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Rural Health
Resources by Topic: Mortality

Assessment of Disparities in Diabetes Mortality in Adults in US Rural vs Nonrural Counties, 1999-2018
Explores disparities in diabetes mortality based on county urbanization, comparing data from 1999-2000 through 2017-2018. Includes statistics with breakdowns by sex, age group, region, four 2-year periods, and 3 levels of population density.
Author(s): Sagar B. Dugani, Christina M. Wood-Wentz, Michelle M. Mielke, Kent R. Bailey, Adrian Vella
Citation: JAMA Network Open, 5(9), e2232318
Date: 09/2022
Type: Document
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Accuracy of Behavioral Health Variables in Oregon National Violent Death Reporting System Data: A Linked Cohort Study
Highlights a study on the accuracy of the reported behavioral health variables in the National Violent Death Reporting System (NVDRS) linked with Veterans Affairs data from 2003-2017 in Oregon. Compares VA and NVDRS behavioral health variables, such as post-traumatic stress disorder, substance use disorders, depression, and rurality of resident location, among others.
Author(s): Kathleen F. Carlson, Tess A. Gilbert, Susan DeFrancesco, et al.
Citation: Injury Epidemiology, 9, 29
Date: 09/2022
Type: Document
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Suicides Among American Indian or Alaska Native Persons — National Violent Death Reporting System, United States, 2015–2020
Examines differences in suicide characteristics and contributing circumstances among American Indian or Alaska Native (AI/AN) populations and non-AI/AN populations. Includes data for metropolitan and nonmetro areas.
Author(s): Deborah Stone, Eva Trinh, Hong Zhou, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(37), 1161-1168
Date: 09/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Evaluating Disparities in Traffic Fatalities by Race, Ethnicity, and Income
Describes disparities in traffic safety among different race-ethnicity groups and income rates, based on fatal police-reported motor vehicle traffic crashes from 2014-2018 on public roadways. Explores the effect of risky behaviors on fatalities including alcohol use, restraint use, handheld electronic device use, and speeding. Features statistics including distribution of traffic fatalities by race-ethnicity in 2018, with breakdowns by urban and rural areas.
Author(s): Donna Glassbrenner, Gabrielle Herbert, Leah Reish, Caitlin Webb, Tonja Lindsey
Date: 09/2022
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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America's Rural Roads: Beautiful and Deadly
Examines rural road fatal crashes using data for years 2016-2020. Describes where people crash on rural roads, who crashes, and what risky behaviors may contribute to crashes. Includes statistics on road fatalities, proportions of rural and urban population compared with proportions of road fatalities, fatalities per vehicle miles traveled, crash type and vehicle type, sex, race and ethnicity, age, alcohol use, drug involvement, and speeding, with breakdowns by rural or urban location. Includes state-level statistics on fatalities by state maximum speed limit.
Author(s): Paula Raymond
Date: 09/2022
Type: Document
Sponsoring organizations: Governors Highway Safety Association, State Farm
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The Association of Crash Response Times and Deaths at the Crash Scene: A Cross-Sectional Analysis Using the 2019 National Emergency Medical Service Information System
Compares EMS response times with rates of crash scene deaths by rural and urban region and by rush and non-rush hour periods. Breaks down the demographic characteristics of the people involved in the crash, such as age, sex, substances involved, and injuries, as well as mortality and rurality, among other measures.
Author(s): Oluwaseun J. Adeyemi, Rajib Paul, Charles DiMaggio, et al.
Citation: Journal of Rural Health, 38(4), 1011-1024
Date: 09/2022
Type: Document
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Coroner/Medical Examiner Services in Pennsylvania
Provides information about Pennsylvania coroner/medical examiners (C/MEs), including office caseloads, funding, facilities, forensic capacity, vehicles and equipment, and staffing and training resources. Assesses how the opioid epidemic and the COVID-19 pandemic affected county C/ME offices in urban and rural areas. Features statistics including deaths from COVID-19 and drug overdose from 2015-2021, with breakdowns by urban and rural counties.
Additional links: Executive Summary
Author(s): Harry D. Holt, Ramona Stone, Christina VandePol
Date: 08/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Type: Audio
Sponsoring organization: Freakonomics
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Rural-Urban Disparities in Place of Death in Hematologic Malignancies in the United States, 2003 to 2019
Examines place of death (POD) by home, hospice, or nursing/medical facility due to hematologic malignancy mortalities that occurred between 2013 and 2019. Analyzes 1,009,717 deaths recorded in the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database and breaks down POD by large metropolitan, medium/small metropolitan, and rural metropolitan. Discusses disparities in urban and rural community access to end-of-life resources.
Author(s): S. M. Qasim Hussaini, Amanda L. Blackford, Arjun Gupta, et al.
Citation: Blood Advances, 6(16), 4731-4734
Date: 08/2022
Type: Document
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New Mexico Substance Use Epidemiology Profile
Provides county-level data on substance use in New Mexico for youth and adults, with breakdowns by race/ethnicity. Covers alcohol, illicit drugs, tobacco, and mental health. Addresses deaths due to drug overdoses, smoking, alcohol, suicide, alcohol-related chronic disease, and motor vehicle crashes. Includes emergency room visits related to opioid overdoses, and chronic liver disease hospital discharges.
Date: 08/2022
Type: Document
Sponsoring organization: New Mexico Department of Health
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