Rural Health
Resources by Topic: Health disparities
Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Trends in Firearm Death among Middle and High-School Aged Rural and Urban Adolescents from 2001 to 2022
Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and non-metropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and non-metropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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A Rural Lens on Federal Block Grant Distribution
Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Income, Healthy Food Availability, and Consumption Mediate Rural–Urban Health Disparities
Discusses rural versus urban health disparities and how healthy food availability and consumption mediate disparities. Utilizes national and state-level survey data from Oregon residents regarding their self-reported income, perceived fruit and vegetable (FV) availability, FV consumption, and health status, analyzing their associated mediating effect on rural health disparities.
Author(s): Benjamin J Smith, A Janet Tomiyama, Deborah H John, Bryan Mantell, Elliot T Berkman
Citation: International Journal of Behavioral Medicine, 32(6), 939-952
Date: 08/2025
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Discusses rural versus urban health disparities and how healthy food availability and consumption mediate disparities. Utilizes national and state-level survey data from Oregon residents regarding their self-reported income, perceived fruit and vegetable (FV) availability, FV consumption, and health status, analyzing their associated mediating effect on rural health disparities.
Author(s): Benjamin J Smith, A Janet Tomiyama, Deborah H John, Bryan Mantell, Elliot T Berkman
Citation: International Journal of Behavioral Medicine, 32(6), 939-952
Date: 08/2025
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Urban–Rural Disparities in Lung Cancer Incidence and Mortality Patterns in Black and White Populations
Examines lung cancer incidence and mortality across rural and urban populations. Utilizes National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program data to analyzes rural versus urban disparities in lung cancer, with further breakdowns according to demographic variables.
Author(s): Nadia Howlader, Kathleen A. Cronin, Mandi Yu, Daniel Miller, Douglas R. Lowy
Citation: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(15)
Date: 08/2025
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Examines lung cancer incidence and mortality across rural and urban populations. Utilizes National Program of Cancer Registries (NPCR) and Surveillance, Epidemiology, and End Results (SEER) Program data to analyzes rural versus urban disparities in lung cancer, with further breakdowns according to demographic variables.
Author(s): Nadia Howlader, Kathleen A. Cronin, Mandi Yu, Daniel Miller, Douglas R. Lowy
Citation: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(15)
Date: 08/2025
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Tobacco Retailer Density and Rurality Across Four US States: California, Connecticut, North Carolina, and Ohio
Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Route and Efficiency Analysis of Cancer Health Care (REACH): Investigating Sociodemographic and Rurality of Metastatic Breast Cancer Patients at an NCI-Designated Facility
Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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Single-Center Retrospective Analysis of the Impact of Rurality on Glioblastoma Care in Vermont
Examines rural-urban differences in clinical presentation, treatment, and outcomes among 119 newly diagnosed glioblastoma patients who presented at the University of Vermont Medical Center from 2017 to 2021. Discusses rural cancer disparities in treatment outcomes and access to care.
Author(s): Gabriela Sarriera Valentin, Erin D'Agostino, Peter Callas, Alissa A. Thomas
Citation: BMC Health Services Research, 25, 1052
Date: 08/2025
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Examines rural-urban differences in clinical presentation, treatment, and outcomes among 119 newly diagnosed glioblastoma patients who presented at the University of Vermont Medical Center from 2017 to 2021. Discusses rural cancer disparities in treatment outcomes and access to care.
Author(s): Gabriela Sarriera Valentin, Erin D'Agostino, Peter Callas, Alissa A. Thomas
Citation: BMC Health Services Research, 25, 1052
Date: 08/2025
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Outcomes in Pregnant Patients with Congenital Heart Disease by Rurality
Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Pharmacy Barriers to Receiving Buprenorphine among Patients Undergoing Telemedicine Addiction Treatment
Presents a study exploring pharmacy-level barriers experienced by patients with opioid use disorder who are receiving treatment via telemedicine. Discusses barriers that lead to missed doses or inaccessible prescriptions. Breaks down data by health and demographic characteristics, such as age, education, and insurance type, among others, and whether the patient lived in a rural or nonrural area.
Author(s): Lauren E. Hendy, Lucas G. Hill, Amanda Olguin, et al.
Citation: JAMA Network Open, 8(8), e2527418
Date: 08/2025
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Presents a study exploring pharmacy-level barriers experienced by patients with opioid use disorder who are receiving treatment via telemedicine. Discusses barriers that lead to missed doses or inaccessible prescriptions. Breaks down data by health and demographic characteristics, such as age, education, and insurance type, among others, and whether the patient lived in a rural or nonrural area.
Author(s): Lauren E. Hendy, Lucas G. Hill, Amanda Olguin, et al.
Citation: JAMA Network Open, 8(8), e2527418
Date: 08/2025
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