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Rural Health
Resources by Topic: Health disparities

The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Comparing the Care, Distance Traveled, and Health Workforce Clinician Mix for Rural and Urban Commercially Insured Enrollees With Opioid Use Disorder
Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Exploring Systemic Challenges in the Western North Carolina Dental Safety Net: A Qualitative Analysis
Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Comparing the Care and Distance Traveled by Rural and Urban Children and Adolescents with Medicaid Insurance and Opioid Use Disorder
Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Rural Residence and Mental Health among US Veterans: Findings from the Millennium Cohort Study
Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Citation: PLOS One, 21(4), e0346780
Date: 04/2026
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National Trends in the Potentially Preventable Hospitalization for Pediatric Asthma, 2016-2020
Describes the trends in potentially preventable hospitalizations for asthma among children 2 to 17 years old between 2016 and 2020. Presents data on the rate of potentially preventable hospitalizations for pediatric asthma by hospital characteristics and patient demographics, including the rural classification of hospitals and patient residence.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Gogoal Falia, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Residence in a Rural Setting is Associated with Lower Five-Year Survival Rates in Patients that Undergo Spine Surgery for Breast Cancer Metastatic to the Spine: A Propensity Matched Analysis
Compares rural and urban mortality among breast cancer patients who underwent spine surgery, using 2006-2015 SEER data of 865 female patients.
Author(s): Austin Q. Nguyen, Brian M. Phelps, Sree M. Vemu, et al.
Citation: North American Spine Society Journal (NASSJ)
Date: 04/2026
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Impact of Food Literacy Education on Rural, Uninsured Patients With Diabetes
Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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