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Social Determinants of Health for Rural People – Resources

Selected recent or important resources focusing on Social Determinants of Health for Rural People.

A Decade Undone: Youth Disconnection in the Age of Coronavirus
Features a report on young people between the ages of 16 and 24 who are neither in school or working. Full report details demographic information such as race and ethnicity, gender, and living arrangements. Also compares disconnection among rural and urban youth.
Additional links: Conclusions and Recommendations, Full Report, Interactive Tool
Author(s): Kristen Lewis
Date: 06/2020
Type: Document
Sponsoring organization: Measure of America
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Extreme Poverty Counties Found Solely in Rural Areas in 2018
Examines high and extreme poverty areas by rural and urban county designation. Includes a map showing rural high poverty and extreme poverty counties and urban high poverty counties. Discusses the geographic concentration of extreme poverty in regions with above-average populations of racial minorities, highlighting 6 counties in South Dakota with a large Native American population and 4 counties in Mississippi with historically high poverty rates among African Americans.
Author(s): Tracey Farrigan
Citation: Amber Waves
Date: 05/2020
Type: Document
Sponsoring organization: USDA Economic Research Service
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Social Determinants of Health and 90‐Day Mortality After Hospitalization for Heart Failure in the REGARDS Study
Uses data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study to examine associations between social determinants of health (SDOH) and risk of 90-day mortality after heart failure (HF) hospitalization among Medicare beneficiaries aged 65 years or older. Some of the SDOH considered include African American race, social isolation, rural residence, living in a high poverty ZIP code or Health Professional Shortage Area (HPSA), and more.
Author(s): Madeline R. Sterling, Joanna Bryan Ringel, Laura C. Pinheiro, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
Type: Document
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Second Report to Congress: Social Risk Factors and Performance in Medicare's Value-Based Purchasing Programs
Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highest U.S. Poverty Rates Are in the South, with over 20 Percent Poor in Its Rural Areas
Bar chart showing rural and urban poverty rates by region for the Northeast, Midwest, South, and West, based on data from the 2014-2018 American Community Survey.
Date: 03/2020
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Many Rural Americans Are Still "Left Behind"
An overview of trends in rural poverty from 1959 through 2016. Discusses how rural and urban poverty are different. Highlights changes in education and employment, the impact of race/ethnicity, and data on rural child poverty.
Date: 01/2020
Type: Document
Sponsoring organization: Institute for Research on Poverty
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Quantification of Neighborhood-Level Social Determinants of Health in the Continental United States
Results of a study examining 71,901 census tracts, to quantify the social determinants of health (SDOH) consisting of advantage, isolation, opportunity, and mixed immigrant cohesion. Features demographic statistics with breakdowns by 7 multidimensional neighborhood typologies, including Rural Affordable. Offers comparisons between SDOH in Chicago and the rest of the continental United States.
Author(s): Marynia Kolak, Jay Bhatt, Yoon Hong Park, Norma A. Padron, Ayrin Molefe
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Water Infrastructure: Technical Assistance and Climate Resilience Planning Could Help Utilities Prepare for Potential Climate Change Impacts
Examines federal technical and financial assistance to drinking and wastewater utilities for enhancing climate resilience. Discusses the needs of small and rural communities and identifies federal resources targeted to these areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System
Examines how social isolation and loneliness affect health and quality of life in adults aged 50 and older, with a focus on vulnerable populations, including those living in rural areas. Makes recommendations for clinical settings on screening for negative health impacts related to social isolation and developing interventions to help address this issue.
Additional links: Read Online
Author(s): Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Poverty Rates in 2017 Were Highest for Children, Particularly Among Those Living in Rural Areas
Bar chart showing rural and urban poverty rates by age group. Includes data for children under 5 years, all children under 18 years of age, working age adults (18-64 years), and seniors (65 and older).
Date: 11/2019
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Last Updated: 11/21/2024