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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

U.S. Department of Health and Human Services Overdose Prevention Strategy
Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Behavioral Health Equity Report 2021
Provides a breakdown and discussion of data drawn from the National Survey on Drug Use and Health from 2015 to 2019. Details youth and adult mental health and substance use indicators by race and ethnicity, income level, and metro or nonmetro county, among others.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Association Between Hospital Performance Metrics and Market Share
Research letter describing the association between publicly reported performance scores for 4,930 hospitals and hospital market share. Features descriptive statistics with breakdowns including acute care hospital or Critical Access Hospital, and percentage of hospital referral region population in rural areas.
Author(s): August Oddleifson, Xiao Xu, Patrick Liu, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Spatial Analysis of Colorectal Cancer Outcomes and Socioeconomic Factors in Virginia
Shares the results of a spatial analysis of colorectal cancer outcomes in Virginia. Identifies demographic, socioeconomic, and other factors related to healthcare access that impact colorectal cancer disparities. Includes tables and maps sharing rural versus urban data and information.
Author(s): Esther J. Thatcher, Fabian Camacho, Roger T. Anderson, et al.
Citation: BMC Public Health, 21, 1908
Date: 10/2021
Type: Document
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Self-Management Education Class Attendance and Health Care Provider Counseling for Physical Activity Among Adults with Arthritis — United States, 2019
Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Association of Rurality and Breast Cancer Stage at Diagnosis: A National Study of the SEER Cancer Registry
Examines the extent to which rural residents are diagnosed with breast cancer at later stages of disease using data from the 2017 Surveillance Epidemiology and End Results (SEER) cancer registry. Presents statistics by patient characteristics including age, race and ethnicity, and health insurance status. Compares results by urban and rural status and by the degree of rurality.
Author(s): David V. Evans, C. Holly A. Andrilla, Rachel L. Yung, Davis G. Patterson
Date: 10/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Vaccination Coverage by Age 24 Months Among Children Born in 2017 and 2018 — National Immunization Survey-Child, United States, 2018–2020
Examines vaccination coverage for selected vaccines and doses among children born in 2017 and 2018. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(41), 1435-1440
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Mental Health Treatment Among Adults: United States, 2020
Report highlights the rates of mental health treatment provided to adults in 2020. Breaks down the data by type of treatment received and by patient race, gender, and whether they lived in a large metropolitan, medium or small metropolitan, or nonmetropolitan community.
Author(s): Emily P. Terlizzi, Tina Norris
Date: 10/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
Results of a study to identify prescription opioids that are most frequently misused, examine differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and explore trends in and factors associated with buprenorphine misuse among people with or without opioid use disorder. Features statistics on sociodemographic characteristics, health conditions, and behavioral health status among adults with past-year buprenorphine use, with breakdowns by large metropolitan, small metropolitan, and nonmetropolitan areas.
Author(s): Beth Han, Christopher M. Jones, Emily B. Einstein, Wilson M. Compton
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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