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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Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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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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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults
Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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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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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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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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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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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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