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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

COVID-19 Vaccination Rates
Compares COVID-19 vaccination rates across metropolitan, micropolitan, and noncore populations in the United States over time through December 7, 2022.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Income and Rural–Urban Status Moderate the Association Between Income Inequality and Life Expectancy in US Census Tracts
Examines how income inequality and life expectancy (LE) are impacted by socioeconomic status (SES) and rural versus urban status at the census-tract level. Utilizes 2010-2015 data to examine the relationship of LE to SES, urbanicity, and other sociodemographic factors. Presents the data through descriptive statistics, figures, and graphs.
Author(s): Steven A. Cohen, Caitlin C. Nash, Erin N. Byrne, Mary L. Greaney
Citation: Journal of Health, Population and Nutrition, 42, 24
Date: 03/2023
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Changes in Suicide in California from 2017 to 2021: A Population-Based Study
Examines suicide trends in California in 2020 and 2021 compared to pre-COVID-19 pandemic years. Includes suicide mortality data broken down by sex, education, race, age, method, and rural versus urban location. Discusses the burden of suicide trends by specific demographic groups.
Author(s): Julia J. Lund, Elizabeth Tomsich, Julia P. Schleimer, Veronica A. Pear
Citation: Injury Epidemiology, 10, 19
Date: 03/2023
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Rural Working-Age Adults Report More Cost Barriers to Health Care
Policy brief examining rural-urban differences in affordability of care and cost-saving strategies among adults ages 18-64. Features demographics and statistics on prescription drug cost-saving measures and difficulty affording medical care in the past year, with breakdowns by rural and urban location.
Author(s): Erika C. Ziller, Carly Milkowski, Amanda Burgess
Date: 03/2023
Sponsoring organization: Maine Rural Health Research Center
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Palliative Care and Healthcare Utilization among Metastatic Breast Cancer Patients in U.S. Hospitals
Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
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Broadband in Kansas: The Challenges of Digital Access and Affordability
Provides an overview of broadband access in Kansas, including adequacy, affordability, digital literacy, and satisfaction. Provides county-level maps depicting data related to broadband access and discusses the rural-urban digital divide.
Author(s): Donna Ginther, Germaine R. Halegoua, Xan Wedel, et al.
Date: 03/2023
Sponsoring organization: Kansas Institute for Policy & Social Research
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Train Derailments in Rural and Urban Pennsylvania, 2018 to 2022
Fact sheet analyzing train derailments in Pennsylvania and the U.S. from 2018 to November 30, 2022, using data from the Federal Railroad Administration's Office of Safety Analysis. Features state-level and Pennsylvania county-level maps showing locations and numbers of derailments, and statistics on types, costs, and speeds of derailments, with breakdowns by rural and urban locations.
Date: 03/2023
Sponsoring organization: Center for Rural Pennsylvania
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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2022 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality and disparities for metro (urban) to noncore (rural) populations. Includes quality measures for patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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