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Rural Health Information Hub

Rural Health
Resources by Topic: Income

Have Incomes Kept Up With Minnesota's Rising Cost of Living?
Discusses cost of living in relation to median household income in Minnesota. Provides interactive, county-level maps showing household income and cost of living changes from 2018 to 2024.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Rural Sleep Health and Sleep Health Disparities among Children and Adults in the United States
Examines sleep health characteristics among rural populations in the United States. Utilizes 2020 and 2022 National Health Interview Survey data to analyze the sleep health of 1,429 children and 8,673 adults residing in nonmetro counties, focusing on demographic variables, socioeconomic variables, and sleep health.
Author(s): Symielle A. Gaston, Christopher W. Payne, William Braxton Jackson, II, Chandra L. Jackson
Citation: Sleep Health, 12(1), 39-51
Date: 02/2026
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The Cost of Living in Minnesota: Highest in the Metro, Rising Fastest in Rural Areas
Examines cost of living across Minnesota counties and the economic variables driving costs. Utilizes Minnesota Department of Employment and Economic Development (DEED) data to analyze hourly wages, housing, transportation, child care, and more. Provides interactive county-level maps to show cost of living changes.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Stroke Technology Diffusion in Rural Settings: Differential Exposure to Certification Levels by Community Income Levels
Analyzes how access to certified stroke center services has varied over time among rural communities by median family income level, using 2009-2019 Medicare Provider and Analysis Review (MedPAR) data. Compares access to Acute Stroke Ready Hospitals, Primary Stroke Centers, Thrombectomy-Capable Stroke Centers, or Comprehensive Stroke Centers among low, medium, and high-income communities.
Author(s): Yu-Chu Shen, Maya Spencer, Renee Y. Hsia
Citation: Neurology, 106(4), e214644
Date: 01/2026
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Rural America at a Glance: 2025 Edition
Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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Differences in GLP-1 RA Medication Adherence Across Place-Based Variables in Patients with Diabetes Living in Wisconsin
Analyzes adherence to GLP-1 RA medications for diabetes treatment among Wisconsin adults by geographic and demographic group, utilizing 2020-2022 Wisconsin Health Information Organization data. Compares adherence by rural or urban status, among other factors.
Author(s): Kara L. Gavin, Rabia Amjad, Vaia Makris, Joan M. Neuner
Citation: Journal of Managed Care & Specialty Pharmacy, 31(12), 1311-1319
Date: 11/2025
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Recovery Through a Disability Lens: Impacts of the 2023 Maui Wildfires on Disability Equity and Shared Prosperity
Reports on the impacts of the August 2023 Hawaii wildfires on the housing, employment and income, health, and life satisfaction of West Maui or Kula residents with disabilities. Details how disaster preparedness and recovery policy influence health and quality-of-life disparities for people with disabilities.
Additional links: Plain Language Version
Author(s): Daniela Bond-Smith, Ruben Juarez, Alika Maunakea
Date: 11/2025
Sponsoring organization: The Economic Research Organization at the University of Hawai'i
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2025 Nebraska Rural Poll Research Report: Well Being
Analyzes 2025 Nebraska Rural Poll results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, impact of marital status, feelings of loneliness, and more. Includes survey data and demographic information on survey respondents.
Author(s): Heather Akin, Cheryl Burkhart-Kriesel, Mary Emery, et al.
Date: 10/2025
Sponsoring organization: University of Nebraska-Lincoln
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Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
Examines neighborhood socioeconomic status (NSES) variables by census tract and their relationship to public health. Provides data on poverty, use of public assistance, employment characteristics, transportation insecurity, education, and more, by higher density urban, lower density urban, suburban/small town, and rural location.
Author(s): S. S. A. De Silva, Melissa A. Meeker, Tara P. McAlexander, et al.
Citation: Journal of Urban Health, 102, 1094-1103
Date: 10/2025
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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