Rural Health
Resources by Topic: Rural-urban differences
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Association Between the Declining Conversion Factor and Access to Care for Medicare Beneficiaries
Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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Rural America's Funding Gap: Why Place-Based Investment Matters | Uneven Ground Webinar
Webinar presenting and discussing findings from Uneven Ground: Local Public Funding Gaps Between Rural and Nonrural America, a report on gaps in rural public investment. Discusses the impacts of public funding systems and policy on rural community development and highlights effective approaches to targeted public investment. Transcript available via video description.
Author(s): Amanda Weinstein, Matt Dunne, Tony Pipa, et al.
Date: 07/2026
Sponsoring organization: Center on Rural Innovation
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Webinar presenting and discussing findings from Uneven Ground: Local Public Funding Gaps Between Rural and Nonrural America, a report on gaps in rural public investment. Discusses the impacts of public funding systems and policy on rural community development and highlights effective approaches to targeted public investment. Transcript available via video description.
Author(s): Amanda Weinstein, Matt Dunne, Tony Pipa, et al.
Date: 07/2026
Sponsoring organization: Center on Rural Innovation
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2025
Explores 2025 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 07/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Explores 2025 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 07/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prevalence and Correlates of Social Risks and Receipt of Resources Among Rural and Urban Veterans
Examines social risks, needs screenings, and resource referrals for veterans. Utilizes 2024-2025 Assessing Circumstances and Offering Resources for Needs (ACORN) data from 92,017 veterans to examine social risks and follow-up referrals in rural versus urban veterans.
Author(s): Lauren E. Russell, Sarah M. Leder, Jenny K. Cohen, et al.
Citation: Journal of Rural Health, 42(3), e70186
Date: 07/2026
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Examines social risks, needs screenings, and resource referrals for veterans. Utilizes 2024-2025 Assessing Circumstances and Offering Resources for Needs (ACORN) data from 92,017 veterans to examine social risks and follow-up referrals in rural versus urban veterans.
Author(s): Lauren E. Russell, Sarah M. Leder, Jenny K. Cohen, et al.
Citation: Journal of Rural Health, 42(3), e70186
Date: 07/2026
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National Trends in Bone-Metastatic Prostate Cancer Mortality in the United States, 1999–2024: A Multiple-Cause-of-Death Analysis with Projections to 2040
Examines trends in prostate cancer mortality with bone metastasis as a contributing cause using 1999-2024 CDC WONDER data. Includes demographic and rural-urban data comparisons.
Author(s): Kanza Atif, Eshal Atif, Vishan Das, Alaa Eldeeb
Citation: Frontiers in Oncology, 16, 1882666
Date: 07/2026
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Examines trends in prostate cancer mortality with bone metastasis as a contributing cause using 1999-2024 CDC WONDER data. Includes demographic and rural-urban data comparisons.
Author(s): Kanza Atif, Eshal Atif, Vishan Das, Alaa Eldeeb
Citation: Frontiers in Oncology, 16, 1882666
Date: 07/2026
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