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Rural Health
Resources by Topic: Rural-urban differences

Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018
Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018
Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016
Study using CDC WONDER data from 3,131 counties over a 49-year period. Features statistics on adjusted and unadjusted mortality rates among people 65 years and older, with breakdowns by race, gender, and urban, rural adjacent, and rural nonadjacent locations.
Author(s): Nasim B. Ferdows, Maria P. Aranda, Julie A. Baldwin, et al.
Citation: JAMA Network Open, 3(8)
Date: 08/2020
Type: Document
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Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009–2017
Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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COVID Urban Rural Explorer (CURE)
Provides data on COVID-19 cases and deaths in metropolitan and nonmetro areas. Identifies nonmetro counties experiencing spikes in COVID-19 cases, and offers county-level data on cases and deaths, the number of hospital beds, and population density.
Date: 08/2020
Type: Website
Sponsoring organization: Washington State University
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Rural-Urban Mental Health Disparities in the United States During COVID-19
Explores rural and urban mental health access during the COVID-19 pandemic. Discusses the expanded use of telehealth, the lack of broadband access, and mental health provider shortages in rural areas.
Author(s): Nicole M. Summers-Gabr
Citation: Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S222-S224
Date: 08/2020
Type: Document
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CDC COVID Data Tracker
Provides access to maps, charts, and data from the CDC on coronavirus disease (COVID-19) and issues related to COVID-19. Includes county-level data on cases and deaths, as well as a mobility section covering transmission and changes in local travel by county and metropolitan/nonmetro status. Also covers many other topics at the state and national level, including testing, demographics, school closures, and more.
Date: 08/2020
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 in Rural America - August 2, 2020
Reports on COVID-19 cases in rural areas between February 20, 2020 and August 2, 2020. Includes maps and charts looking at changes over time, comparing nonmetro to metro cases, and examining rural per capita COVID-19 rates. Based on data collected by the New York Times.
Date: 08/2020
Type: Website
Sponsoring organization: Housing Assistance Council
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National Survey of Area Agencies on Aging 2020 Report and Toolkit
Provides an overview of the work of Area Agencies on Aging (AAAs), covering staffing, budget and services, and initiatives underway at AAAs. Includes information on rural AAAs. Includes state-level reports for states that met the required survey response rate, as well as sample news articles, social media posts, and a customizable presentation slide deck.
Additional links: National Survey of Area Agencies on Aging 2020 Report: Meeting the Needs of Today's Older Adults
Date: 07/2020
Type: Document
Sponsoring organization: National Association of Area Agencies on Aging
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Adolescent and Teenage Pregnancy Report, Kansas, 2018
Summarizes research examining teen pregnancy in Kansas from 2014-2018. Includes rural/urban comparisons and county-level information on pregnancy and birth rates, with data broken down by age and year.
Author(s): Lee Norman, Kay Haug, Cathryn Savage, David Oakley, Greg Crawford
Date: 07/2020
Type: Document
Sponsoring organization: Kansas Department of Health and Environment
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