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CDC MMWR Rural Health Series

Insights from the CDC MMWR Rural Health Series Webinars

This webinar series highlights studies featured in the CDC MMWR Rural Health Series and rural programs funded by the Federal Office of Rural Health Policy (FORHP) that are working to address rural health disparities:

Rural Monitor Feature

New CDC Series Looks at Rural Health Topics
Rural Monitor, February 22, 2017
Learn about the impetus for the series, more details on featured topics, and how the CDC and FORHP are working together to highlight rural health issues.

Series Publications and Related Resources

Reports, commentaries, and data visualizations from the 2017 Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report Rural Health Series.

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Date | Name
Racism and Health in Rural America
Commentary on the CDC MMWR report, Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015. Provides additional background information on rural communities and their diverse populations. Discusses how researchers, policymakers, and healthcare providers can address racial and ethnic health disparities in rural communities.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith
Location: Journal of Health Care for the Poor and Underserved (pre-print)
Date: 12/2017
Type: Document
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Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015
Reports on racial/ethnic health disparities among rural residents. Includes data by race/ethnicity for health-related quality of life, healthcare access and use, chronic health conditions, and health-related behaviors. Based on data from the 2012–2015 Behavioral Risk Factor Surveillance System.
Author(s): Cara V. James, Ramal Moonesinghe, Shondelle M. Wilson-Frederick, et al.
Location: MMWR Surveillance Summaries, 66(23), 1-9
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults
Examines differences in occupational exposure to vapor-gas, dust, and fumes in rural and urban areas. The rural population studied included both current and former farmers, and those who never farmed, thereby providing insights related to non-agriculture occupational exposure to airborne pollutants in rural areas.
Author(s): Brent C. Doney, Paul K. Henneberger, Michael J. Humann, et al.
Location: MMWR Surveillance Summaries, 66(21), 1-5
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States
Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Location: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Suicide Trends Among and Within Urbanization Levels by Sex, Race/Ethnicity, Age Group, and Mechanism of Death — United States, 2001–2015
Reports on county-level trends in suicide rates during 2001–2015 for large metropolitan, medium/small metropolitan, and nonmetro counties. Includes data by gender, race/ethnicity, and age group. Also covers the mechanism of death, with data on firearms, hanging/suffocation, drug poisoning, non-drug poisoning, and other causes.
Author(s): Asha Z. Ivey-Stephenson, Alex E. Crosby, Shane P. D. Jack, Tadesse Haileyesus, Marcie-jo Kresnow-Sedacca
Location: MMWR Surveillance Summaries, 66(18), 1-16
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Passenger Vehicle Occupant (PVO) Deaths and Seat Belt Use among Rural Americans
Policy brief focused on motor vehicle deaths and seat belt use in rural areas. Provides an overview of the issue and identifies policy options and case studies related to seat belt use laws and enforcement.
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014
Examines motor-vehicle crash deaths and seat belt use by level of rurality. Includes regional rural-urban data on death rates and type of state seat belt enforcement law (primary or secondary). Also provides data on unrestrained passenger-vehicle occupants in fatal crashes by level of rurality. For self-reported seat belt use, includes demographic data for metropolitan and nonmetro counties.
Author(s): Laurie F. Beck, Jonathan Downs, Mark R. Stevens, Erin K. Sauber-Schatz
Location: MMWR Surveillance Summaries, 66(17), 1-13
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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“Taking the Bull by the Horns”: Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control
Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Location: Journal of Rural Health
Date: 09/2017
Type: Document
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BRCA Genetic Testing and Receipt of Preventive Interventions Among Women Aged 18-64 Years with Employer-Sponsored Health Insurance in Nonmetropolitan and Metropolitan Areas — United States, 2009–2014
Reports on rural and urban rates of genetic testing to identify women at increased risk for breast and ovarian cancer, with data by age group and region. Also examines rural and urban post-test preventive interventions, including mastectomy, MRI, mammography, and genetic counseling.
Author(s): Katherine Kolor, Zhuo Chen, Scott D. Grosse, et al.
Location: MMWR Surveillance Summaries, 66(15), 1-11
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States
Provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. Includes rural-urban data by gender, age, race/ethnicity, and cancer site. Also discusses cancer risk factor prevalence and evidence-based interventions.
Author(s): S. Jane Henley, Robert N. Anderson, Cheryll C. Thomas, et al.
Location: MMWR Surveillance Summaries, 66(14), 1-13
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural and Urban Differences in Air Quality, 2008-2012, and Community Drinking Water Quality, 2010-2015 — United States
