Rural Health
Resources by Topic: Rural-urban differences
Nicotine and Tobacco Product Use among US Youth in 10th and 12th Grade, 2023–2025: A Repeated Cross-Sectional Study
Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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Examines trends in youth nicotine, tobacco, and multi-product co-use. Utilizes 2023-2025 survey data from 10th and 12th graders and analyzes lifetime use and past 30-day use of various nicotine and tobacco products according to grade, demographics, parent education, and school location of urban, suburban/town, or rural.
Author(s): Dayoung Bae, Junhan Cho, Alyssa F. Harlow, et al.
Citation: The Lancet Regional Health – Americas, 65, 101673
Date: 01/2027
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The Association of Hospital Characteristics With Medicaid Managed Care Hospital Prices
Examines the relationship between hospital characteristics and Medicaid facility prices for routine procedures. Utilizes 2021-2023 facility claims data from Elevance Health-affiliated Medicaid plans, alongside American Hospital Directory data, to compare prices by Critical Access Hospital (CAH) and children's hospital status, ownership (for-profit, religiously affiliated, or government), teaching status, system affiliation, rurality, and size.
Author(s): Brett Alfrey, Benjamin Ukert, Aliza S. Gordon
Citation: Health Services Research, 61(6), e70178
Date: 12/2026
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Examines the relationship between hospital characteristics and Medicaid facility prices for routine procedures. Utilizes 2021-2023 facility claims data from Elevance Health-affiliated Medicaid plans, alongside American Hospital Directory data, to compare prices by Critical Access Hospital (CAH) and children's hospital status, ownership (for-profit, religiously affiliated, or government), teaching status, system affiliation, rurality, and size.
Author(s): Brett Alfrey, Benjamin Ukert, Aliza S. Gordon
Citation: Health Services Research, 61(6), e70178
Date: 12/2026
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Medicare Advantage Enrollment Update, 2026
Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2016-2026. Discusses how policy changes may have influenced MA enrollment dynamics.
Author(s): Fred Ullrich, Keith Mueller
Date: 11/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2016-2026. Discusses how policy changes may have influenced MA enrollment dynamics.
Author(s): Fred Ullrich, Keith Mueller
Date: 11/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Distribution and Accessibility of Board-Certified Pharmacists: A Cross-Sectional Geospatial Study
Examines the composition, accessibility, and geographic distribution of board-certified pharmacists (BCPs) in the United States. Uses 2026 Board of Pharmacy Specialties data to analyze distribution of BCPs by specialty, state, and metropolitan, micropolitan, or small town/rural location. Includes county-level U.S. maps showing distribution of BCPs as well as BCP density per 100,000 residents.
Author(s): Krystal K. Haase, Eric J. MacLaughlin, Amanda N. Charlton
Citation: Journal of the American College of Clinical Pharmacy, 9(11), e70318
Date: 11/2026
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Examines the composition, accessibility, and geographic distribution of board-certified pharmacists (BCPs) in the United States. Uses 2026 Board of Pharmacy Specialties data to analyze distribution of BCPs by specialty, state, and metropolitan, micropolitan, or small town/rural location. Includes county-level U.S. maps showing distribution of BCPs as well as BCP density per 100,000 residents.
Author(s): Krystal K. Haase, Eric J. MacLaughlin, Amanda N. Charlton
Citation: Journal of the American College of Clinical Pharmacy, 9(11), e70318
Date: 11/2026
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Access to WIC-Authorized Vendors and High-Speed Internet Services Varies Across U.S. Urban and Rural Areas
Color-coded map showing how access to fixed high-speed Internet services and vendors authorized by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) varies by census tract.
Author(s): Leslie Hodges, David Marquardt
Date: 11/2026
Sponsoring organization: USDA Economic Research Service
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Color-coded map showing how access to fixed high-speed Internet services and vendors authorized by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) varies by census tract.
Author(s): Leslie Hodges, David Marquardt
Date: 11/2026
Sponsoring organization: USDA Economic Research Service
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report
Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural-Urban Differences for Integrated First Responder and Drone Automated External Defibrillator Delivery in North Carolina
Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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Urban-Rural Variability in Infant Formula Availability and Product Variety in United States Counties from 2022 to 2024
Examines infant formula variety and availability across rural and urban U.S. counties. Utilizes 2022-2024 infant formula product listing data as well as Household Pulse Survey data to analyze metro versus nonmetro differences in households using infant formula, difficulty in purchasing formula, and number of unique formula products by county.
Author(s): Gavin J. Fenske, Jessica E. Todd, Saied Toossi, Latasha A. Robinson, Jane M. Van Doren
Citation: Journal of Food Protection, 89(11), 100916
Date: 11/2026
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Examines infant formula variety and availability across rural and urban U.S. counties. Utilizes 2022-2024 infant formula product listing data as well as Household Pulse Survey data to analyze metro versus nonmetro differences in households using infant formula, difficulty in purchasing formula, and number of unique formula products by county.
Author(s): Gavin J. Fenske, Jessica E. Todd, Saied Toossi, Latasha A. Robinson, Jane M. Van Doren
Citation: Journal of Food Protection, 89(11), 100916
Date: 11/2026
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Differential Effects of Social Determinants on Cancer Survival by Age at Diagnosis: A Population-Based Study in Alabama
Examines whether the impact of social determinants of health (SDOH) on cancer survival differs by age at diagnosis. Utilizes 2010-2019 Alabama Statewide Cancer Registry data on adults diagnosed with breast, prostate, colorectal, or lung cancers and analyzes survival rate alongside social vulnerability, rurality, and insurance status.
Author(s): Mackenzie E. Fowler, Geetanjali Saini, Elizabeth Baker, Mahak Bhargava, Ritu Aneja
Citation: Journal of Geriatric Oncology, 17(8), 103094
Date: 11/2026
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Examines whether the impact of social determinants of health (SDOH) on cancer survival differs by age at diagnosis. Utilizes 2010-2019 Alabama Statewide Cancer Registry data on adults diagnosed with breast, prostate, colorectal, or lung cancers and analyzes survival rate alongside social vulnerability, rurality, and insurance status.
Author(s): Mackenzie E. Fowler, Geetanjali Saini, Elizabeth Baker, Mahak Bhargava, Ritu Aneja
Citation: Journal of Geriatric Oncology, 17(8), 103094
Date: 11/2026
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Association Between Rural Attitudes in Family Medicine Residency and Rural Employment
Explores rural family medicine residents' attitudes at residency completion and how they are associated with subsequent rural employment. Based on data from a study conducted from 2021-2025 survey of residents in two Mountain Area Health Education Center programs.
Author(s): Bryan Hodge, Julianne M. Power, Gwyneth DeHart, et al.
Citation: Family Medicine, 58(10), 799-803
Date: 11/2026
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Explores rural family medicine residents' attitudes at residency completion and how they are associated with subsequent rural employment. Based on data from a study conducted from 2021-2025 survey of residents in two Mountain Area Health Education Center programs.
Author(s): Bryan Hodge, Julianne M. Power, Gwyneth DeHart, et al.
Citation: Family Medicine, 58(10), 799-803
Date: 11/2026
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