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Rural Health
Resources by Topic: Rural-urban differences

Preventable Early Deaths in the United States, 2010-2022
Using the Centers for Disease Control and Prevention's National Vital Statistics System data, offers state level rural and urban data for preventable deaths in people younger than 80. Death causes include unintentional injury, chronic lower respiratory disease, heart disease, stroke, and cancer.
Author(s): Macarena C. GarcĂ­a
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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North Carolina Medicaid Expansion: A Rural Perspective
Reports on expanded Medicaid coverage in rural North Carolina using state-level monthly enrollment data. Compares expansion enrollment in rural, suburban, and urban counties, and evaluates whether enrollment is associated with poverty at the county level.
Author(s): Dalton Bailey
Date: 04/2024
Sponsoring organization: NC Rural Center
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Child Nutrition Program Operations During the COVID-19 Pandemic, July 2020 through December 2021 School Meals Operations Study, Year 2 Report (Final)
Describes trends in Child Nutrition (CN) Program participation during the COVID-19 pandemic, from July 2020 through December 2021. Builds on a previous report that presents data on the number of meals served, operational and financial challenges of state agencies and local program operators, and the use of COVID-19 Child Nutrition nationwide waivers.
Additional links: Report Summary
Author(s): Liana Washburn, Veronica Severn, Brett Eiffes, et al.
Date: 04/2024
Sponsoring organization: USDA Economic Research Service
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Breast Density Knowledge and Willingness to Delay Treatment for Pre-Operative Breast Cancer Imaging Among Women with a Personal History of Breast Cancer
Examines women's knowledge related to breast density and cancer diagnoses and how that impacts their decision to undergo pre-operative imaging. Utilizes Breast Cancer Surveillance Consortium (BCSC) data to analyze breast density knowledge and concern, clinical characteristics, and odds of being willing to delay treatment for additional testing. Includes demographic data on patients' breast density exam results, including rural versus urban location.
Author(s): Rebecca E. Smith, Brian L. Sprague, Louise M. Henderson, et al.
Citation: Breast Cancer Research, 26, 73
Date: 04/2024
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Diabetes and the Social, Biologic, and Behavioral Determinants of Endometrial Cancer in the United States
Examines factors associated with endometrial cancer, including biologic, behavioral, and social determinants of health (SDOH). Analyzes variables such as status of endometrial cancer and/or diabetes, behavioral health factors, biologic factors, and various SDOH, including rural versus urban county.
Author(s): Nour Massouh, Ayad A. Jaffa, Miran A. Jaffa
Citation: BMC Cancer, 24, 540
Date: 04/2024
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Changes in Buprenorphine Prescribing in Community Health Centers
Analyzes changes from 2016 to 2021 in prescriptions of buprenorphine in Community Health Centers (CHCs) to treat opioid addiction. Utilizes data from the OCHIN Inc network of CHCs to analyze patient and clinic/clinician characteristics, including rural versus urban location.
Author(s): Daniel M. Hartung, Robert W. Voss, Steffani R. Bailey, Nathalie Huguet, John Muench
Citation: JAMA Health Forum, 5(4)
Date: 04/2024
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Geographic Variation in Trauma Deaths in Rural Illinois: A Hypothesis about Trauma Deserts
Analyzes the relationship between trauma deserts and trauma mortality in Illinois counties. Includes metro versus nonmetro comparisons of mortality rates due to various health conditions, as well as driving distances to the nearest emergency medical services (EMS) by county.
Author(s): Adee Athiyaman
Date: 04/2024
Sponsoring organization: Illinois Institute for Rural Affairs
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NCHS Rapid Surveys System: ADHD
Interactive data showing Attention-Deficit/Hyperactivity Disorder (ADHD) diagnosis, treatment, and telehealth service use data. Includes an analysis of diagnoses by age with a breakdown of patient characteristics including urbanicity and other demographics. Data gathered by the National Center for Health Statistics in November 2023.
Date: 04/2024
Sponsoring organization: National Center for Health Statistics
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NCHS Rapid Surveys System: Fit Testing of Hearing Protection Devices
Data tables showing hearing protection use in occupational settings data. Includes data breakdown by urbanicity and other demographic and geographic characteristics. Data gathered by the National Center for Health Statistics between October and November 2023.
Date: 04/2024
Sponsoring organization: National Center for Health Statistics
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NCHS Rapid Surveys System: Illegal Drugs and Naloxone (Narcan) Awareness
Interactive data showing awareness of and perspectives on access to prescription medication, illegal drugs, and naloxone. Includes data breakdown by urbanicity and other demographic and geographic characteristics. Data gathered by the National Center for Health Statistics between October and November 2023.
Date: 04/2024
Sponsoring organization: National Center for Health Statistics
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