Rural Health
Resources by Topic: Healthcare needs and services
Patient, Facility, and Community Determinants of Timely Follow up after Abnormal Screening Mammograms in Appalachia: A Multilevel Analysis
Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2023: A State-by-State Report
Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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North Dakota Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in North Dakota in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in North Dakota in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Beyond Engineering How Planners Can Leverage Culture & Systems Thinking for Safer Rural Roads
Recorded webinar that discusses strategies to strengthen community alignment and partnerships to improve traffic safety in rural areas. Focuses on system change and presenting traffic safety as a public health issue. Transcript available below description.
Additional links: Presentation Slides
Author(s): Jay Otto
Date: 01/2026
Sponsoring organizations: Banyan Collaborative, National Association of Development Organizations
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Recorded webinar that discusses strategies to strengthen community alignment and partnerships to improve traffic safety in rural areas. Focuses on system change and presenting traffic safety as a public health issue. Transcript available below description.
Additional links: Presentation Slides
Author(s): Jay Otto
Date: 01/2026
Sponsoring organizations: Banyan Collaborative, National Association of Development Organizations
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Health Concerns of Women in Agriculture in the Midwestern United States
Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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Small but Essential: Understanding Rural Public Health Workforce Challenges and Strengths From the 2024 Public Health Workforce Interests and Needs Survey
Examines characteristics of the rural public health workforce. Utilizes 2024 Public Health Workforce Interests and Needs Survey (PH WINS) data to analyze the rural versus urban local health department (LHD) workforce with breakdowns according to demographics, education, employment tenure and type, and intentions to stay.
Author(s): Casey P. Balio, Stephanie M. Mathis, Michael B. Meit, Betty Bekemeier
Citation: Journal of Public Health Management & Practice, 32(1S), S60-S67
Date: 01/2026
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Examines characteristics of the rural public health workforce. Utilizes 2024 Public Health Workforce Interests and Needs Survey (PH WINS) data to analyze the rural versus urban local health department (LHD) workforce with breakdowns according to demographics, education, employment tenure and type, and intentions to stay.
Author(s): Casey P. Balio, Stephanie M. Mathis, Michael B. Meit, Betty Bekemeier
Citation: Journal of Public Health Management & Practice, 32(1S), S60-S67
Date: 01/2026
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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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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Public Health Ethics and Stakeholder Engagement: Considerations and Practices for Local Health Departments
Toolkit providing strategies and resources on the use of stakeholder engagement to support public health ethics in local health departments. Includes action steps and case studies, and highlights ethical considerations related to community engagement and collaboration. See PDF pages 12-14 for a case study on access to care in rural areas.
Date: 12/2025
Sponsoring organization: National Association of County and City Health Officials
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Toolkit providing strategies and resources on the use of stakeholder engagement to support public health ethics in local health departments. Includes action steps and case studies, and highlights ethical considerations related to community engagement and collaboration. See PDF pages 12-14 for a case study on access to care in rural areas.
Date: 12/2025
Sponsoring organization: National Association of County and City Health Officials
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Maternal Syphilis in Mississippi, 2013 to 2023
Results of a study of maternal syphilis in Mississippi, using birth certificate data from 2013-2023. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Manuela Staneva, Victoria Gholar, Thomas Dobbs
Citation: JAMA Network Open, 8(12), e2546787
Date: 12/2025
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Results of a study of maternal syphilis in Mississippi, using birth certificate data from 2013-2023. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Manuela Staneva, Victoria Gholar, Thomas Dobbs
Citation: JAMA Network Open, 8(12), e2546787
Date: 12/2025
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