Rural Health
Resources by Topic: Health conditions
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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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Can Schools Detect Mild Hearing Loss? Evaluating Screening Accuracy and Feasibility
Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Structural Vulnerability in the United States Radiation Oncology Delivery System: Predictors and Consequences of Practice Site Disappearance
Examines the impact of radiation oncology (RO) practice site disappearance on treatment capacity in U.S. counties. Utilizes 2018-2025 data from the Centers for Medicare & Medicaid Services National Downloadable File to analyze RO practice sites according to urban, rural-adjacent, or rural-nonadjacent county location, hospital affiliation, and county sociodemographics. Includes county-level U.S. map showing RO site growth, loss, or stability.
Author(s): Catherine Yu, Sifan Grace Lu, Danielle Arons, Jared P. Rowley, Kunal K. Sindhu
Citation: International Journal of Radiation Oncology, Biology, Physics
Date: 07/2026
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Examines the impact of radiation oncology (RO) practice site disappearance on treatment capacity in U.S. counties. Utilizes 2018-2025 data from the Centers for Medicare & Medicaid Services National Downloadable File to analyze RO practice sites according to urban, rural-adjacent, or rural-nonadjacent county location, hospital affiliation, and county sociodemographics. Includes county-level U.S. map showing RO site growth, loss, or stability.
Author(s): Catherine Yu, Sifan Grace Lu, Danielle Arons, Jared P. Rowley, Kunal K. Sindhu
Citation: International Journal of Radiation Oncology, Biology, Physics
Date: 07/2026
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A Twelve-Year Retrospective Analysis of a Journey Towards Rural Level I Trauma Center Verification
Discusses the goals, implementation strategies, and challenges of a rural trauma center in Montana which became an ACS Level I Trauma Center in 2023. Includes data on 8,947 trauma activations between 2011 and 2022, discussing quality of care, patient volume, and program infrastructure in a rural setting.
Author(s): Lanny C. Orr, Alexa Peterson, Tessa C. Savell, et al.
Citation: Open Access Emergency Medicine, 18, 618725
Date: 07/2026
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Discusses the goals, implementation strategies, and challenges of a rural trauma center in Montana which became an ACS Level I Trauma Center in 2023. Includes data on 8,947 trauma activations between 2011 and 2022, discussing quality of care, patient volume, and program infrastructure in a rural setting.
Author(s): Lanny C. Orr, Alexa Peterson, Tessa C. Savell, et al.
Citation: Open Access Emergency Medicine, 18, 618725
Date: 07/2026
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Veteran Satisfaction With Lung Cancer Screening Care: A Cross-Sectional Evaluation
Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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The Change Club Intervention: 2-Year Impacts from a Cluster-Randomized Trial in Rural Communities in New York and Texas
Examines the impact of Change Club, a community-focused intervention implemented in New York and Texas that promotes physical activity and healthful nutrition. Examines the impact of a civic engagement curriculum targeting built environment on participant health behaviors and outcomes.
Author(s): Rebecca A. Seguin-Fowler, Karla L. Hanson, Galen D. Eldridge et al.
Citation: Frontiers in Public Health, 14
Date: 07/2026
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Examines the impact of Change Club, a community-focused intervention implemented in New York and Texas that promotes physical activity and healthful nutrition. Examines the impact of a civic engagement curriculum targeting built environment on participant health behaviors and outcomes.
Author(s): Rebecca A. Seguin-Fowler, Karla L. Hanson, Galen D. Eldridge et al.
Citation: Frontiers in Public Health, 14
Date: 07/2026
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When Policy Exists but Practice Fails: Rethinking Cognitive Screening as a Public Health Delivery Problem
An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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