Rural Health
Resources by Topic: Health disparities
Advancing Health Equity and Integrated Care for Rural Dual Eligibles
Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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How Resilient Are Communities Along the U.S.-Mexico Border?
Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Sponsoring organization: U.S. Census Bureau
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Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Sponsoring organization: U.S. Census Bureau
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Association of Health Insurance, Geography, and Race and Ethnicity with Disparities in Receipt of Recommended Postpartum Care in the US
Explores whether there is a significant difference in the characteristics of patients who received a postpartum visit and the content covered in these visits. Uses data from the 2016-2019 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys to compare visit attendance and content across health insurance type, rural or urban residency, and race and ethnicity.
Author(s): Julia D. Interrante, Lindsay Admon, Caitlin Carroll, et al.
Citation: JAMA Health Forum, 3(10), e223292
Date: 10/2022
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Explores whether there is a significant difference in the characteristics of patients who received a postpartum visit and the content covered in these visits. Uses data from the 2016-2019 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys to compare visit attendance and content across health insurance type, rural or urban residency, and race and ethnicity.
Author(s): Julia D. Interrante, Lindsay Admon, Caitlin Carroll, et al.
Citation: JAMA Health Forum, 3(10), e223292
Date: 10/2022
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2022
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Socioeconomic Factors Affecting Outcomes in Total Knee and Hip Arthroplasty: A Systematic Review on Healthcare Disparities
Examines health disparities in patient access, utilization, and outcomes related to total joint arthroplasty (TJA). Conducts a literature review of 44 studies that discuss socioeconomic factors associated with TJA disparities such as insurance type, socioeconomic status, hospital volume, and rural versus urban geographic location.
Author(s): Paul M. Alvarez, John F. McKeon, Andrew I. Spitzer, et al.
Citation: Arthroplasty, 4, 36
Date: 10/2022
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Examines health disparities in patient access, utilization, and outcomes related to total joint arthroplasty (TJA). Conducts a literature review of 44 studies that discuss socioeconomic factors associated with TJA disparities such as insurance type, socioeconomic status, hospital volume, and rural versus urban geographic location.
Author(s): Paul M. Alvarez, John F. McKeon, Andrew I. Spitzer, et al.
Citation: Arthroplasty, 4, 36
Date: 10/2022
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Rural Depopulation and the Rural-Urban Gap in Cognitive Functioning Among Older Adults
Presents a study on the disparities in cognitive health older adults in rural versus urban populations. Breaks down data by age, marital status, and education, among other measures. Explores how depopulation correlates with cognitive functioning and compares the effect in rural and urban populations.
Author(s): Rebecca Glauber
Citation: Journal of Rural Health, 38(4), 696-704
Date: 09/2022
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Presents a study on the disparities in cognitive health older adults in rural versus urban populations. Breaks down data by age, marital status, and education, among other measures. Explores how depopulation correlates with cognitive functioning and compares the effect in rural and urban populations.
Author(s): Rebecca Glauber
Citation: Journal of Rural Health, 38(4), 696-704
Date: 09/2022
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Disparities in Breast and Cervical Cancer Incidence and Mortality Rates for Females in Illinois, 1996 – 2019
Provides data on breast and cervical cancer disparities in Illinois women from 1996 to 2019, with breakdowns by race/ethnicity, age, stage at diagnosis, and rural, small urban, suburban, or urban county type. Includes incidence and mortality rates utilizing Illinois State Cancer Registry (ISCR) incidence data and National Center for Health Statistics (NCHS) mortality data.
Date: 09/2022
Sponsoring organization: Illinois Department of Public Health
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Provides data on breast and cervical cancer disparities in Illinois women from 1996 to 2019, with breakdowns by race/ethnicity, age, stage at diagnosis, and rural, small urban, suburban, or urban county type. Includes incidence and mortality rates utilizing Illinois State Cancer Registry (ISCR) incidence data and National Center for Health Statistics (NCHS) mortality data.
Date: 09/2022
Sponsoring organization: Illinois Department of Public Health
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Urban–Rural Disparities in Diabetes-Related Mortality in the USA 1999–2019
Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
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Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
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