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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

U.S. Obesity Rate Changes Differ for Rural and Urban Areas, as Well as Across Regions
Reports on rural versus urban and regional differences in obesity prevalence among U.S. adults between 2019 and 2024. Identifies changes in obesity prevalence over time and discusses the geographic factors influencing obesity prevalence.
Author(s): Mariah Ehmke, Brandon J. Restrepo
Citation: Amber Waves
Date: 08/2025
Sponsoring organization: USDA Economic Research Service
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Rural–Urban Differences in Health Care Access for Postpartum Parent and Infant Dyads
Details a study on differences in perinatal health among postpartum parents and infants in rural and urban areas. Bases findings on National Health Interview Survey (NHIS) data and breaks down data by demographic characteristics, perceived barriers, and perceived health along rural and urban locations.
Author(s): Sara C. Handley, Julia D. Interrante, Emily F. Gregory, Katy B. Kozhimannil
Citation: Journal of Rural Health, 41(3), e70062
Date: 08/2025
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Understanding the Influence of Social Determinants of Health on Symptom Reporting in Pediatric Cancer
Highlights a study on the social determinants of health of caregivers of children with cancer in Appalachia. Discusses the symptom burden of child cancer and breaks down data by child's age, rurality, and Appalachian versus non-Appalachian location, among other measures.
Author(s): Micah A. Skeens, Adelaide Booze, Mark Ranalli, Anna Olsavsky
Citation: Journal of Rural Health, 41(3), e70071
Date: 08/2025
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Appalachian Diseases of Despair: Final Report
Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Arizona Tribal Maternal and Child Health Needs Assessment
Reports on maternal and child health needs for the American Indian and Alaska Native (AI/AN) population in Arizona, including health indicator and community survey data on topics such as mental health, education, nutrition, public health communication, and more. Discusses tribal health topics throughout, with additional rural-specific data presented on pages 14-19.
Date: 07/2025
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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New Resource Webinar: CRC Screening in Rural Communities Best Practices Guidebook
Webinar introducing the ACS NCCRT Colorectal Cancer (CRC) Screening in Rural Communities Best Practices Guidebook. Includes an overview of CRC disparities in rural communities and offers guidance for organizations working to improve CRC screening rates in their communities. Highlights successes of CRC screening programs in Alaska and Arizona administered by the Bristol Bay Area Health Corporation and Mariposa Community Health Center.
Additional links: Colorectal Cancer Screening in Rural Communities Best Practices Guidebook, Presentation Slides
Date: 07/2025
Sponsoring organization: American Cancer Society National Colorectal Cancer Roundtable (ACS NCCRT)
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Increasing Colorectal Cancer Screening in Rural Communities: A Practical Guide
Provides an overview of rural colorectal cancer (CRC) disparities and guidance for community organizations on improving CRC screening in rural areas. Includes recommendations related to recognizing and addressing barriers to screening, organizational planning and strategy, service delivery models, and more.
Date: 07/2025
Sponsoring organization: American Cancer Society National Colorectal Cancer Roundtable (ACS NCCRT)
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Is Rural Residence an Independent Risk Factor for Spontaneous Preterm Birth at a Midwestern Tertiary Care Center? A Cross-Sectional Study
Examines the correlation between rural residence and spontaneous preterm birth (sPTB). Analyzes 16,974 deliveries among 13,339 women at a Midwest tertiary care center according to patient demographics, gestational age, insurance status, health status and behaviors, and rural versus urban location. Discusses rurality as a variable and potential causes for the correlation to sPTB.
Author(s): Abbie Lund, Barcey T. Levy, Yinghui Xu, David A. Bedell, Mark K. Santillan
Citation: Journal of Primary Care & Community Health, 16
Date: 07/2025
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The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas
Examines family physicians (FPs) who provide maternity care and their geographic distribution in the United States. Analyzes maternity care across 325 counties, observing counties where FPs are the only maternity care providers, counties where there are no maternity care providers, and counties with or without hospital obstetric services. Includes discussion on maternity healthcare access disparities in rural areas.
Author(s): Michael Topmiller, Grace Walter, Anuradha Jetty, et al.
Citation: The Annals of Family Medicine, 23(4), 302-307
Date: 07/2025
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Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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