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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Annual Report to the Congress of the United States on Sanitation Deficiency Levels for Indian Homes and Communities: Fiscal Year 2025
Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 10/2026
Sponsoring organization: Indian Health Service
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Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 10/2026
Sponsoring organization: Indian Health Service
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Physical Activity and Perceptions of the Community Walking Environment Among Cancer Survivors, National Health Interview Survey, 2024
Examines how physical activity among cancer survivors differs by clinical and demographic characteristics and by perceptions of the local walking environment, using 2024 National Health Interview Survey data. See Table 2 for data on leisure-time physical activity among cancer survivors by rurality, among other factors.
Author(s): Jonathan Bryant-Genevier, Michael Boring, Elizabeth A. Rohan, et al.
Citation: Preventing Chronic Disease, 23, 260220
Date: 10/2026
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Examines how physical activity among cancer survivors differs by clinical and demographic characteristics and by perceptions of the local walking environment, using 2024 National Health Interview Survey data. See Table 2 for data on leisure-time physical activity among cancer survivors by rurality, among other factors.
Author(s): Jonathan Bryant-Genevier, Michael Boring, Elizabeth A. Rohan, et al.
Citation: Preventing Chronic Disease, 23, 260220
Date: 10/2026
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Oklahoma Rural Health Transformation Program Legislative Quarterly Report: Q3 July 1 - Sept. 30, 2026
Provides a brief overview of the 29 programs that comprise Oklahoma's Rural Health Transformation Program (RHTP), including budget allocation, obligated funds, and implementation status through September 30, 2026. Includes highlights of activities conducted with RHTP funding between July 1 - September 30, 2026.
Date: 10/2026
Sponsoring organization: Oklahoma State Department of Health
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Provides a brief overview of the 29 programs that comprise Oklahoma's Rural Health Transformation Program (RHTP), including budget allocation, obligated funds, and implementation status through September 30, 2026. Includes highlights of activities conducted with RHTP funding between July 1 - September 30, 2026.
Date: 10/2026
Sponsoring organization: Oklahoma State Department of Health
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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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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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