Rural Health
Resources by Topic: Health disparities
Association of Injury-Related Mortality with Unique Domains of Social Determinants of Health Across the Urban-Rural Continuum
Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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Maternity Deserts: The Equality State's Growing Crisis
Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Advancing Diagnostic Excellence in Rural Areas: A Workshop
Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Urban-Rural Disparities in Diagnosis, Treatment, and Prognosis of Primary Bone Cancer: An Observational Study
Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Trends in Pancreatic Cancer Mortality among US Adults, 1999–2023
Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Disparities in Geographic Access to Cardiac Rehabilitation among Socially Vulnerable Communities
Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, Wen‐Chih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, Wen‐Chih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Rural-Urban Differences in Dietary Intake Across Pregnancy Trimesters: A Multisite Prospective Cohort Study
Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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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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"No Rest for Me Tonight": A Social-Ecological Exploration of Insomnia in Rural Appalachian Women
Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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