Rural Health
Resources by Topic: Rural-urban differences
Supply, Distribution, and Access to Cardiologists, Oncologists, and Pulmonologists in the Rural and Urban U.S.
Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Small Area Income and Poverty Estimates: 2023
Highlights from the 2023 Small Area Income and Poverty Estimates (SAIPE), which provides single-year median household income and poverty statistics. Includes county-level maps showing income and poverty rates in 2023 and changes from 2022 to 2023 for the total population and children.
Additional links: Small Area Income and Poverty Estimates: 2023 Report
Author(s): Sara B. Robinson, Sam A. Shirazi
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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Highlights from the 2023 Small Area Income and Poverty Estimates (SAIPE), which provides single-year median household income and poverty statistics. Includes county-level maps showing income and poverty rates in 2023 and changes from 2022 to 2023 for the total population and children.
Additional links: Small Area Income and Poverty Estimates: 2023 Report
Author(s): Sara B. Robinson, Sam A. Shirazi
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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Ambulatory Care for Individuals Dually Eligible for Medicare and Medicaid
Compares ambulatory services utilization for more than 5.5 million dual and non-dual Medicaid and Medicare individuals. Describes the rural or urban status of the population studied as well as whether services were utilized in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), among other demographic and service related factors.
Author(s): Joshua M. Liao, Paula Chatterjee, Yueming Zhao, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Compares ambulatory services utilization for more than 5.5 million dual and non-dual Medicaid and Medicare individuals. Describes the rural or urban status of the population studied as well as whether services were utilized in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), among other demographic and service related factors.
Author(s): Joshua M. Liao, Paula Chatterjee, Yueming Zhao, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Geographic Disparities by Rural-Urban Status and Drive Time to Care in Tobacco Treatment for COPD
Explores the potential relationship between the drive-time to tobacco dependence treatment (TDT) services and the development of COPD among smokers. Details distances of rural smokers to TDT services. Draws from Veterans Affairs data and breaks down data by demographic characteristics, treatment type, and rural versus urban location, among other measures.
Author(s): Arianne K. Baldomero, Anne C. Melzer, Ken M. Kunisaki, et al.
Citation: JAMA Network Open, 8(8), e2528898
Date: 08/2025
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Explores the potential relationship between the drive-time to tobacco dependence treatment (TDT) services and the development of COPD among smokers. Details distances of rural smokers to TDT services. Draws from Veterans Affairs data and breaks down data by demographic characteristics, treatment type, and rural versus urban location, among other measures.
Author(s): Arianne K. Baldomero, Anne C. Melzer, Ken M. Kunisaki, et al.
Citation: JAMA Network Open, 8(8), e2528898
Date: 08/2025
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Trends in Births and Deaths: United States, 2010–2023
Offers data showing trends in births and deaths between 2010 and 2023 by demographic and geographic factors including urbanicity.
Author(s): Brady E. Hamilton, Anne K. Driscoll, Arialdi M. Miniño
Citation: National Vital Statistics Reports, 74(11)
Date: 08/2025
Sponsoring organization: National Center for Health Statistics
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Offers data showing trends in births and deaths between 2010 and 2023 by demographic and geographic factors including urbanicity.
Author(s): Brady E. Hamilton, Anne K. Driscoll, Arialdi M. Miniño
Citation: National Vital Statistics Reports, 74(11)
Date: 08/2025
Sponsoring organization: National Center for Health Statistics
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Drug Overdose Deaths in Kentucky, 2019–2024: Are We Back to Pre-COVID-19 Levels?
Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Rural County Population Growth Has Continued in Recent Years
Chart showing the percent change from the previous year for the U.S. population by rural or urban county status. Includes years from 1971 until 2024.
Author(s): Justin B. Winikoff
Date: 08/2025
Sponsoring organization: USDA Economic Research Service
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Chart showing the percent change from the previous year for the U.S. population by rural or urban county status. Includes years from 1971 until 2024.
Author(s): Justin B. Winikoff
Date: 08/2025
Sponsoring organization: USDA Economic Research Service
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California Tobacco Facts and Figures 2025
Reports data on current use and trends in tobacco use and tobacco-related behaviors in California. Includes demographic breakdowns, including rural-urban comparisons, in addition to county-level data for select topics.
Date: 08/2025
Sponsoring organization: California Department of Public Health
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Reports data on current use and trends in tobacco use and tobacco-related behaviors in California. Includes demographic breakdowns, including rural-urban comparisons, in addition to county-level data for select topics.
Date: 08/2025
Sponsoring organization: California Department of Public Health
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Association of Injury-Related Mortality with Unique Domains of Social Determinants of Health Across the Urban-Rural Continuum
Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 08/2025
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Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 08/2025
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Trends in Mental Health Care Utilization in Rural and Nonrural Areas, 2019-2023
Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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