Poverty
Research Products & Journal Articles
Browse the full list of research publications on this topic completed by the Rural Health Research Centers.
Products – Freely accessible products include policy briefs, fact sheets, full reports, chartbooks, and interactive data websites.
Journal Articles – Articles in peer-reviewed journals may require a subscription or affiliation with a subscribing library. For these publications, Gateway lists the article citation, a brief summary, a link to additional information and access to the full-text of the article, if available.
2024
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Medical Debt in Collections Among Counties by Rural-Urban Location and Racial-Ethnic Composition
Policy Brief
University of Minnesota Rural Health Research Center
Date: 11/2024
This policy brief examines the differences in the proportion of people with medical debt in collections and median amount of medical debt by rural-urban location. The brief also examines additional differences within rural and urban communities of color. -
Understanding the Impact of Medical Debt in Rural Communities: Perspectives From Rural Hospital Administrators
Policy Brief
University of Minnesota Rural Health Research Center
Date: 11/2024
This policy brief presents findings from key informant interviews with nine administrators representing rural hospitals in seven states. Using content analysis of interview data, researchers share findings around hospital and community-level implications of medical debt, and policies that may help or hinder this issue. -
Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy Brief
University of Minnesota Rural Health Research Center
Date: 09/2024
This policy brief examines rural/urban differences in rates of health care (un)affordability, as well as among rural residents by key socio-demographic characteristics. -
Risk Factors for Poor Health Among U.S. Older Adults in Rural and Urban Areas: Injury, Food Insecurity, and Lack of Social and Emotional Support
Policy Brief
University of Minnesota Rural Health Research Center
Date: 06/2024
This policy brief examines three risk factors for poor health outcomes among older adults: injury, food insecurity, and lack of social and emotional support by rural-urban residence. -
Rural/Urban Differences in Housing Quality and Adequacy: Findings From the American Housing Survey, 2019
Policy Brief
University of Minnesota Rural Health Research Center
Date: 05/2024
In this policy brief, researchers identify rural/urban differences in various measures of housing quality using a nationally representative survey. -
Rural-Urban Differences in Housing Cost Burden Across the U.S.
Policy Brief
University of Minnesota Rural Health Research Center
Date: 03/2024
Housing is closely tied to health and well-being, but affordable housing is out of reach for many households. This policy brief examines the proportion of households who are housing cost burdened by rural-urban location across different U.S. geographic spaces in order to identify how housing affordability varies by location.
2023
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State Priorities and Needs: The Role of Block Grants
Journal Article
Rural Health Equity Research Center
Date: 11/2023
This study looks at state-level funding allocations for 5 federal block grant programs from 2015-2019, and associations with state-level measures of need that align with the purposes of each block grant program. -
Rural/Urban Differences in Receipt of Governmental Rental Assistance: Relationship to Health and Disability
Journal Article
University of Minnesota Rural Health Research Center
Date: 10/2023
Housing is a vital component of health, and governmental rental assistance is one avenue of increasing access to affordability. In this paper, researchers examined rural/urban and within-rural differences in receipt of governmental rental assistance, with a focus on differences by health and disability.
2022
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The Racial and Ethnic Diversity of the Family Physician Workforce in Non-Metropolitan and Metropolitan Counties
Policy Brief
Rural and Underserved Health Research Center
Date: 06/2022
Racial/ethnic concordance of clinicians and patients may improve health outcomes by increasing access to care for underserved populations. Our objective was to determine the distribution of family physicians (FPs) in rural areas by race/ethnicity and also whether rural minority FPs were more likely to be in underserved rural areas. -
Contact by Collection Agencies for Medical Debt: Rural-Urban Differences Among Older and Younger Medicare Beneficiaries
Journal Article
University of Minnesota Rural Health Research Center
Date: 02/2022
This study uses data from the 2016 Medicare Current Beneficiary Survey (n = 12,688 U.S. community-dwelling beneficiaries) to understand the impact of medical debt for rural residents. The study analyzed rural-urban differences in rates of collection agency contact for unpaid medical bills.
2021
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Examples of Statewide Age-Friendly Initiatives
Policy Brief
University of Minnesota Rural Health Research Center
Date: 10/2021
The purpose of these policy briefs is to identify the extent of statewide programs to support aging in place or age-friendly environments and, within those, to identify the extent to which such programs have an explicit rural focus. The "Examples" document provides an overview of the initiatives identified in the "Environmental Scan." -
Statewide Age-Friendly Initiatives: An Environmental Scan
Policy Brief
University of Minnesota Rural Health Research Center
Date: 10/2021
The purpose of these policy briefs is to identify the extent of statewide programs to support aging in place or age-friendly environments and, within those, to identify the extent to which such programs have an explicit rural focus. The "Examples" document provides an overview of the initiatives identified in the "Environmental Scan." -
Preferences for Long-Term Care Arrangements Among Rural and Urban Older Adults
Policy Brief
University of Minnesota Rural Health Research Center
Date: 05/2021
This study describes care preferences by rural and urban location and by demographic characteristics among rural residents. -
Demographics and Disability Status of Adults Living Alone in Rural Areas
Policy Brief
University of Minnesota Rural Health Research Center
Date: 04/2021
This policy brief examines how the types of people who live alone differ between urban and rural areas, focusing on differences in age and disability status.
