Rural Health
Resources by Topic: Rural-urban differences
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Geographic, Racial, and Sex Disparities in Time to Treatment for Early-Onset Colorectal Cancer
Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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Impact of Age and Rurality on Colorectal Cancer Outcomes in the United States
Examines how colorectal cancer stage at diagnosis and mortality differ based on age and rurality, using 2006-2020 SEER Program data. Includes rural versus nonrural data comparisons by age bracket.
Author(s): Caitlyn Grunert, Meng-Han Tsai, Charles R. Rogers, et al.
Citation: Cancer Causes & Control, 37, 61
Date: 03/2026
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Examines how colorectal cancer stage at diagnosis and mortality differ based on age and rurality, using 2006-2020 SEER Program data. Includes rural versus nonrural data comparisons by age bracket.
Author(s): Caitlyn Grunert, Meng-Han Tsai, Charles R. Rogers, et al.
Citation: Cancer Causes & Control, 37, 61
Date: 03/2026
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Health Insurance Coverage and Rural–Urban Differences in Maternal Health Care Among Postpartum Women—National Health Interview Survey
Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Health Insurance Coverage in Rural and Urban Missouri: Update
Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Rural Specialty Care for Veterans with the Chronic Overlapping Pain Conditions: Fibromyalgia, Migraine, or Irritable Bowel Syndrome
Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Trends in Cancer-and Respiratory Failure-Related Mortality in the US Adult Population: An Analysis of the CDC WONDER Database from 1999 to 2023
Examines how trends in respiratory failure-associated mortality among adults with cancer differ by rurality, state, age, sex, and other demographics, using 1999-2023 CDC WONDER data.
Author(s): Chengchi Xia, Tianshu Rong, Baoqing Wang
Citation: Frontiers in Cancer Control and Society, 4
Date: 03/2026
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Examines how trends in respiratory failure-associated mortality among adults with cancer differ by rurality, state, age, sex, and other demographics, using 1999-2023 CDC WONDER data.
Author(s): Chengchi Xia, Tianshu Rong, Baoqing Wang
Citation: Frontiers in Cancer Control and Society, 4
Date: 03/2026
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The State of Rural Minnesota: 2026
Presents an overview of rural Minnesota. Includes interactive county-level data and statistics on population migration, economic vitality, employment, income, demographics, rural versus urban comparisons, and more.
Additional links: Summary Presentation
Author(s): Kelly Asche, Marnie Werner
Date: 03/2026
Sponsoring organization: Center for Rural Policy and Development
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Presents an overview of rural Minnesota. Includes interactive county-level data and statistics on population migration, economic vitality, employment, income, demographics, rural versus urban comparisons, and more.
Additional links: Summary Presentation
Author(s): Kelly Asche, Marnie Werner
Date: 03/2026
Sponsoring organization: Center for Rural Policy and Development
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Rural America's Philanthropic Sector: Grantmaking and The Role of Philanthropy in Rural Communities
Discusses philanthropy in rural and urban communities including the geographic distribution of philanthropic organizations, types of organizations, and topic areas of giving. Includes maps and charts highlighting key study findings.
Additional links: The Geography of Rural America's Philanthropic Sector
Date: 03/2026
Sponsoring organization: USDA Rural Development
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Discusses philanthropy in rural and urban communities including the geographic distribution of philanthropic organizations, types of organizations, and topic areas of giving. Includes maps and charts highlighting key study findings.
Additional links: The Geography of Rural America's Philanthropic Sector
Date: 03/2026
Sponsoring organization: USDA Rural Development
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