Rural Health
Resources by Topic: Health disparities
County-Level Vulnerability Is Associated With Mental Health and Substance Use Treatment Among Rural Suicide Decedents: A National Multi-Year Cross-Sectional Study
Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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Urban-Rural Disparities in Diagnosis, Treatment, and Prognosis of Primary Bone Cancer: An Observational Study
Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Trends in Pancreatic Cancer Mortality among US Adults, 1999–2023
Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Disparities in Geographic Access to Cardiac Rehabilitation among Socially Vulnerable Communities
Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, Wen‐Chih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, Wen‐Chih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Chronic Pain Prevalence and Trends in Urban, Suburban, and Rural Areas among American Adults Aged 55+, 1998–2022
Compares the prevalence of chronic pain and associated trends in rural, suburban, and urban areas among adults aged 55 and older, utilizing 1998-2022 Health and Retirement Study data.
Author(s): Yulin Yang, Feinuo Sun, Zachary Zimmer, et al.
Citation: Social Science & Medicine, 385, 118625
Date: 10/2025
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Compares the prevalence of chronic pain and associated trends in rural, suburban, and urban areas among adults aged 55 and older, utilizing 1998-2022 Health and Retirement Study data.
Author(s): Yulin Yang, Feinuo Sun, Zachary Zimmer, et al.
Citation: Social Science & Medicine, 385, 118625
Date: 10/2025
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Rural-Urban Differences in Dietary Intake Across Pregnancy Trimesters: A Multisite Prospective Cohort Study
Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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Higher Mortality Following SARS-CoV-2 Infection in Rural Versus Urban Dwellers Persists for Two Years Post-Infection
Compares two-year post-COVID-19 mortality by level of rurality among patients with SARS-CoV-2 infection which occurred between April 2020 and December 2022, utilizing National Clinical Cohort Collaborative COVID-19 Enclave data. Includes data on overall mortality risk, excess mortality, trends in mortality over time, and new onset conditions among urban, urban-adjacent rural, and nonurban-adjacent rural populations.
Author(s): A. Jerrod Anzalone, Michael T. Vest, Makayla E. Schissel, et al.
Citation: Nature Communications, 16, 8933
Date: 10/2025
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Compares two-year post-COVID-19 mortality by level of rurality among patients with SARS-CoV-2 infection which occurred between April 2020 and December 2022, utilizing National Clinical Cohort Collaborative COVID-19 Enclave data. Includes data on overall mortality risk, excess mortality, trends in mortality over time, and new onset conditions among urban, urban-adjacent rural, and nonurban-adjacent rural populations.
Author(s): A. Jerrod Anzalone, Michael T. Vest, Makayla E. Schissel, et al.
Citation: Nature Communications, 16, 8933
Date: 10/2025
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"No Rest for Me Tonight": A Social-Ecological Exploration of Insomnia in Rural Appalachian Women
Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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Geographic and Socioeconomic Landscape of Veterans With Head and Neck Cancer
Explores the geographic and socioeconomic factors that correlate with the higher rates and worse outcomes for head and neck squamous cell carcinomas among veterans compared to civilians. Breaks down data by socioeconomic factors, such as marital status, unemployment, and service connection, among other factors, as well as rurality, travel distance, and drive time.
Author(s): Kristen L. Zayan, Jennifer L. McCoy, Monique Y. Boudreaux-Kelly, et al.
Citation: Head & Neck, 47(10), 2845-2855
Date: 10/2025
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Explores the geographic and socioeconomic factors that correlate with the higher rates and worse outcomes for head and neck squamous cell carcinomas among veterans compared to civilians. Breaks down data by socioeconomic factors, such as marital status, unemployment, and service connection, among other factors, as well as rurality, travel distance, and drive time.
Author(s): Kristen L. Zayan, Jennifer L. McCoy, Monique Y. Boudreaux-Kelly, et al.
Citation: Head & Neck, 47(10), 2845-2855
Date: 10/2025
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