Rural Health
Resources by Topic: Social determinants of health
Eliminating Tobacco-Related Disease and Death: Addressing Disparities - A Report of the Surgeon General
Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 11/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 11/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Psychosocial Factors, Stress and Sleep Among Rural Appalachian Kentucky Residents with Type 2 Diabetes Mellitus
Results of a study examining whether psychosocial factors were associated with perceived stress and self-reported sleep deficiency, among 318 people with type 2 diabetes mellitus in 6 counties in rural Appalachian Kentucky. Features demographics and statistics on the association between perceived stress and sleepiness, and depression with perceived stress.
Author(s): Blake DiPaola, Zoe Taylor, Eric Hennemann, et al.
Citation: Journal of Appalachian Health, 6(3), 50-65
Date: 10/2024
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Results of a study examining whether psychosocial factors were associated with perceived stress and self-reported sleep deficiency, among 318 people with type 2 diabetes mellitus in 6 counties in rural Appalachian Kentucky. Features demographics and statistics on the association between perceived stress and sleepiness, and depression with perceived stress.
Author(s): Blake DiPaola, Zoe Taylor, Eric Hennemann, et al.
Citation: Journal of Appalachian Health, 6(3), 50-65
Date: 10/2024
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A Ten-Year Overview of Cancer Genetic Family History Screening in Georgia's Latina Population
Examines the use of cancer genetic family history (FH) screening among 9,328 Latina women in Georgia, utilizing 2013-2022 Georgia Center for Oncology Research and Education (GA CORE) screening data. Includes data on total positive and negative FH screening results, and compares changes in FH screening completion rates over time by rurality and social deprivation.
Author(s): D. Ramirez Leon, L.E. Barber, S. Gabram-Mendola, et al.
Citation: Frontiers in Public Health, 12, 1432971
Date: 10/2024
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Examines the use of cancer genetic family history (FH) screening among 9,328 Latina women in Georgia, utilizing 2013-2022 Georgia Center for Oncology Research and Education (GA CORE) screening data. Includes data on total positive and negative FH screening results, and compares changes in FH screening completion rates over time by rurality and social deprivation.
Author(s): D. Ramirez Leon, L.E. Barber, S. Gabram-Mendola, et al.
Citation: Frontiers in Public Health, 12, 1432971
Date: 10/2024
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Rural–Urban Differences in Dental Opioid Prescribing among Adolescent/Young Adult and Adult Medicaid Beneficiaries
Examines dental opioid prescription rates for adolescents and adults in rural and urban communities, utilizing 2021 Transformed Medicaid Statistical Information System Analytic Files data. Breaks down data by race and ethnicity, neighborhood disadvantage, and other demographic factors. Includes color-coded maps showing ranges of prescribing rates in rural and urban areas by state.
Author(s): Carla Shoff, Alex Sheen, Luping Qu, Natalia I. Chalmers
Citation: Frontiers in Public Health, 12
Date: 10/2024
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Examines dental opioid prescription rates for adolescents and adults in rural and urban communities, utilizing 2021 Transformed Medicaid Statistical Information System Analytic Files data. Breaks down data by race and ethnicity, neighborhood disadvantage, and other demographic factors. Includes color-coded maps showing ranges of prescribing rates in rural and urban areas by state.
Author(s): Carla Shoff, Alex Sheen, Luping Qu, Natalia I. Chalmers
Citation: Frontiers in Public Health, 12
Date: 10/2024
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How is Digital Health Suitability Measured for Communities? A Systematic Review
Provides a systemic review of how digital health suitability is measured to determine if communities can access digital health services. Provides descriptions of various community, ecological, and social vulnerability indices and their ability to measure digital health suitability. Includes discussion about how rurality impacts digital health equity.
Author(s): John Geracitano, Luke Barron, David McSwain, Saif Khairat
Citation: Digital Health, 10
Date: 10/2024
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Provides a systemic review of how digital health suitability is measured to determine if communities can access digital health services. Provides descriptions of various community, ecological, and social vulnerability indices and their ability to measure digital health suitability. Includes discussion about how rurality impacts digital health equity.
Author(s): John Geracitano, Luke Barron, David McSwain, Saif Khairat
Citation: Digital Health, 10
Date: 10/2024
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Disparities in Structural Brain Imaging in Older Adults from Rural Communities in Southern Nevada
Analyzes the association of brain cortical thickness (CT) with rurality and neighborhood disadvantage among older adults with and without clinical impairment related to dementia. Utilizes demographic and MRI scan data of 71 rural and 87 urban Nevadans.
Author(s): Xiaowei Zhuang, Dietmar Cordes, Jessica Z.K. Caldwell, Andrew R. Bender, Justin B. Miller
Citation: Frontiers in Aging Neuroscience, 16
Date: 10/2024
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Analyzes the association of brain cortical thickness (CT) with rurality and neighborhood disadvantage among older adults with and without clinical impairment related to dementia. Utilizes demographic and MRI scan data of 71 rural and 87 urban Nevadans.
Author(s): Xiaowei Zhuang, Dietmar Cordes, Jessica Z.K. Caldwell, Andrew R. Bender, Justin B. Miller
Citation: Frontiers in Aging Neuroscience, 16
Date: 10/2024
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Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States
Examines association between histoplasmosis and race and ethnicity, socioeconomic status, and rurality, utilizing county-level Minority Health Social Vulnerability Index (MH SVI) data. Breaks down histoplasmosis infection rates by level of rurality, with additional data on rurality and infection for 8 MH SVI themes including socioeconomic status, minority status and language, healthcare infrastructure and access, and more. Discusses rural health access and health disparities.
Author(s): Dallas J. Smith, Malavika Rajeev, Kristina Boyd, et al.
Citation: Emerging Infectious Diseases, 30(10)
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Examines association between histoplasmosis and race and ethnicity, socioeconomic status, and rurality, utilizing county-level Minority Health Social Vulnerability Index (MH SVI) data. Breaks down histoplasmosis infection rates by level of rurality, with additional data on rurality and infection for 8 MH SVI themes including socioeconomic status, minority status and language, healthcare infrastructure and access, and more. Discusses rural health access and health disparities.
Author(s): Dallas J. Smith, Malavika Rajeev, Kristina Boyd, et al.
Citation: Emerging Infectious Diseases, 30(10)
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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The 2021–2022 Study of Family and Staff Experiences in American Indian and Alaska Native Head Start FACES Programs: Spring 2022 Data Tables and Study Design
Provides a comprehensive overview of Region XI Head Start programs, which works with American Indian and Alaska Native (AI/AN) communities, and provides data from the Head Start Family and Child Experiences Survey (FACES). Includes data on Region XI characteristics, experiences, health status, and needs of children and their families; cultural and linguistic experiences; and characteristics of Head Start programs and staff.
Author(s): Charlotte Cabili, Natalie Reid, Carla Chavez, et al.
Date: 09/2024
Sponsoring organization: Administration for Children and Families
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Provides a comprehensive overview of Region XI Head Start programs, which works with American Indian and Alaska Native (AI/AN) communities, and provides data from the Head Start Family and Child Experiences Survey (FACES). Includes data on Region XI characteristics, experiences, health status, and needs of children and their families; cultural and linguistic experiences; and characteristics of Head Start programs and staff.
Author(s): Charlotte Cabili, Natalie Reid, Carla Chavez, et al.
Date: 09/2024
Sponsoring organization: Administration for Children and Families
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Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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