Rural Health
Resources by Topic: Rural-urban differences
County-Level Socioeconomic Status, Rurality, and Second Primary Cancer Risk among Breast Cancer Survivors in the United States
Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Participation in Cancer Survivorship Survey Research: Differences by Rurality and Age
Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Associations Between Insurance Status, Financial Hardship, and Rurality on Receipt of Guideline-Concordant Mammography
Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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New York State's Paid Family Leave Improved Postpartum Health Care among Women with Hypertensive Disorders in Pregnancy
Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Unfairness Toward Rural Beneficiaries in Medicare's Hierarchical Conditions Categories Score
Evaluates the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) to determine its usefulness in accurately predicting risk for rural and urban patients. Assesses rural and urban risk by mortality rates and compares findings with HCC's measure of spending to identify risk. Discusses implications of findings related to reimbursement rates, healthcare access, social determinants of health, and Medicare Advantage enrollment. Offers potential solutions to address study findings.
Author(s): Ravi B. Parikh, Kristin A. Linn, Junning Liang, et al
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Evaluates the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) to determine its usefulness in accurately predicting risk for rural and urban patients. Assesses rural and urban risk by mortality rates and compares findings with HCC's measure of spending to identify risk. Discusses implications of findings related to reimbursement rates, healthcare access, social determinants of health, and Medicare Advantage enrollment. Offers potential solutions to address study findings.
Author(s): Ravi B. Parikh, Kristin A. Linn, Junning Liang, et al
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Does Caregiver Well-Being Differ by Rurality and State Policy Environment? Identifying a Well-Being Typology for Rural, Suburban, and Urban Caregivers
Results of a study of informal caregiver well-being, exploring ways in which geographic location, individual circumstances, and state-level policies can impact a caregiver's health, comfort, and happiness. Features demographics and statistics with breakdowns by rural, suburban, and urban areas.
Author(s): Elena Maria Pojman, Florence Becot, Zuzana Bednarik, Carrie Henning-Smith
Citation: Rural Sociology, 90(3), e70015
Date: 09/2025
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Results of a study of informal caregiver well-being, exploring ways in which geographic location, individual circumstances, and state-level policies can impact a caregiver's health, comfort, and happiness. Features demographics and statistics with breakdowns by rural, suburban, and urban areas.
Author(s): Elena Maria Pojman, Florence Becot, Zuzana Bednarik, Carrie Henning-Smith
Citation: Rural Sociology, 90(3), e70015
Date: 09/2025
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Assessing Populations with Access to National Cancer Institute-Funded Sites Using Local Distance-Based Service Areas
Examines variations in travel distance to sites funded by the National Cancer Institute (NCI) demographic group. Includes data on access to NCI-funded cancer care and participation in clinical trials by rurality, income level, region, and more.
Author(s): Sharon P. Shriver, Liora Sahar, Vanhvilai L. Douangchai Wills, Devon V. Adams, Mark E. Fleury
Citation: Journal of Clinical and Translational Science, 9(1), e218
Date: 09/2025
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Examines variations in travel distance to sites funded by the National Cancer Institute (NCI) demographic group. Includes data on access to NCI-funded cancer care and participation in clinical trials by rurality, income level, region, and more.
Author(s): Sharon P. Shriver, Liora Sahar, Vanhvilai L. Douangchai Wills, Devon V. Adams, Mark E. Fleury
Citation: Journal of Clinical and Translational Science, 9(1), e218
Date: 09/2025
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More Physician Assistants and Nurse Practitioners in Rural Pennsylvania Than a Decade Ago
Fact sheet describing the increase in number of rural physician assistants (PAs) and nurse practitioners (NPs) in Pennsylvania from 2013 to 2023. Features demographics and statistics with breakdowns by urban and rural areas, and a county-level map showing numbers of PAs and NPs as of 2023, with shadings showing urban and rural counties.
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Fact sheet describing the increase in number of rural physician assistants (PAs) and nurse practitioners (NPs) in Pennsylvania from 2013 to 2023. Features demographics and statistics with breakdowns by urban and rural areas, and a county-level map showing numbers of PAs and NPs as of 2023, with shadings showing urban and rural counties.
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Wyoming Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Wyoming in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Wyoming in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Idaho Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Idaho in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Idaho in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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