Rural Health
Resources by Topic: Health disparities
Rural and Urban Differences in Suicide in the United States, 2018-2021
Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Rural–Urban Disparities in Cancer Care—Analyzing Routinely Collected Patient‐Reported Outcomes. A Cross‐Sectional Study
Compares rural and urban patient-reported outcomes related to anxiety, depression, fatigue, pain interference, and physical function among 7,271 cancer patients who received treatment at the Huntsman Cancer Institute between 2016 and 2019. Includes data breakdowns by rural or urban status, including comparisons by specific cancer types.
Author(s): Dominik J. Ose, Bayarmaa Mark, Krista Ocier, et al.
Citation: Cancer Medicine, 14(8), e70437
Date: 04/2025
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Compares rural and urban patient-reported outcomes related to anxiety, depression, fatigue, pain interference, and physical function among 7,271 cancer patients who received treatment at the Huntsman Cancer Institute between 2016 and 2019. Includes data breakdowns by rural or urban status, including comparisons by specific cancer types.
Author(s): Dominik J. Ose, Bayarmaa Mark, Krista Ocier, et al.
Citation: Cancer Medicine, 14(8), e70437
Date: 04/2025
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Rebuilding Maternal Health Access in Western North Carolina: Addressing Critical Gaps Amplified by Hurricane Helene
Discusses the impact of Hurricane Helene on maternal health in rural North Carolina. Focuses on maternal healthcare workforce shortages, access issues in isolated areas, maternal morbidity and mortality, rural health disparities, and more. Offers suggestions to improve rural maternal health in North Carolina, including enhancing data collection, strengthening infrastructure and access, and addressing the social determinants of health.
Author(s): Jennifer Runkle, Maggie Sugg
Citation: North Carolina Medical Journal, 86(1)
Date: 04/2025
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Discusses the impact of Hurricane Helene on maternal health in rural North Carolina. Focuses on maternal healthcare workforce shortages, access issues in isolated areas, maternal morbidity and mortality, rural health disparities, and more. Offers suggestions to improve rural maternal health in North Carolina, including enhancing data collection, strengthening infrastructure and access, and addressing the social determinants of health.
Author(s): Jennifer Runkle, Maggie Sugg
Citation: North Carolina Medical Journal, 86(1)
Date: 04/2025
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Severe Maternal Morbidity in Tennessee, 2018-2022
Focuses on severe maternal morbidity (SMM) occurring during hospitalizations for childbirth in Tennessee, including during the COVID-19 pandemic. Features statistics including SMM rates by maternal residence, with breakdowns by urban, urban adjacent, and rural counties.
Date: 04/2025
Sponsoring organization: Tennessee Department of Health
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Focuses on severe maternal morbidity (SMM) occurring during hospitalizations for childbirth in Tennessee, including during the COVID-19 pandemic. Features statistics including SMM rates by maternal residence, with breakdowns by urban, urban adjacent, and rural counties.
Date: 04/2025
Sponsoring organization: Tennessee Department of Health
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Rural-Urban Disparities in Hospitalisation for Myocardial Infarction in Systemic Lupus Erythematosus in the USA
Examines rural-urban disparities in hospitalization for myocardial infarction among people with systemic lupus erythematosus (SLE), utilizing 2016-2019 National Inpatient Sample data. Analyzes demographic factors, including sex and geographic region, associated with increased risk of hospitalization.
Author(s): Jasvinder A. Singh, Sumanth Chandrupatla
Citation: Lupus Science & Medicine, 12, e001516
Date: 04/2025
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Examines rural-urban disparities in hospitalization for myocardial infarction among people with systemic lupus erythematosus (SLE), utilizing 2016-2019 National Inpatient Sample data. Analyzes demographic factors, including sex and geographic region, associated with increased risk of hospitalization.
Author(s): Jasvinder A. Singh, Sumanth Chandrupatla
Citation: Lupus Science & Medicine, 12, e001516
Date: 04/2025
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Rural Hospital Closures and Nursing Home Outcomes
Details a study exploring the effect of rural hospital closures on rural nursing home outcomes in the corresponding county. Discusses care utilization and resident health and compares effects of hospital-based and non-hospital-based long-term care facilities.
