Rural Health
Resources by Topic: Rural-urban differences
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Rural Access to Certified Community Behavioral Health Clinics (CCBHCs)
Examines access to, and services offered by, Certified Community Behavioral Health Clinics (CCBHCs) in rural and urban communities. Also compares services at CCBHCs with those offered at other mental health clinics. Features state-level maps showing CCBHC counts by state, and statistics on services counts in CCBHCs and other mental health facilities, with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jeffrey Talbert
Date: 05/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Examines access to, and services offered by, Certified Community Behavioral Health Clinics (CCBHCs) in rural and urban communities. Also compares services at CCBHCs with those offered at other mental health clinics. Features state-level maps showing CCBHC counts by state, and statistics on services counts in CCBHCs and other mental health facilities, with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jeffrey Talbert
Date: 05/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Rural and Urban Differences in Suicide in the United States, 2018-2021
Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Traffic Safety Facts, 2023 Data: Large Trucks
National data on fatal and nonfatal traffic crashes involving commercial and noncommercial trucks weighing more than 10,000 pounds. Features statistics from 2014-2023 with breakdowns by involvement rate per 100,000 registered trucks, crash characteristics, estimated proportion of alcohol-impaired drivers, previous 5-year driving records of drivers in fatal crashes, time of day and week, state, and rural or urban location.
Date: 04/2025
Sponsoring organization: National Highway Traffic Safety Administration
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National data on fatal and nonfatal traffic crashes involving commercial and noncommercial trucks weighing more than 10,000 pounds. Features statistics from 2014-2023 with breakdowns by involvement rate per 100,000 registered trucks, crash characteristics, estimated proportion of alcohol-impaired drivers, previous 5-year driving records of drivers in fatal crashes, time of day and week, state, and rural or urban location.
Date: 04/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Children
Fact sheet containing information on fatal and non-fatal motor vehicle traffic crashes involving children 14 years of age and younger. Includes statistics on child traffic fatality rates per 100,000 child population and fatality rates by age group from 2014-2023, passenger vehicle occupants by survival status, age group, and restraint use in 2023, driver's blood alcohol level in fatal crashes, and percentages of child pedestrian and child pedalcyclist fatalities with breakdowns by urban and rural location. Features tables with child fatalities by state and age group in 2023.
Date: 04/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Fact sheet containing information on fatal and non-fatal motor vehicle traffic crashes involving children 14 years of age and younger. Includes statistics on child traffic fatality rates per 100,000 child population and fatality rates by age group from 2014-2023, passenger vehicle occupants by survival status, age group, and restraint use in 2023, driver's blood alcohol level in fatal crashes, and percentages of child pedestrian and child pedalcyclist fatalities with breakdowns by urban and rural location. Features tables with child fatalities by state and age group in 2023.
Date: 04/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Characteristics of Adults Age 18 and Older Who Took Prescription Medication for Depression: United States, 2023
Provides 2023 data on the characteristics of adults who took prescription medication for depression. Includes a breakdown by region and urbanization level, including nonmetropolitan, medium and small metropolitan, large fringe metropolitan, or large central metropolitan area.
Author(s): Nazik Elgaddal, Julie D. Weeks, Laryssa Mykyta
Date: 04/2025
Sponsoring organization: National Center for Health Statistics
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Provides 2023 data on the characteristics of adults who took prescription medication for depression. Includes a breakdown by region and urbanization level, including nonmetropolitan, medium and small metropolitan, large fringe metropolitan, or large central metropolitan area.
Author(s): Nazik Elgaddal, Julie D. Weeks, Laryssa Mykyta
Date: 04/2025
Sponsoring organization: National Center for Health Statistics
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Are HHC Scores a Reliable Health Status Indicator Across Rural and Urban Areas?
Examines differences in Centers for Medicare & Medicaid Services Hierarchical Condition Category (HCC) risk scores between rural and urban Medicare Fee-for-Service (FFS) beneficiaries and analyzes which factors drive observed differences. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas for 4 chronic conditions in 2019-2020.
Author(s): Craig D. Holden, Alana Knudson, Marilyn Klug, Samantha Augenbraun, Shena Popat
Date: 04/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Examines differences in Centers for Medicare & Medicaid Services Hierarchical Condition Category (HCC) risk scores between rural and urban Medicare Fee-for-Service (FFS) beneficiaries and analyzes which factors drive observed differences. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas for 4 chronic conditions in 2019-2020.
Author(s): Craig D. Holden, Alana Knudson, Marilyn Klug, Samantha Augenbraun, Shena Popat
Date: 04/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Notes from the Field: Suicidal Thoughts and Knowing Someone Who Died by Suicide Among Adults — United States, 2023
Estimates the number of U.S. adults who had suicidal thoughts during the past 12 months and the number who personally knew someone who died by suicide. Includes data by metropolitan and nonmetro areas.
Author(s): Bhavna Singichetti, Jing Wang, Robin Lee, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 213-215
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Estimates the number of U.S. adults who had suicidal thoughts during the past 12 months and the number who personally knew someone who died by suicide. Includes data by metropolitan and nonmetro areas.
Author(s): Bhavna Singichetti, Jing Wang, Robin Lee, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 213-215
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Controlled Substance Prescribing Patterns Among Fatal Overdose Decedents with an Opioid, Stimulant, or Both Contributing to Death — Pennsylvania, 2017–2022
Reports on deaths involving opioids without stimulants, deaths involving stimulants without opioids, and deaths involving both opioids and stimulants in Pennsylvania between 2017 and 2022. Includes data for rural and urban areas. Discusses the role of opioid prescribing on overdose deaths.
Author(s): Stephanie Hayden, Stanley M. Murzynski, Ashley Bolton, Carrie Thomas Goetz
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 205-209
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on deaths involving opioids without stimulants, deaths involving stimulants without opioids, and deaths involving both opioids and stimulants in Pennsylvania between 2017 and 2022. Includes data for rural and urban areas. Discusses the role of opioid prescribing on overdose deaths.
Author(s): Stephanie Hayden, Stanley M. Murzynski, Ashley Bolton, Carrie Thomas Goetz
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 205-209
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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County Characteristics Associated With Receipt of Food Boxes Through the Farmers to Families Food Box Program
Reports on county-level food box distribution through the USDA Farmers to Families Food Box Program between May 2020 and May 2021. Provides data on program funding and characteristics of food distributed by program round. Examines associations between likelihood of receiving food boxes and county-level rurality, access to food, and other demographic factors.
Additional links: Report Summary
Author(s): Keenan Marchesi, Saied Toossi, Katy Georg
Date: 04/2025
Sponsoring organization: USDA Economic Research Service
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Reports on county-level food box distribution through the USDA Farmers to Families Food Box Program between May 2020 and May 2021. Provides data on program funding and characteristics of food distributed by program round. Examines associations between likelihood of receiving food boxes and county-level rurality, access to food, and other demographic factors.
Additional links: Report Summary
Author(s): Keenan Marchesi, Saied Toossi, Katy Georg
Date: 04/2025
Sponsoring organization: USDA Economic Research Service
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