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Rural Health
Resources by Topic: Rural-urban differences

NCHS Rapid Surveys System: Swimming
Interactive data showing swimming ability, drowning risk behaviors, and CPR training. 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: Technology-Facilitated Sexual Violence
Data tables showing adults that have experienced or been threatened with technology-facility sexual violence. 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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Vitamin D Levels and SARS-CoV-2 Infection among Medically Underserved Populations in the Minority and Rural Coronavirus Insights Study
Analyzes associations between SARS-CoV-2 infection and vitamin D status among 3187 Federally Qualified Health Center (FQHC) patients, with comparisons by race and other demographic factors. Discusses COVID-19 disparities among underserved populations. Includes data on SARS-CoV-2 infection and vitamin D deficiency among rural people.
Author(s): Makella S. Coudray, Shantoy Hansel, Salvatore Alesci, et al.
Citation: Viruses, 16(4), 639
Date: 04/2024
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Rural Communities of Color Are Overrepresented among Community Disaster Resilience Zones
Analysis of the rurality of community disaster resilience zones (CDRZs), a Federal Emergency Management Agency (FEMA) designation that offers priority federal support for preparation for and response to disasters. Includes data breakdown by remoteness and distribution of people of color. Discusses rates of philanthropic giving.
Author(s): Anne N. Junod, Violet Sulka/Hewes, Amy Rogin
Date: 04/2024
Sponsoring organization: Urban Institute
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The Dynamic Risk Factors of Cardiovascular Disease Among People Living with HIV: A Real-World Data Study
Analyzes the relationship between cardiovascular disease (CVD) and people living with HIV (PLWH) in South Carolina. Examines risk factors for CVD among PLWH by breaking down data by health status and sociodemographic variables, including rural versus urban residence.
Author(s): Ziang Liu, Jiajia Zhang, Xueying Yang, et al.
Citation: BMC Public Health, 24, 1162
Date: 04/2024
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Does Engagement Matter? The Impact of Patient and Community Engagement on Implementation of Cardiovascular Health Materials in Primary Care Settings
Analyzes New Mexico and Colorado primary care practices' uptake of cardiovascular disease prevention materials produced through Boot Camp Translation (BCT), a participatory research strategy where community members and patients adapt medical information into messages and materials that reflect local culture and language. Compares practices' likelihood of selecting materials produced locally and by demographically and geographically similar BCTs.
Author(s): Linda Zittleman, John M. Westfall, Danelle Callen, et al.
Citation: BMC Primary Care, 25, 135
Date: 04/2024
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Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 28(2), 36-46
Date: 04/2024
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Non-Urgent Use of Emergency Departments by Rural and Urban Adults
Examines differences in non-urgent use of emergency departments (EDs) in rural versus urban adults as well as factors associated with non-urgent ED use. Utilizes 2014-2017 Medical Expenditure Panel Survey (MEPS) data to show percentage of adults who utilized ED services, with data broken down by age, mental and physical health status, income, health insurance and primary care access status, and rural versus urban location.
Author(s): Erika Ziller, Carly Milkowski, Zachariah Croll, Yvonne Jonk
Date: 04/2024
Sponsoring organization: Maine Rural Health Research Center
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Access to Capital and Credit for Entrepreneurs and Small Businesses in Appalachia
Reports on small business, entrepreneurship, and capital supply and demand in Appalachia. Describes regional and national trends, and identifies contributing factors. Includes data comparisons by level of rurality, and discusses characteristics and challenges of rural areas throughout.
Date: 04/2024
Sponsoring organization: Appalachian Regional Commission
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Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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