Rural Health
Resources by Topic: Population health
Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Endocrine-Disrupting Pesticides and Breast Cancer Incidence in the United States: An Ecological Analysis
Examines associations between endocrine-disrupting pesticide usage and breast cancer incidence at the county level, using 2001-2015 U.S. Geological Survey Pesticide National Synthesis Project and 2016-2020 NCI State Cancer Profiles data. Includes rural-urban data comparisons.
Author(s): Harish Neelam, Furqan Irfan, Robert Wahl, Kelly A. Hirko
Citation: Cancer Causes & Control, 37, 104
Date: 06/2026
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Examines associations between endocrine-disrupting pesticide usage and breast cancer incidence at the county level, using 2001-2015 U.S. Geological Survey Pesticide National Synthesis Project and 2016-2020 NCI State Cancer Profiles data. Includes rural-urban data comparisons.
Author(s): Harish Neelam, Furqan Irfan, Robert Wahl, Kelly A. Hirko
Citation: Cancer Causes & Control, 37, 104
Date: 06/2026
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Pain in the Nation 2026: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on suicide and well-being in the United States. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Lauren Battle
Date: 06/2026
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on suicide and well-being in the United States. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Lauren Battle
Date: 06/2026
Sponsoring organization: Trust for America's Health
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Transforming Diabetes Management in Rural America: A Qualitative Exploration of a Diabetes Coaching Program Delivered via Telehealth
Details the experiences of 27 rural participants in a telehealth-based Diabetes Self-Management Education and Support Services (DSMES) intervention which took place in 2023 and 2024. Covers topics including program structure, impacts on quality of life, program engagement, lifestyle changes, participant motivations, and more.
Author(s): Catherine Moring, Caroline Brock, Katharine L. Brown, Allison Ford-Wade
Citation: International Journal of Environmental Research and Public Health, 23(6), 696
Date: 05/2026
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Details the experiences of 27 rural participants in a telehealth-based Diabetes Self-Management Education and Support Services (DSMES) intervention which took place in 2023 and 2024. Covers topics including program structure, impacts on quality of life, program engagement, lifestyle changes, participant motivations, and more.
Author(s): Catherine Moring, Caroline Brock, Katharine L. Brown, Allison Ford-Wade
Citation: International Journal of Environmental Research and Public Health, 23(6), 696
Date: 05/2026
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2025 Pennsylvania Farm Fatal Injury Summary
Summarizes data related to farm fatal injuries in Pennsylvania in 2025. Includes statistics on victim demographics, types of injuries, and events leading to fatal injuries, and features a county-level map showing numbers of farm fatalities.
Author(s): Florence Becot
Date: 05/2026
Sponsoring organization: Penn State Extension
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Summarizes data related to farm fatal injuries in Pennsylvania in 2025. Includes statistics on victim demographics, types of injuries, and events leading to fatal injuries, and features a county-level map showing numbers of farm fatalities.
Author(s): Florence Becot
Date: 05/2026
Sponsoring organization: Penn State Extension
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Rural-Urban Disparity in Postacute Care and 1-Year Outcomes After Ischemic Stroke
Examines how postacute stroke care varies among rural and urban-dwelling ischemic stroke patients, and how mortality, readmission, and home time varied at 1 year. Uses 2017-2022 Medicare beneficiary data.
Author(s): Shumei Man, Jie-Lena Sun, Brooke Alhanti, et al.
Citation: Stroke, 57(7), 2138-2149
Date: 05/2026
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Examines how postacute stroke care varies among rural and urban-dwelling ischemic stroke patients, and how mortality, readmission, and home time varied at 1 year. Uses 2017-2022 Medicare beneficiary data.
Author(s): Shumei Man, Jie-Lena Sun, Brooke Alhanti, et al.
Citation: Stroke, 57(7), 2138-2149
Date: 05/2026
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Wisconsin State Health Assessment 2025
Provides an overview of population health in Wisconsin, focusing on demographics, social determinants of health, health behaviors, health outcomes, and community health infrastructure. Includes rural versus urban and county-level data points and discusses key health issues in Wisconsin.
Date: 05/2026
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of population health in Wisconsin, focusing on demographics, social determinants of health, health behaviors, health outcomes, and community health infrastructure. Includes rural versus urban and county-level data points and discusses key health issues in Wisconsin.
Date: 05/2026
Sponsoring organization: Wisconsin Department of Health Services
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Comparing Patient and Provider Perspectives on a Rural, Multilevel, Community-Engaged Food Is Medicine Intervention
Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Equine-Related Injuries in Rural Oklahoma: A 10-Year Experience Emphasizing Genitourinary Trauma
Examines how equine-related injuries differed by mechanism, location, genitourinary injury prevalence, and severity in Oklahoma, using May 2015 through December 2025 trauma registry data on 259 injuries. Discusses how predominantly rural activities including ranching and recreation influence horse-related injury prevalence.
Author(s): James Charles, Vsevolod Shurkhay, Jianqiang Huo, et al.
Citation: World Journal of Urology, 44(1), 378
Date: 05/2026
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Examines how equine-related injuries differed by mechanism, location, genitourinary injury prevalence, and severity in Oklahoma, using May 2015 through December 2025 trauma registry data on 259 injuries. Discusses how predominantly rural activities including ranching and recreation influence horse-related injury prevalence.
Author(s): James Charles, Vsevolod Shurkhay, Jianqiang Huo, et al.
Citation: World Journal of Urology, 44(1), 378
Date: 05/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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