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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
Type: Document
Sponsoring organization: Mathematica
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Teachers of Students With Disabilities in Rural Public and Private Schools
Provides percentages of public and private school teachers whose main teaching assignment was special education or who had a student with a disability in their class, broken down by city, suburban, town, or rural locale.
Date: 07/2024
Type: Document
Sponsoring organization: National Center for Education Statistics
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Spatial Accessibility and Uptake of Pediatric COVID-19 Vaccinations by Social Vulnerability
Examines pediatric uptake of COVID-19 vaccines by vaccination site, travel time to nearest site, and county-level social vulnerability. Utilizes 2022 U.S. Vaccine Tracking System data to analyze 15,233,956 vaccine doses administered across 27,526 sites, with breakdowns according to sociodemographics, including rural versus urban location.
Author(s): Rohan Khazanchi, Benjamin Rader, Jonathan Cantor, et al.
Citation: Pediatrics
Date: 07/2024
Type: Document
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Report on Indicators of School Crime and Safety: 2023
Presents information on issues such as crime, safety, use of illegal substances, and bullying in schools utilizing multiple national datasets. Includes statistics on school shootings, non-fatal violent crime, school reports on crime and discipline problems, and more. Provides statistics on percentage of schools offering mental health services as well as prevalence of bullying broken down by city, suburban, town, and rural.
Author(s): Véronique Irwin, Ke Wang, Jiashan Cui, Alexandra Thompson
Date: 07/2024
Type: Document
Sponsoring organization: National Center for Education Statistics
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Fewer Hospitalized Medicare Beneficiaries Are Receiving Recommended Home Health Care
Describes trends in Medicare patients' receipt of recommended home health services following a hospitalization between 2016 and 2022. Presents data on home health referral completion rates by gender, race, dual eligibility status, rural/urban location, and social deprivation index groups. Discusses factors that could influence home health utilization trends and considerations for policymakers.
Author(s): Marie Steele-Adjognon, Clarence Kelley, Lane Koenig
Date: 07/2024
Type: Document
Sponsoring organizations: Commonwealth Fund, KNG Health Consulting, LLC
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Patterns of Digital Health Access and Use among US Adults: A Latent Class Analysis
Evaluates patterns of access and use of digital technology for health purposes via a latent class analysis of 2017-2020 Health Information National Trends Survey data. See Table 3 for data on people dwelling in metropolitan, non-metropolitan urban, and rural areas.
Author(s): Phillip C. Hegeman, Daniel T. Vader, Kristyn Kamke, Sherine El-Toukhy
Citation: BMC Digital Health, 2, 42
Date: 07/2024
Type: Document
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Adult Smoking Cessation — United States, 2022
Reports estimates of cigarette smoking cessation indicators among U.S. adults. Includes rural and urban data on interest in quitting, past-year attempts to quit smoking, recent successful cessation, health professional assistance and counseling, and use of medication to quit smoking.
Author(s): Brenna VanFrank, Ann Malarcher, Monica E. Cornelius, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(29), 633-641
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Food as Medicine Survey Findings: How Anti-Hunger Organizations Partner With Health Care Providers to Address Food Insecurity
Analyzes how anti-hunger organizations are partnering with healthcare providers and facilities to promote food security and connect patients with federal food assistance programs. Utilizes 2023/2024 quantitative and qualitative survey data from 56 respondents and provides characteristics of the respondent's organization; types of healthcare facilities involved; food assistance programs to which patients are referred; screening and referral process; and demographics of people served, such as race/ethnicity, age group, special populations, and geographic location of urban, suburban, or rural. Includes a case study of the Montana Food Bank Network (MFBN) and their use of mobile food delivery to reach rural populations.
Date: 07/2024
Type: Document
Sponsoring organization: Food Research & Action Center
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Pennsylvania's Population is Declining Faster Than Expected
Fact sheet examining changes in rural and urban Pennsylvania populations between 2020 and 2023. Features statistics with breakdowns by year and a county-level map showing percentages of population increase or decrease.
Date: 07/2024
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health
Data spotlight on mental illness, depression, and suicide among adults during the COVID-19 pandemic. Analyzes disparities and discusses barriers to care related to a variety of sociodemographic factors including geography. See Figures 3, 7, and 8 for data on health professional shortage areas (HPSAs), mental health-related emergency department visits, and suicide deaths by level of rurality.
Date: 07/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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