Rural Health
Resources by Topic: COVID-19
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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Cost of Implementing Evidence-Based Practices to Reduce Opioid Overdose Fatalities in New York State Communities
Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Sources of Health Insurance among Adults with Long COVID: Estimates from the Medical Expenditure Panel Survey
Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Treatment Initiations and Opioid Overdoses among Recently Incarcerated People after Adoption of the Take-Home Methadone Policy
Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Evaluating the Impact of Altitudinal Variations on COVID-19 Mortality Rates: A Comprehensive Analysis
Examines the effects of high altitude on county-level COVID-19 mortality, fatality rates, and vaccination outcomes, utilizing January 2020-August 2022 New York Times COVID-19 repository and American Community Survey data. Includes data on fatality by level of rurality in the pre- and post-vaccination periods.
Author(s): Emre Karsli, Damla Anbarli Metin, Arda Kocatas, et al.
Citation: BMC Pulmonary Medicine, 25, 413
Date: 08/2025
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Examines the effects of high altitude on county-level COVID-19 mortality, fatality rates, and vaccination outcomes, utilizing January 2020-August 2022 New York Times COVID-19 repository and American Community Survey data. Includes data on fatality by level of rurality in the pre- and post-vaccination periods.
Author(s): Emre Karsli, Damla Anbarli Metin, Arda Kocatas, et al.
Citation: BMC Pulmonary Medicine, 25, 413
Date: 08/2025
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Drug Overdose Deaths in Kentucky, 2019–2024: Are We Back to Pre-COVID-19 Levels?
Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Trends in Mental Health Care Utilization in Rural and Nonrural Areas, 2019-2023
Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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New Mexico State-Tribal Collaboration Act July 31, 2025 Agency Report
Summarizes collaboration between New Mexico state agencies and tribal nations regarding current public health priorities, including primary care, data sharing, policy collaboration, and measles response. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2025, including topics such as community health workers, cancer, diabetes, COVID-19, suicide prevention, maternal and child health, and more.
Date: 07/2025
Sponsoring organization: New Mexico Department of Health
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Summarizes collaboration between New Mexico state agencies and tribal nations regarding current public health priorities, including primary care, data sharing, policy collaboration, and measles response. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2025, including topics such as community health workers, cancer, diabetes, COVID-19, suicide prevention, maternal and child health, and more.
Date: 07/2025
Sponsoring organization: New Mexico Department of Health
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Metropolitan/Nonmetropolitan Differences of the Impact of COVID-19 on Cancer Survivors' Care
Examines the impact of the COVID-19 pandemic on cancer care in metro and nonmetro locations. Utilizes 2021 Health Information National Trends-Surveillance Epidemiology End Results (HINTS-SEER) data from cancer survivors regarding their routine cancer screening, preventive care, treatment, and follow-up appointments.
Author(s): Whitney E. Zahnd, Jason T. Semprini, Robin C. Vanderpool, et al.
Citation: Journal of Rural Health, 41(3)
Date: 07/2025
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Examines the impact of the COVID-19 pandemic on cancer care in metro and nonmetro locations. Utilizes 2021 Health Information National Trends-Surveillance Epidemiology End Results (HINTS-SEER) data from cancer survivors regarding their routine cancer screening, preventive care, treatment, and follow-up appointments.
Author(s): Whitney E. Zahnd, Jason T. Semprini, Robin C. Vanderpool, et al.
Citation: Journal of Rural Health, 41(3)
Date: 07/2025
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COVID-19 Risk Stratification among Older Adults: A Machine Learning Approach to Identify Personal and Health-Related Risk Factors
Examines risk perceptions and health behaviors related to COVID-19 to create a predictive model to classify individuals into risk categories. Analyzes individual features such as demographic variables, health conditions, adherence to public health guidelines, health literacy, and urbanicity.
Author(s): Arezoo Abasi, Seyed Abbas Motevalian, Haleh Ayatollahi
Citation: BMC Public Health 25, 2577
Date: 07/2025
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Examines risk perceptions and health behaviors related to COVID-19 to create a predictive model to classify individuals into risk categories. Analyzes individual features such as demographic variables, health conditions, adherence to public health guidelines, health literacy, and urbanicity.
Author(s): Arezoo Abasi, Seyed Abbas Motevalian, Haleh Ayatollahi
Citation: BMC Public Health 25, 2577
Date: 07/2025
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