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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Mortality in Adults Age 65 and Older: United States, 2000–2019
Examines mortality trends in adults aged 65 or older from 2000-2019. Provides data breakdowns according to age group, sex, race/ethnicity, urban versus rural status, and top 10 leading causes of death.
Author(s): Ellen A. Kramarow, Betzaida Tejada-Vera
Citation: National Vital Statistics Reports, 72(14)
Date: 12/2023
Sponsoring organization: National Center for Health Statistics
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Contraceptive Methods Women Have Ever Used: United States, 2015–2019
Examines contraception use among sexually active women aged 15-49. Utilizes 2015-2019 National Survey of Family Growth data and provides breakdowns by contraception type, race/ethnicity, education, religious affiliation, and urban versus rural residence.
Author(s): Kimberly Daniels, Joyce C. Abma
Date: 12/2023
Sponsoring organization: National Center for Health Statistics
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Disparities in Health Measures By Race and Ethnicity Among Beneficiaries in Medicare Advantage: A Review of the Literature
Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Sponsoring organization: KFF
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Medicare Cognitive Assessments: Utilization Tripled between 2018 and 2022, but Challenges Remain
Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Rural Populations Facilitated Early SARS-CoV-2 Evolution and Transmission in Missouri, USA
Examines the role of rural communities in the the early COVID-19 pandemic period. Analyzes data from 544 urban and 435 rural COVID-19 specimens in Southwest Missouri between July and December 2020 to understand transmission and evolution of the virus. Discusses the importance of public health surveillance and mitigation efforts in rural areas.
Author(s): Cynthia Y. Tang, Tao Li, Tricia A. Haynes, et al.
Citation: npj Viruses, 1(7)
Date: 12/2023
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Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in Adults: United States, 2021–2022
Describes the adult population with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) by demographic and geographic characteristics, including metropolitan or nonmetro place of residence.
Author(s): Anjel Vahratian, Jin-Mann S. Lin, Jeanne Bertolli, Elizabeth R. Unger
Date: 12/2023
Sponsoring organization: National Center for Health Statistics
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Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Includes data on the share of enrollees who used these services overall and by age, sex, race and ethnicity, urban or rural status, Medicaid or CHIP eligibility category, and the enrollees' primary language.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Investigation of Predictors of Severity Of Diabetes Complications among Hospitalized Patients with Diabetes in Florida, 2016–2019
Examines risk factors for severe diabetes complications in adult hospitalizations in Florida by considering individual socioeconomic as well as area-level predictors. Utilizes 2016-2019 hospital discharge data to analyze predictors of complications and formulate a Neighborhood Deprivation Index for rural and urban ZIP code tabulation areas (ZCTAs) in Florida.
Author(s): Jennifer Lord, Keshia Reid, Chris Duclos, Alan Mai, Agricola Odoi
Citation: BMC Public Health, 23, 2424
Date: 12/2023
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