Rural Health
Resources by Topic: Rural-urban differences
Forming Partnerships to Increase Rural Immunization Rates
Discusses barriers to vaccine uptake in rural communities. Describes how two community organizations worked to increase vaccinations in rural Alabama and how a network led by the National Center for Farmworker Health built the capacity to distribute COVID-19 vaccines and build vaccine confidence among migrant farmworkers. Identifies state considerations for implementing community-based programs to increase vaccinations in rural areas.
Author(s): Shalini Nair, Heather Tomlinson
Date: 08/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses barriers to vaccine uptake in rural communities. Describes how two community organizations worked to increase vaccinations in rural Alabama and how a network led by the National Center for Farmworker Health built the capacity to distribute COVID-19 vaccines and build vaccine confidence among migrant farmworkers. Identifies state considerations for implementing community-based programs to increase vaccinations in rural areas.
Author(s): Shalini Nair, Heather Tomlinson
Date: 08/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Exploring the Other Side of Alzheimer's Disease and Related Dementia: Informal Caregivers
Provides national data on Alzheimer's Disease and Related Dementia (ADRD) informal caregivers. Includes information on metro versus nonmetro caregiver relationship to patient, sex, age, education, marital status, types of caregiving, and amount of time caregiving, utilizing data from the National Health and Aging Trends Study.
Author(s): Adee Athiyaman
Date: 08/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Provides national data on Alzheimer's Disease and Related Dementia (ADRD) informal caregivers. Includes information on metro versus nonmetro caregiver relationship to patient, sex, age, education, marital status, types of caregiving, and amount of time caregiving, utilizing data from the National Health and Aging Trends Study.
Author(s): Adee Athiyaman
Date: 08/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Stressful Life Events and Healthcare Utilization Among U.S. Children Aged 2–17 Years
Examines parent-reported stressful life events, which are a subset of adverse childhood experiences (ACEs), and a series of healthcare utilization outcomes among children. Table 1 includes metro/nonmetro data on children who experienced any stressful life events.
Author(s): Lindsey I. Black, Amanda E. Ng, Benjamin Zablotsky
Date: 08/2023
Sponsoring organization: National Center for Health Statistics
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Examines parent-reported stressful life events, which are a subset of adverse childhood experiences (ACEs), and a series of healthcare utilization outcomes among children. Table 1 includes metro/nonmetro data on children who experienced any stressful life events.
Author(s): Lindsey I. Black, Amanda E. Ng, Benjamin Zablotsky
Date: 08/2023
Sponsoring organization: National Center for Health Statistics
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A Look at the Latest Suicide Data and Change Over the Last Decade
Examines suicide death rates by sex, age, and rurality between 2011 and 2021 by using CDC WONDER data. Includes data on the number of deaths by suicide overall and by firearms using provisional 2022 data. Describes these trends in relation to the implementation of the 988 crisis number in July 2022.
Author(s): Heather Saunders, Nirmita Panchal
Date: 08/2023
Sponsoring organization: KFF
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Examines suicide death rates by sex, age, and rurality between 2011 and 2021 by using CDC WONDER data. Includes data on the number of deaths by suicide overall and by firearms using provisional 2022 data. Describes these trends in relation to the implementation of the 988 crisis number in July 2022.
Author(s): Heather Saunders, Nirmita Panchal
Date: 08/2023
Sponsoring organization: KFF
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Ownership of Hospitals: An Analysis of Newly-Released Federal Data & A Method for Assessing Common Owners
Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Characterizing Rugged Terrain in the United States
Analyzes the impact of rugged terrain on travel barriers and community development in U.S. Census tracts, with a focus on the relationship between terrain, rurality, and low-income areas. Presents two representations of topographic variability: the Area Ruggedness Scale and the Road Ruggedness Scale. Includes related maps and data applying the scales to regions, states, and rural and urban areas of the U.S.
Author(s): Elizabeth A. Dobis, John Cromartie, Ryan Williams, Kyle Reed
Date: 08/2023
Sponsoring organization: USDA Economic Research Service
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Analyzes the impact of rugged terrain on travel barriers and community development in U.S. Census tracts, with a focus on the relationship between terrain, rurality, and low-income areas. Presents two representations of topographic variability: the Area Ruggedness Scale and the Road Ruggedness Scale. Includes related maps and data applying the scales to regions, states, and rural and urban areas of the U.S.
Author(s): Elizabeth A. Dobis, John Cromartie, Ryan Williams, Kyle Reed
Date: 08/2023
Sponsoring organization: USDA Economic Research Service
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Disparities in Melanoma Outcomes In Urban Versus Rural Settings: An Analysis from the Nebraska Cancer Registry 2001-2016
A research letter that analyzes health disparities related to melanoma outcomes in rural versus urban populations. Examines 9,688 individuals with melanoma between 2001 and 2016 utilizing the Nebraska Cancer Registry to observe the mortality rate of patients when considering rurality, race, sex, age, and stage/site of the cancer.
Author(s): Elizabeth M. Mata, Natalia Trinidad, Elliot Blue, et al.
Citation: Journal of the American Academy of Dermatology, 89(2), 350-352
Date: 08/2023
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A research letter that analyzes health disparities related to melanoma outcomes in rural versus urban populations. Examines 9,688 individuals with melanoma between 2001 and 2016 utilizing the Nebraska Cancer Registry to observe the mortality rate of patients when considering rurality, race, sex, age, and stage/site of the cancer.
Author(s): Elizabeth M. Mata, Natalia Trinidad, Elliot Blue, et al.
Citation: Journal of the American Academy of Dermatology, 89(2), 350-352
Date: 08/2023
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Kentucky Physician Report 2022
Reports on the Kentucky primary care physician workforce distribution and shortages as of 2022. Features statistics on provider-to-population ratios and geographic distribution, with breakdowns by urban, rural, Delta, and Appalachian areas, and includes a county-level map showing numbers of physicians.
Author(s): Sydney P. Howard, Kaden Boots, Frances Feltner
Date: 08/2023
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Reports on the Kentucky primary care physician workforce distribution and shortages as of 2022. Features statistics on provider-to-population ratios and geographic distribution, with breakdowns by urban, rural, Delta, and Appalachian areas, and includes a county-level map showing numbers of physicians.
Author(s): Sydney P. Howard, Kaden Boots, Frances Feltner
Date: 08/2023
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Urban and Rural Patterns of Health Care Utilization Among People With Rheumatoid Arthritis and Osteoarthritis in a Large US Patient Registry
Explores if there is a relationship between geographic residence and in-person healthcare utilization outcomes for people with rheumatoid arthritis (RA) and osteoarthritis (OA). Analyzes data from a national rheumatic disease longitudinal cohort of 45,000 RA and OA patients to examine healthcare utilization by patients' diagnosis and urban, large rural, and small rural residence.
Author(s): Luke W. Desilet, Sofia Pedro, Patricia Katz, Kaleb Michaud
Citation: Arthritis Care & Research, 77(3), 412-418
Date: 07/2023
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Explores if there is a relationship between geographic residence and in-person healthcare utilization outcomes for people with rheumatoid arthritis (RA) and osteoarthritis (OA). Analyzes data from a national rheumatic disease longitudinal cohort of 45,000 RA and OA patients to examine healthcare utilization by patients' diagnosis and urban, large rural, and small rural residence.
Author(s): Luke W. Desilet, Sofia Pedro, Patricia Katz, Kaleb Michaud
Citation: Arthritis Care & Research, 77(3), 412-418
Date: 07/2023
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North Carolina Rural and Urban Counties
North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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