risk factors and achieve policy goals. Chapter 2 includes a discussion about urbanicity and rurality, and suggests that a beneficiary's place of residence is a stronger indicator of social risk than their provider's location. Report was assembled by an ad hoc committee under the direction of the U.S. Department of Health and Human Services, Office of the Assistant Secretary of Planning and Evaluation.
Additional links: Read Online
Author(s): Committee on Accounting for Socioeconomic Status in Medicare Payment Programs
Date: 01/2017
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Georgia State Health Improvement Plan 2016-2021
Describes a plan for the improvement of public health in Georgia. Discusses trends in state demographics and health outcomes, and establishes health improvement priorities, strategies, and targets. Major topics include access, chronic disease prevention, and maternal and child health. Highlights health disparities and health workforce shortages in rural areas.
Date: 2017
Sponsoring organization: Georgia Department of Public Health
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Social Determinants of Health in the United States: Addressing Major Health Inequality Trends for the Nation, 1935-2016
Results of a study analyzing key health inequality trends in areas including maternal and child health, HIV/AIDS, mental and behavioral health, chronic disease prevention, and health promotion. Examines social determinants and features statistics with breakdowns by race/ethnicity, education, mortality rates, poverty, unemployment, housing, rural or urban location, and geographic area.
Author(s): Gopal K. Singh, Gem P. Daus, Michelle Allender, Christine T. Ramey, Elijah K. Martin, et al.
Citation: International Journal of MCH and AIDS, 6(2), 139-164
Date: 2017
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Social Determinants of Health and Vulnerable Populations in Rural Maryland
White paper discussing how social determinants of health impact those who face barriers to health and are susceptible to poor health due to circumstances such as environmental conditions, housing concerns, lack of transportation, and poverty. Includes strategies and examples of programs that have worked in rural communities to address topics such as substance use disorder and care coordination.
Date: 12/2016
Sponsoring organizations: Maryland Community Health Resources Commission, Maryland Rural Health Association
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