Examines air- and water-quality data and discusses how these environmental hazards vary across a spectrum of urban to rural counties. Includes rural-urban air pollutant data for ozone and particulate matter and data for 10 water contaminants for rural and urban community water systems.
Author(s): Heather Strosnider, Caitlin Kennedy, Michele Monti, Fuyuen Yip
Location: MMWR Surveillance Summaries, 66(13), 1-10
Date: 06/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Access to Mental Health Services for Children in Rural Areas
Policy brief identifying strategies to help rural children with mental, behavioral, or development disorders (MBDDs) access behavioral health services. Discusses the potential of telehealth, integration of behavioral health and primary care, and school-based health centers to address this need.
Date: 05/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Location: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Extending Work on Rural Health Disparities: A Commentary on Matthews and Colleagues’ Report
Commentary on the CDC MMWR report, Health-Related Behaviors by Urban-Rural County Classification — United States, 2013. Discusses the value of the data provided in the report, which highlights health-related behaviors for six geographic levels. Offers recommendations to build on this work.
Author(s): Paul A. Gilbert, Helena H. Laroche, Robert B. Wallace, Edith A. Parker, Susan J. Curry
Location: Journal of Rural Health
Date: 04/2017
Type: Document
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Out of Sight, Out of Mind — Behavioral and Developmental Care for Rural Children
Discusses the link between poverty and mental, behavioral, and developmental disorders (MBDDs) in rural U.S. children. Recommends alternative delivery methods to improve care for rural children with MBDDs, such as integrating schools, utilizing Federally Qualified Health Centers (FQHCs), coordinating the services of primary care and specialist providers, and enhancing the use of telehealth programs.
Author(s): Kelly Kelleher, William Gardner
Location: New England Journal of Medicine, 376(14), 1301-1303
Date: 04/2017
Type: Document
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How We Can Help Children in Rural Communities Thrive
Discusses challenges facing rural families and children with mental, behavioral, and developmental disorders. Highlights steps that states, healthcare systems, and primary care providers can take to support them.
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Differences in Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders Among Children Aged 2–8 Years in Rural and Urban Areas — United States, 2011–2012
Provides rural and urban data on a variety of health-related factors for children 2-8 years of age with and without mental, behavioral, and developmental disorders. Topics addressed include demographics, health insurance coverage, having a medical home, parental mental health, family financial difficulties, and community factors.
Author(s): Lara R. Robinson, Joseph R. Holbrook, Rebecca H. Bitsko, et al.
Location: MMWR Surveillance Summaries, 66(8), 1-11
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health-Related Behaviors by Urban-Rural County Classification — United States, 2013
Provides data on five self-reported health-related behaviors for residents of rural and urban areas. Behaviors include sufficient sleep, current nonsmoking, nondrinking or moderate drinking, maintaining normal body weight, and meeting aerobic leisure time physical activity recommendations. Includes data for each behavior for metropolitan, micropolitan, and noncore (rural) areas, as well as prevalence of 4-5 health behaviors by sex, age, race/ethnicity, and education level. Based on 2013 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Kevin A. Matthews, Janet B. Croft, Yong Liu, et al.
Location: MMWR Surveillance Summaries, 66(5), 1-8
Date: 02/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Data Accompanying MMWR Surveillance Summary 66 (No. SS-1): 1-8: Potentially Excess Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Areas, United States, 2005-2015
Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Location: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999–2014
Investigates the differences in metropolitan and nonmetropolitan regions of the U.S. for the 5 leading causes of death (heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke) by analyzing and comparing mortality data derived from the National Vital Statistics System. Also, discusses the trends in annual age-adjusted death rates for unintentional injury for metropolitan and nonmetropolitan areas of the U.S.
Additional links: Supplemental Maps: Figure 5, Supplemental Tables: Figures 2-5
Author(s): Ernest Moy, Macarena C. Garcia, Brigham Bastian, et al.
Location: MMWR Surveillance Summaries, 66(1), 1-8
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Discusses factors impacting the rural-urban gap, and offers suggestions for reducing these disparities and improving health.
Author(s): Macarena C. Garcia, Mark Faul, Greta Massetti, et al.
Location: MMWR Surveillance Summaries, 66(1), 26-32
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Insights from the CDC MMWR Rural Health Series Webinars
Collection of recorded webinars focused on studies featured in the CDC MMWR Rural Health Series and rural programs funded by the Federal Office of Rural Health Policy (FORHP) that are working to address rural health disparities.
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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CDC Rural Health
Provides an overview of rural health concerns, access to CDC-produced reports highlighting rural health issues, and examples of resources and successful approaches to improve health in rural communities.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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