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Rural Health
Resources by Type: Document

Comparing Enhancements to Well-Child Visits in the Prevention of Obesity: ENCIRCLE Cluster-Randomized Controlled Trial
Analyzes care delivery models aimed at preventing obesity in preschool children from lower-income households in rural Pennsylvania. Reports on 2,025 parents and their preschool-aged children recruited in the ENCIRCLE (patiEnt-cliNic-Community Integration to prevent obesity in Rural preschool ChiLdrEn) trial, which tests the effectiveness of enhanced well-child visits (WCVs) that include obesity prevention tools.
Author(s): Lisa Bailey-Davis, Amy M. Moore, Melissa N. Poulsen, et al.
Citation: BMC Public Health, 22, 2429
Date: 12/2022
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Distance Learning and Online Coordination of Service in Pennsylvania's Rural School Districts
Examines the barriers rural Pennsylvania schools experienced in providing their communities with essential nonacademic services during COVID-19 pandemic closures. Analyzes information from rural school district websites, planning documents, superintendent surveys and interviews, and focus groups with constituents to understand needs around mental healthcare, professional development, internet and computer access, staff shortages, and more.
Additional links: Executive Summary
Author(s): Gerald LeTendre, Peggy Schooling, Hansol Woo, Meredith Bannon, Josh Almes
Date: 12/2022
Sponsoring organization: Center for Rural Pennsylvania
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Food Insecurity in the Rural United States: An Examination of Struggles and Coping Mechanisms to Feed a Family among Households with a Low-Income
Analyzes the barriers and strategies of low-income rural families around food insecurity. Reports on interviews with 153 primary grocery shoppers about their experiences related to affordability and adequacy of meals, difficulty in obtaining food and managing household food needs, and more. Includes demographic information about participants as well as selected quotes relating to their food insecurity experiences.
Author(s): Carmen Byker Shanks, Lauri Andress, Annie Hardison-Moody, et al.
Citation: Nutrients, 14(24), 5250
Date: 12/2022
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Redefining Urban Areas Following the 2020 Census
Provides an overview of changes made to the U.S. Census Bureau urban area criteria following the 2020 Census. Covers the minimum population threshold, housing unit density, and the decision to cease distinguishing between different types of urban areas.
Author(s): Michael Ratcliffe
Date: 12/2022
Sponsoring organization: U.S. Census Bureau
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Disparities in Current Cigarette Smoking among Us Adults with Mental Health Conditions
Examines the prevalence of smoking among adults with reported mental health conditions. Analyzes 19,398 respondents from the 2019 and 2020 National Survey on Drug Use and Health and breaks down the data state-by-state as well as by age, sex, sexual orientation, education, disability, annual income, marriage status, health insurance and employment status, having been arrested in the past 12 months, and large metro, small metro, and nonmetro/rural area.
Author(s): Caitlin G. Loretan, Teresa W. Wang, Christina V. Watson, Ahmed Jamal
Citation: Preventing Chronic Disease, 19
Date: 12/2022
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The Evolution of Hospital Designations and Payment in the U.S.: Implications for Rural Hospitals
Provides a history and overview of Medicare hospital payment polices as well as alternative payment models and their impact on rural facilities. Discusses the context in which rural hospitals serve patients, rural hospital payment provisions and designations, and current federal payment models that impact rural hospitals.
Author(s): Onyinye Oyeka, Clinton MacKinney, Keith J. Mueller
Date: 12/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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COVID-19 Working Paper: Consumer Food Spending Changes During the COVID-19 Pandemic
Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Sponsoring organization: USDA Economic Research Service
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Access and Coverage for Mental Health Care: Findings from the 2022 KFF Women's Health Survey
Presents data from the national 2022 KFF Women's Health Survey of 5,145 women and 1,225 men ages 18-64 where respondents were asked about their experiences in obtaining mental health services, including the use of telehealth, over the past two years. Data is focused on the mental health service needs of women by age, race/ethnicity, income, insurance, and on rural and urban telehealth usage.
Author(s): Karen Diep, Brittni Frederiksen, Michelle Long, Usha Ranji, Alina Salganicoff
Date: 12/2022
Sponsoring organization: KFF
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Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women's Health Survey
Presents findings from the 2022 KFF Women's Health Survey of 5,145 women ages 18-64 who were asked about their health status, use of prescription medications, accessibility to healthcare, their selected care sites, check-ups, use of telemedicine, and health coverage and costs. Includes data on telehealth services provided by urban and rural location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, Alina Salganicoff, Karen Diep
Date: 12/2022
Sponsoring organization: KFF
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Mandated Analysis of Home Health Service Utilization From January 2016 Through March 2022
Report evaluates the distribution of rural add-on payments for home health claims. Examines the results of the Centers for Medicare and Medicaid Services's new rural add-on methodology aimed at providing higher add-on percentages for "low population density" categories and explores the effect this methodology has had on "high utilization" categories. Makes comments and recommendations as to how this methodology can be adjusted.
Additional links: Report in Brief
Date: 12/2022
Sponsoring organization: Office of Inspector General (HHS)
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