Rural Health
Resources by Topic: Stigma
Perspectives on Universal Free School Meals Among Rural Middle and High School Students: A Mixed-Methods Study
Examines perspectives on Universal Free School Meals (UFSM) among students living in rural Maine. Utilizes survey and interview data among middle and high school students to analyze student characteristics, meal preferences, and perceptions of school breakfasts and lunches.
Author(s): Ashley Kesack, Michele Polacsek, Alexis Schneider, Juliana F. W. Cohen
Citation: Nutrients, 18(3), 540
Date: 02/2026
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Examines perspectives on Universal Free School Meals (UFSM) among students living in rural Maine. Utilizes survey and interview data among middle and high school students to analyze student characteristics, meal preferences, and perceptions of school breakfasts and lunches.
Author(s): Ashley Kesack, Michele Polacsek, Alexis Schneider, Juliana F. W. Cohen
Citation: Nutrients, 18(3), 540
Date: 02/2026
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Expanding Access to Harm Reduction in Rural Communities Through Community-Informed Public Health Vending Machines
Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Universal School Meal Policies and Perceived Stigma: Quantitative Evidence From Eight US States
Examines relationships among universal school meals (USMs) policies, stigma surrounding USM, and perceptions of school lunch. Utilizes survey data from 1,066 middle and high school students regarding their feelings of embarrassment surrounding school lunch, with breakdowns according to participant sociodemographics and rural versus urban location.
Author(s): Dania Orta-Aleman, Monica D. Zuercher, Leah E. Chapman, et al.
Citation: Journal of School Health, 96(1), e70098
Date: 01/2026
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Examines relationships among universal school meals (USMs) policies, stigma surrounding USM, and perceptions of school lunch. Utilizes survey data from 1,066 middle and high school students regarding their feelings of embarrassment surrounding school lunch, with breakdowns according to participant sociodemographics and rural versus urban location.
Author(s): Dania Orta-Aleman, Monica D. Zuercher, Leah E. Chapman, et al.
Citation: Journal of School Health, 96(1), e70098
Date: 01/2026
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Openness to Mental Health Information and Barriers to Accessing Care Among Midwestern Farmers
Surveyed 1024 midwestern farmers to determine their preferred sources for receiving mental health information and the stigma, instrumental, and attitudinal barriers in accessing mental healthcare.
Author(s): Courtney Cuthbertson, Samantha Iwinski, Asa Billington, Josie Rudolphi
Citation: International Journal of Environmental Research and Public Health, 23(1), 27
Date: 12/2025
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Surveyed 1024 midwestern farmers to determine their preferred sources for receiving mental health information and the stigma, instrumental, and attitudinal barriers in accessing mental healthcare.
Author(s): Courtney Cuthbertson, Samantha Iwinski, Asa Billington, Josie Rudolphi
Citation: International Journal of Environmental Research and Public Health, 23(1), 27
Date: 12/2025
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Reshaping Access: Community-Led Action for Contraceptive Access in Rural Appalachian Kentucky
Examines the All Access Eastern Kentucky (AAEKY) program that provides contraception to patients via the mailing system. Discusses contraception access issues due to geographic isolation, transportation issues, and stigma. Provides clinic and participation feedback on the AAEKY program.
Author(s): Alecia Fields, Kelsie Williams, Dustin Miracle, Joanne Brown, Kyla Preece
Citation: Contraception, 155, 111278
Date: 11/2025
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Examines the All Access Eastern Kentucky (AAEKY) program that provides contraception to patients via the mailing system. Discusses contraception access issues due to geographic isolation, transportation issues, and stigma. Provides clinic and participation feedback on the AAEKY program.
Author(s): Alecia Fields, Kelsie Williams, Dustin Miracle, Joanne Brown, Kyla Preece
Citation: Contraception, 155, 111278
Date: 11/2025
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Rural Missourians' Perspectives on Pain: "I Like To Be in Control of My Life"
Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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The Unspoken Struggles from Mental Health Stigma in a Rural Community: A Qualitative Exploration of Clubhouse Members' Lived Experiences
Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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The Landscape of Mental Health and Financial Support for Midwest Farmers
A recorded webinar that discusses the farm crisis of the 2010s and how it impacted farmers in the Midwest. Presents research on individual and contextual determinants that correlate with farmer mental and financial health and help-seeking behaviors. Provides information on mental health programming, rural mental healthcare access, and policy strategies to support farmers.
Author(s): Florence Becot, Carrie Henning-Smith, Andrea Bjornestad, Sarah Ruszkowski
Date: 09/2025
Sponsoring organization: North Central Regional Center for Rural Development
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A recorded webinar that discusses the farm crisis of the 2010s and how it impacted farmers in the Midwest. Presents research on individual and contextual determinants that correlate with farmer mental and financial health and help-seeking behaviors. Provides information on mental health programming, rural mental healthcare access, and policy strategies to support farmers.
Author(s): Florence Becot, Carrie Henning-Smith, Andrea Bjornestad, Sarah Ruszkowski
Date: 09/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Opportunities for Employers to Address the Opioid Epidemic: Results from a National Survey
Surveys 1,010 employees to learn their perspective on the Recovery-Ready Workplace (RRW) framework, a federally created opioid intervention for employers. Evaluates the implementation of the 4 areas addressed by RRW, noting areas for improvement related to Narcan access, stigma, and work arrangements that accommodate treatment.
Author(s): Gillian K. SteelFisher, Brian C. Castrucci, Mary G. Findling, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Surveys 1,010 employees to learn their perspective on the Recovery-Ready Workplace (RRW) framework, a federally created opioid intervention for employers. Evaluates the implementation of the 4 areas addressed by RRW, noting areas for improvement related to Narcan access, stigma, and work arrangements that accommodate treatment.
Author(s): Gillian K. SteelFisher, Brian C. Castrucci, Mary G. Findling, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Barriers to Accessible and Affordable Mental Health and Substance Use Disorder Care for Older Adults
Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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