Rural Health
Resources by Type: Document
Nicotine and Tobacco Product Use among US Youth in 10th and 12th Grade, 2023–2025: A Repeated Cross-Sectional Study
Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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Building a Rural, Coalition-Based Approach to Youth Substance Use Prevention: The Drug Free Dickson Coalition Model
Presents a rural coalition-based initiative to address youth substance use in Dickson County, Tennessee. Details a coalition, including local government, schools, healthcare providers, faith-based institutions, and law enforcement, among others, that works to engage youth across the county using evidence-based strategies.
Author(s): Karrie R. Thompson
Citation: Journal of Public Health Management and Practice, 32(6S), S185-S188
Date: 11/2026
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Presents a rural coalition-based initiative to address youth substance use in Dickson County, Tennessee. Details a coalition, including local government, schools, healthcare providers, faith-based institutions, and law enforcement, among others, that works to engage youth across the county using evidence-based strategies.
Author(s): Karrie R. Thompson
Citation: Journal of Public Health Management and Practice, 32(6S), S185-S188
Date: 11/2026
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Developing Community Partnerships and Authentically Engaging Youth to Prevent Substance Use: Successes from the Pyramid Coalition in Hidalgo County, New Mexico
Explores the Pyramid Coalition, a Drug-Free Communities (DFC) Support Program initiative, in rural Hidalgo County, New Mexico. Discusses the coalition's work in preventing youth substance use and highlights best practices for engaging youth in rural and frontier communities.
Author(s): Christina Johnson, Joni Kerr
Citation: Journal of Public Health Management and Practice, 32(6S), S181-S184
Date: 11/2026
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Explores the Pyramid Coalition, a Drug-Free Communities (DFC) Support Program initiative, in rural Hidalgo County, New Mexico. Discusses the coalition's work in preventing youth substance use and highlights best practices for engaging youth in rural and frontier communities.
Author(s): Christina Johnson, Joni Kerr
Citation: Journal of Public Health Management and Practice, 32(6S), S181-S184
Date: 11/2026
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How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Defining Mental Disorder: Differences in Primary Care Providers' and Psychiatrists' Conceptions of Illness
Compares how primary care providers (PCPs) and psychiatrists define and treat mental disorders in their patients. Uses interview data from 41 PCPs and 41 psychiatrists regarding their descriptions of patients with mental health concerns, the ease or difficulty of diagnosing and treating patients, referrals and access to mental health services, and more. Includes perspectives from rural PCPs and psychiatrists.
Author(s): Skye A. Miner, Joshua Breslau, Charles Engel, Stacey Yi, Luke J. Matthews
Citation: Journal of General Internal Medicine
Date: 10/2026
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Compares how primary care providers (PCPs) and psychiatrists define and treat mental disorders in their patients. Uses interview data from 41 PCPs and 41 psychiatrists regarding their descriptions of patients with mental health concerns, the ease or difficulty of diagnosing and treating patients, referrals and access to mental health services, and more. Includes perspectives from rural PCPs and psychiatrists.
Author(s): Skye A. Miner, Joshua Breslau, Charles Engel, Stacey Yi, Luke J. Matthews
Citation: Journal of General Internal Medicine
Date: 10/2026
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Hospice Visit Patterns Across Patient Demographic and Clinical Characteristics
Examines visit patterns among Medicare beneficiaries aged 65 and older enrolled in hospice, to help establish or evaluate benchmark visit standards, quality measures, care delivery practices, and workforce planning. Features statistics on characteristics of Medicare hospice enrollees from 2016-2021, with breakdowns by urban, large rural, small rural, and isolated small rural location.
Author(s): Lauren J. Hunt, Joanne Spetz, Siqi Gan, et al.
Citation: Health Affairs Scholar, 4(10), qxag271
Date: 10/2026
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Examines visit patterns among Medicare beneficiaries aged 65 and older enrolled in hospice, to help establish or evaluate benchmark visit standards, quality measures, care delivery practices, and workforce planning. Features statistics on characteristics of Medicare hospice enrollees from 2016-2021, with breakdowns by urban, large rural, small rural, and isolated small rural location.
Author(s): Lauren J. Hunt, Joanne Spetz, Siqi Gan, et al.
Citation: Health Affairs Scholar, 4(10), qxag271
Date: 10/2026
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Strategies for Addressing California's Rural Behavioral Health Workforce Shortages
Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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Women's Health in Pennsylvania
Provides information on demographic makeup of Pennsylvania women as of 2025. Includes statistics on number of births in Pennsylvania from 1990-2025 and number of breast cancer diagnoses in 2023, with breakdowns by urban and rural areas. Also features a county-level map with fertility rates from 2021-2025.
Date: 10/2026
Sponsoring organization: Center for Rural Pennsylvania
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Provides information on demographic makeup of Pennsylvania women as of 2025. Includes statistics on number of births in Pennsylvania from 1990-2025 and number of breast cancer diagnoses in 2023, with breakdowns by urban and rural areas. Also features a county-level map with fertility rates from 2021-2025.
Date: 10/2026
Sponsoring organization: Center for Rural Pennsylvania
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Food Hardship and Nutrition Insecurity in Rural Areas with Access to Non-Congregate Summer Meals
Examines food insecurity, food hardship, and nutrition insecurity in rural communities with access to the 2025 non-congregate summer meals option (SUN Meals To-Go). Provides data on household food hardship by income levels, nutrition insecurity by income levels, and barriers to nutrition security.
Date: 10/2026
Sponsoring organizations: Mathematica, No Kid Hungry
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Examines food insecurity, food hardship, and nutrition insecurity in rural communities with access to the 2025 non-congregate summer meals option (SUN Meals To-Go). Provides data on household food hardship by income levels, nutrition insecurity by income levels, and barriers to nutrition security.
Date: 10/2026
Sponsoring organizations: Mathematica, No Kid Hungry
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