Social Determinants of Health for Rural People – Resources
Selected recent or important resources focusing on Social Determinants of Health for Rural People.
The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2023 SAIPE.
Date: 03/2025
Sponsoring organization: Congressional Research Service
view details
Defines persistent poverty counties. Discusses how differences in definitions and data can affect which counties are considered persistently poor and includes a map highlighting the impact of different rounding methods. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding. Table 3 lists persistent poverty counties based on data from the 1993 Small Area Income and Poverty Estimates (SAIPE), Census 2000, and the 2023 SAIPE.
Date: 03/2025
Sponsoring organization: Congressional Research Service
view details
The 2024 Annual Homelessness Assessment Report (AHAR) to Congress
Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January/February 2024. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Author(s): Tanya de Sousa, Meghan Henry
Date: 01/2025
Sponsoring organizations: Abt Global, U.S. Department of Housing and Urban Development
view details
Presents a point-in-time estimate of the number of people experiencing sheltered and unsheltered homelessness in January/February 2024. Explores national estimates on homeless individuals, families, unaccompanied youth, veterans, and chronically homeless individuals. Provides data on homelessness trends over time, demographics of homeless individuals, sheltered individuals, and differences by geography.
Author(s): Tanya de Sousa, Meghan Henry
Date: 01/2025
Sponsoring organizations: Abt Global, U.S. Department of Housing and Urban Development
view details
Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
view details
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
view details
2024 Research Report: Collaborative on Economic Mobility
Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
view details
Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
view details
Understanding Childcare Challenges in Rural America: Strategic Recommendations and an Action Framework
Provides an overview of challenges and barriers to early childcare in rural areas. Offers a roadmap for companies and organizations to identify and address childcare shortages in their communities, as well as state, local, employer, and facility-based recommendations. Features examples of emerging childcare models and initiatives implemented by NTCA–The Rural Broadband Association members.
Date: 10/2024
Sponsoring organizations: Foundation for Rural Service, NTCA: The Rural Broadband Association
view details
Provides an overview of challenges and barriers to early childcare in rural areas. Offers a roadmap for companies and organizations to identify and address childcare shortages in their communities, as well as state, local, employer, and facility-based recommendations. Features examples of emerging childcare models and initiatives implemented by NTCA–The Rural Broadband Association members.
Date: 10/2024
Sponsoring organizations: Foundation for Rural Service, NTCA: The Rural Broadband Association
view details
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
view details
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
view details
Household Food Security in the United States in 2023 Webinar
A recorded webinar that discusses the Household Food Security in the United States in 2023 report focused on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022, with breakdowns for metro versus nonmetro location. Transcript available below description.
Author(s): Matthew P. Rabbitt
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
view details
A recorded webinar that discusses the Household Food Security in the United States in 2023 report focused on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022, with breakdowns for metro versus nonmetro location. Transcript available below description.
Author(s): Matthew P. Rabbitt
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
view details
Poverty in the United States: 2023
Reports on poverty rates for 2022 and 2023, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Emily A. Shrider
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
view details
Reports on poverty rates for 2022 and 2023, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Emily A. Shrider
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
view details
Income in the United States: 2023
Reports on income levels for 2022 and 2023, along with the percent change from 2022 to 2023. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Gloria Guzman, Melissa Kollar
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
view details
Reports on income levels for 2022 and 2023, along with the percent change from 2022 to 2023. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Gloria Guzman, Melissa Kollar
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
view details
Nowhere to Go: Maternity Care Deserts Across the U.S. 2024
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
view details
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
view details
Additional resources are available related to this guide. See the full list of resources by topic for:
- Educational attainment
- Employment and unemployment
- Environmental health
- Health literacy
- Housing and homelessness
- Income
- Infrastructure
- Poverty
- Social determinants of health
Last Updated: 4/3/2025