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Rural Health
Resources by Topic: Rural-urban differences

OMB Bulletin No. 23-01, Revised Delineations of Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Combined Statistical Areas, and Guidance on Uses of the Delineations of These Areas
Outlines the Metropolitan Statistical Areas, Micropolitan Statistical Areas, Combined Statistical Areas, and Metropolitan Division – collectively called Core Based Statistical Areas (CBSAs) – for the United States and Puerto Rico. Reflects the 2020 Standards for Delineating Core Based Statistical Areas published by the Office of Management and Budget (OMB) in July 2021 and the application of those standards to Census population and journey-to-work data, including the 2020 Decennial Census, American Community Survey, and Census Population Estimates Program data. Also provides guidance on the use of these delineations.
Date: 07/2023
Sponsoring organization: Office of Management and Budget
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How Do Dual-Eligible Individuals Get Their Medicare Coverage?
Issue brief using the 2020 Medicare Beneficiary Summary File to present data on Medicare coverage for dual-eligible people. Compares data by dual-eligible individuals' characteristics, including rural residence.
Author(s): Maria T. Peña, Maiss Mohamed, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 07/2023
Sponsoring organization: KFF
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Predictive Risk Factors for Childbirth-Associated Breast Infections in the United States: A 10-Year Perspective
Analyzes factors associated with breast infections in mothers by type of infection, type of hospital admission, and associated length of stay (LOS) in hospital. Utilizes 2005-2014 National Inpatient Sample (NIS) data to examine infection according to demographic factors, comorbidities, severity of illness, and hospital location, such as teaching urban, non-teaching urban, and rural.
Author(s): Klaudia J. Koziol, Abbas Smiley, Rifat Latifi, Maria T. Castaldi
Citation: International Journal of Environmental Research and Public Health, 20(14), 6333
Date: 07/2023
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Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans
Compares the use of video telehealth for mental healthcare between American Indian/Alaska Native (AI/AN) and non–AI/AN veterans by urban and rural residence from October 2019 through December 2020. Provides an overview of health disparities among AI/AN veterans. Presents monthly data on the number and percent of mental health encounters by type, rurality, and AI/AN status.
Author(s): Isabelle S. Kusters, Amber B. Amspoker, Kristen Frosio, et al.
Citation: JAMA Psychiatry
Date: 07/2023
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A Multi-Year Look at Maternal Mortality in Missouri 2018-2020 Pregnancy-Associated Mortality Review
Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Sponsoring organization: Missouri Department of Health and Senior Services
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Results of USDA's Food and Nutrition Service-Administered School Food Authority Survey II on Supply Chain Disruption and Student Participation
Provides 2022-2023 survey data on how supply chain disruptions have impacted school meal operations. Discusses common supply chain challenges, vendor participation issues, changes in food and labor costs, student participation in school meal programs, and more. Includes regional as well as rural versus non-rural snapshots of the survey data.
Date: 07/2023
Sponsoring organization: USDA Food and Nutrition Service
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Social Needs Screening among Non-Federal Acute Care Hospitals, 2022
Examines the extent to which non-federal acute care hospitals collect and receive data on individual patients' health-related social needs using data from the 2022 American Hospital Association (AHA) Information Technology (IT) supplement. Describes how these data are used to promote patient and population health. Includes data on the routine collection of social needs and use of structured screening tools or diagnosis codes by hospital characteristics, including rural location, Critical Access Hospital designation, and size.
Author(s): Wei Chang, Chelsea Richwine
Date: 07/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Urban-Rural Differences in Mental Health Concerns: Findings from a Survey of the American General Population
Provides metro versus nonmetro population comparisons related to mental health perceptions, concerns, knowledge, and awareness, utilizing 2022 National Alliance on Mental Illness survey data.
Author(s): Adee Athiyaman
Date: 07/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Rural Medicaid and CHIP Enrollees in 2020
Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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