Author(s): Emmaline Keesee, Tyler Malone, Susie Gurzenda, George Pink
Citation: Journal of Rural Health, 41(2), e70026
Date: 04/2025
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Details a study exploring the effect of rural hospital closures on rural nursing home outcomes in the corresponding county. Discusses care utilization and resident health and compares effects of hospital-based and non-hospital-based long-term care facilities.
Author(s): Emmaline Keesee, Tyler Malone, Susie Gurzenda, George Pink
Citation: Journal of Rural Health, 41(2), e70026
Date: 04/2025
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Perceived Risk and HPV Vaccination Awareness Among Women in Rural and Underserved Communities in the State of Louisiana
Explores human papillomavirus (HPV) awareness and vaccination knowledge among women in rural and underserved areas of Louisiana, via a study of 141 women who participated in a mobile health unit-based study conducted between November 2022 and December 2023. Includes data on awareness of the existence of the HPV vaccine, history of being offered or receiving the HPV vaccine, willingness to be vaccinated, and the relationship between HPV knowledge and perceived HPV risk.
Author(s): Deborah Gurgel Smith, Emily M Dantes, Robbie Beyl, et al.
Citation: Journal of Community Health, 50(5), 826-832
Date: 04/2025
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Explores human papillomavirus (HPV) awareness and vaccination knowledge among women in rural and underserved areas of Louisiana, via a study of 141 women who participated in a mobile health unit-based study conducted between November 2022 and December 2023. Includes data on awareness of the existence of the HPV vaccine, history of being offered or receiving the HPV vaccine, willingness to be vaccinated, and the relationship between HPV knowledge and perceived HPV risk.
Author(s): Deborah Gurgel Smith, Emily M Dantes, Robbie Beyl, et al.
Citation: Journal of Community Health, 50(5), 826-832
Date: 04/2025
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The Rural and Urban Supply of Clinicians With a DEA Waiver to Prescribe Buprenorphine in 2022 Prior to the Elimination of the Waiver Requirement
Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Maternal Mortality in Indiana: Contributing Factors and Policy Recommendations
Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, demographics, and access to maternal health services. Provides county-level map of Indiana showing full, moderate, low, or no access to maternity care. Explores potential solutions to maternal mortality, such as co-location of maternal and behavioral healthcare, substance use disorder (SUD) support, mental health support, and more.
Author(s): Tierra Brooks, Lee Ruess, Kristi Schultz, Elizabeth Thuranira
Date: 04/2025
Sponsoring organization: Indiana University Public Policy Institute
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Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, demographics, and access to maternal health services. Provides county-level map of Indiana showing full, moderate, low, or no access to maternity care. Explores potential solutions to maternal mortality, such as co-location of maternal and behavioral healthcare, substance use disorder (SUD) support, mental health support, and more.
Author(s): Tierra Brooks, Lee Ruess, Kristi Schultz, Elizabeth Thuranira
Date: 04/2025
Sponsoring organization: Indiana University Public Policy Institute
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Examining Contextual Differences in Suicide by Rural–Urban Designation and Military Status, 2009–2019: A Cross-Sectional Analysis of the National Violent Death Reporting System
Presents a study exploring the mental health and substance use of suicide decedents by rurality and military affiliation. Breaks down data by decedents' characteristics, such as sex, age, education, military/civilian status, and rural/urban location, among others.
Author(s): J. Priyanka Vakkalanka, Eliezer Santos Leon, Jon Davis, et al.
Citation: Injury Prevention, 31(2), 121-127
Date: 03/2025
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Presents a study exploring the mental health and substance use of suicide decedents by rurality and military affiliation. Breaks down data by decedents' characteristics, such as sex, age, education, military/civilian status, and rural/urban location, among others.
Author(s): J. Priyanka Vakkalanka, Eliezer Santos Leon, Jon Davis, et al.
Citation: Injury Prevention, 31(2), 121-127
Date: 03/2025
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