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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Prioritizing High-Volume Repair Hospitals with Ruptured Abdominal Aortic Aneurysms, for Rural and Nonrural Patients
Examines associations between in-hospital ruptured abdominal aortic aneurysm (rAAA) mortality, hospital rAAA repair volume, patient rurality, and patient transfer status, using 2015-2020 Healthcare Cost and Utilization Project State Inpatient Database (HCUP SID) data of 1,744 patients who underwent rAAA repair in New York and Florida.
Author(s): Neha H. Shetty, Hasan Nassereldine, Kristina E. Rudd, et al.
Citation: Journal of Vascular Surgery, 83(4), 1089-1099
Date: 04/2026
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Examines associations between in-hospital ruptured abdominal aortic aneurysm (rAAA) mortality, hospital rAAA repair volume, patient rurality, and patient transfer status, using 2015-2020 Healthcare Cost and Utilization Project State Inpatient Database (HCUP SID) data of 1,744 patients who underwent rAAA repair in New York and Florida.
Author(s): Neha H. Shetty, Hasan Nassereldine, Kristina E. Rudd, et al.
Citation: Journal of Vascular Surgery, 83(4), 1089-1099
Date: 04/2026
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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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Vaccination Coverage by Age 24 Months Among Children Born in 2021 and 2022 — National Immunization Survey-Child, United States, 2022–2024
Examines vaccination coverage for selected vaccines and doses among children born in 2021-2022. Supplementary Table 2 includes data on vaccine coverage for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(11), 146-155
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Examines vaccination coverage for selected vaccines and doses among children born in 2021-2022. Supplementary Table 2 includes data on vaccine coverage for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(11), 146-155
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Cigarette and Electronic Cigarette Use Among Adults by Urbanization Level: United States, 2024
Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Dentist Workforce and Dental Care Utilization in the Rural and Urban U.S.
Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Slow Growth Impacts Nation's Largest Counties Hardest: Diminishing Population Gains in Metro Areas Highlight Nationwide Trend
Discusses how county-level population growth varied between 2023-2024 and 2024-2025, with data breakdowns by level of rurality and for specific metropolitan and micropolitan areas.
Date: 03/2026
Sponsoring organization: U.S. Census Bureau
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Discusses how county-level population growth varied between 2023-2024 and 2024-2025, with data breakdowns by level of rurality and for specific metropolitan and micropolitan areas.
Date: 03/2026
Sponsoring organization: U.S. Census Bureau
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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025
Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Bridging the Gap: A Scoping Review of Family Caregiver Roles in Rural Health Settings
Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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