Rural Health
Resources by Topic: Health disparities
Persistent Poverty and Breast Cancer Incidence by Tumor Subtype: Intersections of Rural/Urban Residence and Race Within USA Surveillance Epidemiology and End Results Registries, 2017 to 2021
Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Indian Health Service and Health Care Affordability Issues Among American Indian/ Alaska Native People by Rurality
Report explores healthcare affordability and Indian Health Services (IHS) utilization among American Indian and Alaska Native (AI/AN) in rural and urban communities. Highlights rates of patients receiving care at IHS, privately insured, and uninsured in rural and urban communities, among other measures.
Author(s): Ingrid Jacobson, Katie Rydberg, Alexis Swendener, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Report explores healthcare affordability and Indian Health Services (IHS) utilization among American Indian and Alaska Native (AI/AN) in rural and urban communities. Highlights rates of patients receiving care at IHS, privately insured, and uninsured in rural and urban communities, among other measures.
Author(s): Ingrid Jacobson, Katie Rydberg, Alexis Swendener, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Predictors of Inpatient RN Turnover in Rural and Urban VHA Hospitals
A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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Working on Wellness: The Rural Health and Employment Link
Examines the relationship between rural population health outcomes and employment security. Provides data on labor force participation, life expectancy, unhealthy days, and disability rates across the rural-urban continuum. Discusses metro versus nonmetro differences in workplace hazards and physical exertion.
Author(s): Surekha Carpenter, Bethany Greene, Stephanie Norris
Date: 2026
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines the relationship between rural population health outcomes and employment security. Provides data on labor force participation, life expectancy, unhealthy days, and disability rates across the rural-urban continuum. Discusses metro versus nonmetro differences in workplace hazards and physical exertion.
Author(s): Surekha Carpenter, Bethany Greene, Stephanie Norris
Date: 2026
Sponsoring organization: Federal Reserve Bank of Richmond
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Improving Maternal Mental Health in Women With Serious Mental Illness
Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Beyond the Battlefield: Restoring Connection for Missouri's Rural Veterans
Assesses health disparities among Missouri's rural veterans and discusses the need for coordinated, statewide action to address veterans' health needs. Highlights topics related to mental health, chronic health conditions, geographic limitations on access to care, broadband infrastructure, and more.
Author(s): Derek Landes, Libby Trammell, Kaitlyn Onanian
Date: 12/2025
Sponsoring organization: Missouri Rural Health Association
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Assesses health disparities among Missouri's rural veterans and discusses the need for coordinated, statewide action to address veterans' health needs. Highlights topics related to mental health, chronic health conditions, geographic limitations on access to care, broadband infrastructure, and more.
Author(s): Derek Landes, Libby Trammell, Kaitlyn Onanian
Date: 12/2025
Sponsoring organization: Missouri Rural Health Association
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Geospatial Analysis of Breast Cancer Incidence, Mortality, and Access to Screening in Rural and Appalachian Virginia
Assesses differences in breast cancer rates and mortality between Appalachian and non-Appalachian counties, and rural and nonrural counties in Virginia. Also explores whether availability of mammography is associated with differences. Features county-level Virginia maps, and statistics with breakdowns by Virginia counties, rural counties, and nonrural counties.
Author(s): Jennifer Osher, Caleb Brown, Phillip Nichols, Tariq Ayubi, Jeremy Powers
Citation: Journal of Appalachian Health, 7(4), 55-69
Date: 12/2025
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Assesses differences in breast cancer rates and mortality between Appalachian and non-Appalachian counties, and rural and nonrural counties in Virginia. Also explores whether availability of mammography is associated with differences. Features county-level Virginia maps, and statistics with breakdowns by Virginia counties, rural counties, and nonrural counties.
Author(s): Jennifer Osher, Caleb Brown, Phillip Nichols, Tariq Ayubi, Jeremy Powers
Citation: Journal of Appalachian Health, 7(4), 55-69
Date: 12/2025
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Engagement and Retention in HIV Care in Rural Southern U.S. Using an All-Payer Claims Database
Analyzes HIV care engagement and retention among people living with HIV (PLWH) in Arkansas, utilizing 2013-2017 Arkansas All-Payer Claims Database data. Includes data and discussion of HIV access disparities in Arkansas by rurality, sex, and other demographic variables.
Author(s): Jun Tao, Mofan Gu, S. Alexandra Marshall, et al.
Citation: PLOS ONE, 20(12), e0339520
Date: 12/2025
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Analyzes HIV care engagement and retention among people living with HIV (PLWH) in Arkansas, utilizing 2013-2017 Arkansas All-Payer Claims Database data. Includes data and discussion of HIV access disparities in Arkansas by rurality, sex, and other demographic variables.
Author(s): Jun Tao, Mofan Gu, S. Alexandra Marshall, et al.
Citation: PLOS ONE, 20(12), e0339520
Date: 12/2025
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Community Resilience and Stroke Outcomes in Older Adults: Beyond Rural-Urban Classifications
Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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