2015
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Dentist Supply, Dental Care Utilization, and Oral Health Among Rural and Urban U.S. Residents
Report
WWAMI Rural Health Research Center
Date: 05/2015
Residents of non-metropolitan counties were less likely than those in metropolitan counties to report having dental visits or teeth cleanings in the last year and more likely to report undergoing tooth extractions. These findings persisted even when controlling for demographic factors, income, insurance, and health/smoking status.
2014
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The 2014 Update of the Rural-Urban Chartbook
Chartbook
North Dakota and NORC Rural Health Reform Policy Research Center
Date: 10/2014
This chartbook includes trends and disparities in urban/rural health. Reports on population characteristics include age, race and ethnicity, and poverty; risk factors such as smoking, alcohol use, and obesity; mortality data; health status measures such as adolescent births and total tooth loss; healthcare access/use; and mental health measures.
2006
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Premium Assistance Programs for Low Income Families: How Well Does It Work in Rural Areas?
North Carolina Rural Health Research and Policy Analysis Center
Date: 01/2006
This paper reports the results of a study on the viability in rural areas of premium assistance programs use Medicaid or State Children's Health Insurance funding to subsidize the premium costs of employer-sponsored insurance or private non-group policies for eligible individuals.
2005
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The Impact of Welfare Reform on Health Insurance Coverage in Rural Areas
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 12/2005
This policy brief explores the impact of welfare reform on the health insurance coverage of welfare recipients and other low-income persons during the period when the reform was phased in. -
Trends in Uninsurance Among Rural Minority Children
Rural and Minority Health Research Center
Date: 10/2005
Using 21 years of data from the National Health Interview Survey to explore trends in health insurance and health services utilization for children between 1980 and 2001, the authors found that rural children have been consistently less likely to have insurance than urban children, and minority status adds to the disparity. -
The Impact of Medicaid Cuts on Rural Communities
North Carolina Rural Health Research and Policy Analysis Center
Date: 08/2005
This study assesses the perception of state Medicaid staff and individuals from State Offices of Rural Health (SORH) and Rural Health Associations (RHA) regarding the impact on rural areas of state Medicaid policy changes that occurred between 2002 and 2004. -
Poverty, Stress, and Violent Disagreements in the Home Among Rural Families
Rural and Minority Health Research Center
Date: 08/2005
This study used information from a large, nationally representative telephone survey of households with children, carried out by the National Center for Health Statistics, to explore the prevalence of violent disagreements in the home. -
The Effects of Rural Residence and Other Social Vulnerabilities on Subjective Measures of Unmet Need
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 2005
Are self-reports of unmet need a biased measure of access to healthcare? We examined the relationship between rural residence and perceived need for physician services and the likelihood of reporting a need for routine preventive care and/or specialty care using data from the National Survey of Children with Special Health Care Needs.
2004
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Access to Dental Care for Rural Low Income and Minority Populations
University of Minnesota Rural Health Research Center
Date: 09/2004
Using data from the 1999 National Health Interview Survey, this study examines the relationships between rural residence, income, race/ethnicity, and access to dental care. -
Assessing the Effect of a Lay Home Visitation Program for Rural High-Risk Women and Infants
Rural and Minority Health Research Center
Date: 2004
This study tested a retrospective data set approach for evaluating the effectiveness of a community health worker program to improve pregnancy and birth outcomes. The program uses lay health workers to provide health education, referral, and social support to rural, low income, Medicaid-insured pregnant African-American women and their infants.
2003
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Access to Care Among Rural Minorities: Working Age Adults
Rural and Minority Health Research Center
Date: 01/2003
This report examines the prevalence of health insurance and the use of physician services in rural areas.
2002
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Access to Care Among Rural Minorities: Children
Rural and Minority Health Research Center
Date: 11/2002
This report profiles the characteristics of non-metro children, their health insurance coverage, and their healthcare visits. -
Access to Care Among Rural Minorities: Older Adults
Rural and Minority Health Research Center
Date: 10/2002
This report profiles the health status of, and use of physicians by, non-metro older adults. -
Access to Care Among Rural Minorities: Older Adults (Appendix - Methods, Data, and Detailed Tables)
Rural and Minority Health Research Center
Date: 10/2002
This is the appendix of a report on health status and health services use among poor and minority older adults in non-metro areas.
1999
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Implementation of the State Children's Health Insurance Program: Outreach, Enrollment, and Provider Participation in Rural Areas (Full Report)
Report
NORC Walsh Center for Rural Health Analysis
Date: 11/1999
The State Children's Health Insurance Program (CHIP) provides states with an important source of funding to help low-income, uninsured children overcome financial barriers to medical care. CHIP may be especially important in covering children living in rural areas. This study qualitatively assesses CHIP outreach, enrollment, and provider issues. -
Implementation of the State Children's Health Insurance Program: Outreach, Enrollment, and Provider Participation in Rural Areas (Policy Brief)
Policy Brief
NORC Walsh Center for Rural Health Analysis
Date: 11/1999
The State Children's Health Insurance Program (CHIP) provides states with an important source of funding to help low-income, uninsured children overcome financial barriers to medical care. This policy analysis brief assesses CHIP outreach, enrollment, and provider issues in Colorado, Kansas, Oklahoma, Pennsylvania, and West Virginia.
1998
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Anticipating the 1997 State Children's Health Insurance Program: What's Current in Five Rural States?
NORC Walsh Center for Rural Health Analysis
Date: 01/1998
This study examines aspects of existing children's health insurance or health services for low-income, uninsured children.