{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:01:42Z","timestamp":1789995702568,"version":"4.0.1"},"reference-count":76,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Rural Veterans face barriers to accessing clinical care and community\u2010based services, often exacerbated by social needs. Assessing Circumstances and Offering Resources for Needs (ACORN) is a Veterans Affairs (VA) healthcare system, Veteran\u2010tailored\u00a0intervention to screen for\u00a0social risks (e.g., food insecurity, social isolation) and address social needs. We examined rural\u2013urban differences in social risks and receipt of resources\/referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective, cross\u2010sectional evaluation using VA administrative data for Veterans screened with ACORN between January 2024 and September 2025. Veterans were screened for social risks across nine domains and offered resources\/referrals to address needs. Multivariable logistic regression models were estimated to identify associations between rurality, social risks, and receipt of resources\/referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      During the evaluation period, 92,017 Veterans across 87 VA sites were screened with ACORN; 29.37% were rural (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a028,346). Overall, 60.30% of Veterans reported one or more social risks (55.65% rural vs. 62.37% urban,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Rural Veterans were less likely to endorse all social risks except for digital needs (21.16% vs. 20.27%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002). In adjusted models, rural Veterans had lower odds of reporting one or more social risks (aOR, 0.85; 95% CI, 0.76\u20130.94). Among those screening positive, rural Veterans were less likely to receive resources\/referrals (aOR, 0.89; 95% CI, 0.85\u20130.94) or report already receiving services\/assistance (aOR, 0.85; 95% CI, 0.76\u20130.95), and more likely to decline assistance (aOR, 1.27; 95% CI, 1.17\u20131.37).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rural Veterans were less likely to report social risks than urban Veterans. However, among those screening positive, rural Veterans\u00a0were less likely to receive assistance. Future work is needed to understand rural Veterans\u2019 experiences with social risks and differences in receipt of resources\/referrals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70186","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T07:34:35Z","timestamp":1784964875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Correlates of Social Risks and Receipt of Resources Among Rural and Urban Veterans"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8703-9271","authenticated-orcid":false,"given":"Lauren E.","family":"Russell","sequence":"first","affiliation":[{"name":"Office of Health Equity Veterans Health Administration  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Leder","sequence":"additional","affiliation":[{"name":"Office of Health Equity Veterans Health Administration  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny K.","family":"Cohen","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Health Care System  San Francisco California USA"},{"name":"Division of Clinical Informatics and Digital Transformation, Department of Medicine University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher W.","family":"Halladay","sequence":"additional","affiliation":[{"name":"Center of Innovation in Transformative Health Systems Research to Improve Veteran Equity and Independence (THRIVE COIN) VA Providence Healthcare System  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5390-4888","authenticated-orcid":false,"given":"Meaghan A.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"New England Geriatric Research, Education, and Clinical Center Veterans Affairs Bedford Healthcare System  Bedford Massachusetts USA"},{"name":"Department of Family Medicine Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Koget","sequence":"additional","affiliation":[{"name":"National Social Work Program, Care Management and Social Work Services Veterans Health Administration  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"New England Geriatric Research, Education, and Clinical Center Veterans Affairs Bedford Healthcare System  Bedford Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8276-5079","authenticated-orcid":false,"given":"Sydney 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