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Rural Health
Resources by Topic: Mortality

Urban–Rural Disparities in Deaths of Despair: A County-Level Analysis 2004–2016 in the U.S.
Presents a study exploring the rural-urban differences in drug, alcohol, and suicide mortality rates across the country from 2004 to 2016. Breaks down data by demographic factors, such as gender, employment, and health insurance, among other measures.
Author(s): Jong Hyung Lee, David C. Wheeler, Emily B. Zimmerman, et al.
Citation: American Journal of Preventive Medicine, 64(2), 149-156
Date: 02/2023
Type: Document
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A Review of Occupational Safety and Health Research for American Indians and Alaska Natives
Presents a literature review of occupational health and safety research discussing American Indian and Alaska Native workers. Breaks down data by National Occupation Research Agenda sector and details studies by type, objective, and findings.
Author(s): Kaitlin Wingate, Elizabeth Dalsey, Deborah Poling Scott
Citation: Journal of Safety Research, 84, 204-211
Date: 02/2023
Type: Document
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Listening To Rural Missouri: A Needs Assessment
Provides an overview of healthcare access and equity, behavioral health, mortality rates, and social determinants of health (SDOH) in rural Missouri. Includes data as well as qualitative feedback from listening sessions across 9 regions focused on rural Missouri's most pressing needs. Discusses issues such as the rural healthcare workforce, transportation systems, expansion and collaboration of healthcare services, and more.
Author(s): Derek S. Landes, Aiden P. Bondurant
Date: 02/2023
Type: Document
Sponsoring organization: Missouri Rural Health Association
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The Association between Grandparents as Caregivers and Overdose Mortality in Appalachia and Non-Appalachia Counties
Evaluates associations between drug overdose mortality and grandparents as primary caregivers of children in Appalachian and non-Appalachian counties using national datasets from the period 2015-2019. Covers factors associated with grandparents as primary caregivers, including demographics, uninsured population, and rurality. Discusses the impact of high rates of kinship care and opioid use disorder in rural and Appalachian areas.
Author(s): Kate E. Beatty, Stephanie M. Mathis, Abby R. McCurry, et al.
Citation: Frontiers in Public Health, 11, 1035564
Date: 02/2023
Type: Document
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
Type: Document
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Disparities in Melanoma Incidence and Mortality in Rural Versus Urban Michigan
Examines rural versus urban disparities in disease stage and disease-specific mortality of melanoma patients in Michigan. Analyzes 2014-2018 data from the Michigan Department of Health and Human Services and the Centers for Disease Control and Prevention to observe county-level melanoma rates. Includes demographic breakdowns by age, gender, and residence, as well as discussions about potential causes of rural disparities.
Author(s): Richard A. Shellenberger, Timothy M. Johnson, Fatima Fayyaz, et al.
Citation: Cancer Reports, 6(2), e1713
Date: 02/2023
Type: Document
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Radiotherapy Deserts: The Impact of Race, Poverty, and the Rural-Urban Continuum on Density of Providers and the Use of Radiation Therapy in the US
Investigates the prevalence of radiotherapy deserts for prostate cancer (PC) and invasive breast cancer (BC) at the county level in the United States. Analyzes physicians to persons at risk (PPR) and use to persons at risk (UPR) according to gender, race/ethnicity, poverty level, and metro versus non-metro county. Includes U.S. maps depicting death and incidence rate hot zones, high PPR density, high UPR density, and more.
Author(s): Anna W. LaVigne, Theodore L. DeWeese, Jean L. Wright, et al.
Citation: International Journal of Radiation Oncology, 116(1), 17-27
Date: 01/2023
Type: Document
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Cancer Disproportionately Impacts Adults Living in Rural Areas
Analyzes cancer disparities in metro and nonmetro areas across the U.S. as well as select states that did not expand Medicaid coverage: Georgia, South Carolina, Tennessee, and Texas. Utilizes multiple data sources to examine cancer incidence, mortality, and survival rates in metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: The National Grange
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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