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Rural Health
Resources by Topic: Rural-urban differences

Mortality Disparities Among Arrestees by Race, Sentencing Disposition, and Place
Analyzes mortality disparities among justice-involved individuals in South Dakota. Examines the mortality rates of 182,472 unique arrestees from 2000-2016 according to sentence category, cause of death, and location, broken down by urban, rural non-Indian country, and rural Indian country.
Author(s): George Zuo, Beau Kilmer, Nancy Nicosia
Citation: JAMA Health Forum, 5(7)
Date: 07/2024
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Urban–Rural Disparities in Food Insecurity and Weight Status Among Children in the United States
Analyzes urban versus rural place of residence and its association with childhood food insecurity and weight status. Utilizes 2013-2016 National Health and Nutrition Examination Survey (NHANES) data and provides breakdowns of urban versus rural food insecurity by child's age and weight status, according to underweight/normal weight, overweight, and obese designations.
Author(s): Jayna M. Dave, Tzuan A. Chen, Alexandra N. Castro, et al.
Citation: Nutrients, 16(13), 2132
Date: 07/2024
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Implementing Policy and Practice Changes to Support Breastfeeding Duration in New York State Communities
Analyzes the effectiveness of the Creating Breastfeeding Friendly Communities program to reduce disparities in breastfeeding. Examines the breastfeeding supports in place between 2017 and 2023 at selected worksites with breakdowns according to worksite size, social vulnerability, and rurality.
Author(s): Ann Lowenfels, Megan Murphy, Abbie Archibald, Sarah Avellino, Katie Potestio
Citation: Preventing Chronic Disease, 21
Date: 07/2024
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Estimated Impacts of Multiple Payment Policies on Rural-Serving Home Health Agencies
Describes the estimated impact of three major Medicare home health payment policy changes - implementation of the Patient-Driven Groupings Model (PDGM), revisions to rural add-on payments, and the demonstration and nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) model - on home health agency (HHA) reimbursement for Medicare beneficiaries. Compares the estimated impact of these payment policy changes by HHA rural-serving status, U. S. Census Division, profit status, quality rating, and episode volume.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, Davis G. Patterson
Date: 07/2024
Sponsoring organization: WWAMI Rural Health Research Center
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The Association of Travel Burden with Prenatal Care Utilization, What Happens after Provider-Selection
Analyzes the impact of travel burden on prenatal care (PNC) utilization. Utilizes 2015-2018 South Carolina Medicaid claims data to examine characteristics of birthing people, characteristics of PNC providers, and rural versus urban breakdowns of how travel burden is associated with PNC utilization.
Author(s): Songyuan Deng, Yuche Chen, Kevin J. Bennett
Citation: BMC Health Services Research, 24, 781
Date: 07/2024
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Patterns and Trends in Melanoma Mortality in the United States, 1999–2020
Analyzes melanoma mortality utilizing 1999-2020 data from Centers for Disease Control Wide Ranging Online Data for Epidemiologic Research (CDC WONDER). Provides mortality trends broken down by sex, race/ethnicity, age, state, and rural, suburban, or urban location.
Author(s): Alexander J. Didier, Swamroop V. Nandwani, Dean Watkins, et al.
Citation: BMC Cancer, 24, 790
Date: 07/2024
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Reported Incidence of Infections Caused by Pathogens Transmitted Commonly Through Food: Impact of Increased Use of Culture-Independent Diagnostic Tests — Foodborne Diseases Active Surveillance Network, 1996–2023
Reports on the 2023 incidence of infections caused by eight pathogens transmitted commonly through food, compared with average annual incidence during 2016–2018. Describes changes in the catchment area covered to better represent certain populations, including people living in rural counties. Table 1 includes data on rural cases in the historic and the expanded catchment.
Author(s): Hazel J. Shah, Rachel H. Jervis, Katie Wymore, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(26), 584-593
Date: 07/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 07/2024
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Discussions of Cancer Survivorship Care Needs: Are There Rural Versus Urban Inequities?
Analyzed 2017 Medical Expenditure Panel Survey data to identify rural and urban differences in discussions of cancer survivorship care with their healthcare provider. Includes rural and urban comparisons of predisposing, enabling, and need factors associated with survivorship care discussions.
Author(s): Tyrone F. Borders, Lindsey Hammerslag
Citation: Medical Care, 2024
Date: 07/2024
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Prevalence of Mental Health Services Provided by Public Schools and Limitations in Schools' Efforts to Provide Mental Health Services
Presents information on the availability of mental health assessments, treatment, and funding in U.S. elementary, middle, and secondary schools, based on data from the School Survey on Crime and Safety (SSOCS). Includes percentage of schools with mental health resources by student demographic information as well as rural, town, suburban, or city locale.
Additional links: Fast Facts
Date: 07/2024
Sponsoring organizations: Institute of Education Sciences, National Center for Education Statistics
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