Rural Health
Resources by Topic: Health disparities
Fatigue Among Adults Age 18 and Older: United States, 2024
Analyzes the prevalence of fatigue and related functioning difficulties and work or social limitations by demographic group, using 2024 National Health Interview Survey (NHIS) data. See Table 2 for comparisons of frequency of fatigue by level of rurality, among other demographics.
Author(s): Natalie A. E. Young, Julie D. Weeks, Nazik Elgaddal
Date: 09/2026
Sponsoring organization: National Center for Health Statistics
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Analyzes the prevalence of fatigue and related functioning difficulties and work or social limitations by demographic group, using 2024 National Health Interview Survey (NHIS) data. See Table 2 for comparisons of frequency of fatigue by level of rurality, among other demographics.
Author(s): Natalie A. E. Young, Julie D. Weeks, Nazik Elgaddal
Date: 09/2026
Sponsoring organization: National Center for Health Statistics
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Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Rural/Urban Disparities in Utilization of Diabetes Self-Management Training (DSMT) to the Fee-for-Service Medicare Population, 2017-2024
Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Urban Versus Rural Differences in Services Requested, Received, and Interest Expressed among Informal Caregivers of Older U.S. Veterans
Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Impact of Urban–Rural Residence on Treatment and Survival in Patients with Glioblastoma: A SEER-Based Study with External Validation
Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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State of Oral Health in America: Key Findings from 2026
Details the findings of a survey that aims to identify gaps in dental coverage, barriers to care, and areas that have worse overall oral health outcomes across the country. Compares metro and nonmetro areas by dental insurance coverage, adult dental visits, and overall oral health.
Date: 08/2026
Sponsoring organization: CareQuest Institute for Oral Health
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Details the findings of a survey that aims to identify gaps in dental coverage, barriers to care, and areas that have worse overall oral health outcomes across the country. Compares metro and nonmetro areas by dental insurance coverage, adult dental visits, and overall oral health.
Date: 08/2026
Sponsoring organization: CareQuest Institute for Oral Health
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Rural–Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions
Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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