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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Factors Associated With Mortality in Appalachian Nursing Homes During the COVID-19 Pandemic
Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
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Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
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Influenza Vaccination Coverage Among Nursing Home Residents and Health Care Personnel — United States, 2024–25 Influenza Season
Reports on influenza vaccination during the 2024–25 influenza season for nursing home residents and healthcare workers. Provides pooled influenza coverage data by facility for nursing home residents and for nursing home personnel, with data by urbanicity for metropolitan, micropolitan, and noncore areas.
Author(s): Jeneita M. Bell, Kira Barbre, Lu Meng, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(15), 195-201
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza vaccination during the 2024–25 influenza season for nursing home residents and healthcare workers. Provides pooled influenza coverage data by facility for nursing home residents and for nursing home personnel, with data by urbanicity for metropolitan, micropolitan, and noncore areas.
Author(s): Jeneita M. Bell, Kira Barbre, Lu Meng, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(15), 195-201
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Comparing the Care, Distance Traveled, and Health Workforce Clinician Mix for Rural and Urban Commercially Insured Enrollees With Opioid Use Disorder
Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Comparing the Care and Distance Traveled by Rural and Urban Children and Adolescents with Medicaid Insurance and Opioid Use Disorder
Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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First Covid-19 Vaccination Rates Among Pregnant Tennessee Women by Month of Conception and Urbanization Level: March 2021 - November 2021
Describes rates of COVID-19 vaccination during pregnancy among Tennessee women with a live birth who conceived from March-November 2021. Features statistics with breakdowns by month and by 4 levels of population density.
Author(s): Claudia Valenzuela, Anne K. Driscoll, Elizabeth Harvey, Heather Wingate
Citation: Journal of Appalachian Health, 8(1), 85-95
Date: 04/2026
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Describes rates of COVID-19 vaccination during pregnancy among Tennessee women with a live birth who conceived from March-November 2021. Features statistics with breakdowns by month and by 4 levels of population density.
Author(s): Claudia Valenzuela, Anne K. Driscoll, Elizabeth Harvey, Heather Wingate
Citation: Journal of Appalachian Health, 8(1), 85-95
Date: 04/2026
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National Trends in the Potentially Preventable Hospitalization for Pediatric Asthma, 2016-2020
Describes the trends in potentially preventable hospitalizations for asthma among children 2 to 17 years old between 2016 and 2020. Presents data on the rate of potentially preventable hospitalizations for pediatric asthma by hospital characteristics and patient demographics, including the rural classification of hospitals and patient residence.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Gogoal Falia, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Describes the trends in potentially preventable hospitalizations for asthma among children 2 to 17 years old between 2016 and 2020. Presents data on the rate of potentially preventable hospitalizations for pediatric asthma by hospital characteristics and patient demographics, including the rural classification of hospitals and patient residence.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Gogoal Falia, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Rural Residence and Mental Health among US Veterans: Findings from the Millennium Cohort Study
Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Citation: PLOS One, 21(4), e0346780
Date: 04/2026
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Details a study on the effect rurality, social vulnerability, drive time from Veterans Health Administration (VHA) facilities, and VHA utilization have on the mental health of rural veterans. Breaks down data by participants' age, education, and military service, among other measures.
Author(s): Claire A. Kolaja, Javier Villalobos, Julia Seay, et al.
Citation: PLOS One, 21(4), e0346780
Date: 04/2026
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Prevalence of Selected Chronic Conditions Among Adults Age 45 and Older, by Age and Urbanization Level: United States, 2024
Provides data on the prevalence of heart disease, cancer, chronic obstructive pulmonary disease, and stroke among adults age 45 and older by level of rurality, using data from the 2024 National Health Interview Survey.
Author(s): Xun Wang, Lindsey I. Black
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Provides data on the prevalence of heart disease, cancer, chronic obstructive pulmonary disease, and stroke among adults age 45 and older by level of rurality, using data from the 2024 National Health Interview Survey.
Author(s): Xun Wang, Lindsey I. Black
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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