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Rural Health
Resources by Topic: Rural-urban differences

Access to Emergency Medical Services in Rural Communities: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Date: 11/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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An Analysis of Pennsylvania's Children
Report examining trends from 2010-2019 pertaining to Pennsylvania children ages 0-17, comparing and contrasting the profiles of rural and urban children. Provides statistics on dimensions including economic circumstances, education, foster care, insurance, access to healthcare, health, mortality, and use of alcohol and illicit drugs.
Author(s): Rhoda C. Joseph
Date: 11/2022
Sponsoring organization: Center for Rural Pennsylvania
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Interest in Using Over-the-Counter Oral Contraceptive Pills: Findings from the 2022 KFF Women's Health Survey
Presents findings from the national 2022 KFF Women's Health Survey about the preferences of reproductive age females for an over the counter (OTC) contraceptive pill. Offers data demonstrating their preferences and reasons for their preferences, and compares data by race/ethnicity, income, insurance status, and rural and urban location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, Karen Diep, Alina Salganicoff
Date: 11/2022
Sponsoring organization: KFF
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Trends and Disparities in Firearm Fatalities in the United States, 1990-2021
Results of a study of 1,110,421 firearm fatalities from 1990-2021, using data from the Centers for Disease Control and Prevention. Features statistics including age- and year-specific firearm homicide and suicide fatality rates with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing geographic distribution of firearm fatalities.
Author(s): Chris A. Rees, Michael C. Monuteaux, Isabella Steidley, et al.
Citation: JAMA Network Open, 5(11)
Date: 11/2022
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The Living Conditions of Elderly in Nonmetro Illinois and East North Central Division of the Midwest Region
Research brief that provides data on the living conditions for elderly populations in Illinois. Includes statistics and data broken down by metro and nonmetro areas, including demographic information, self-reported ambulatory difficulties, and housing status, accommodations, and quality. Appendix 1 compares changes in elderly population from 2010 to 2020 by metro and nonmetro county.
Date: 11/2022
Sponsoring organization: Illinois Institute for Rural Affairs
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Understanding Barriers to COVID-19 Testing Among Rural and Urban Populations in Kansas
Highlights a study on the barriers to COVID-19 testing in rural and urban Kansas. Bases conclusions on the results of a 2021 survey of 2,196 Kansans and highlights reported barriers such as perceived pain of the test, unsure of where to receive testing, and not wanting to test positive, among other factors.
Author(s): Vicki L. Collie-Akers, Elizabeth Ablah, Sarah Landry, et al.
Citation: American Journal of Public Health, 112(S9), S874-S877
Date: 11/2022
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Geospatial Analysis of Access to Health Care and Internet Services in the US
Study examining access to healthcare and internet services based on 2015-2019 American Community Survey data. Discusses implementations of findings for telemedicine expansion and the need for improved internet access to address rural-urban health disparities.
Author(s): Emefah C. Loccoh, Amanda Nguyen, Gaeun Kim, Haider J. Warraich
Citation: JAMA Network Open, 5(11), e2243792
Date: 11/2022
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Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults with Serious Mental Illness
Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
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Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas
Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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QuickStats: Drug Overdose Death Rates Among Persons Aged ≥15 Years, by Age Group and Urban-Rural Status — National Vital Statistics System, United States, 2020
Bar chart showing rural and urban overdose death rates by age group for those aged 15-24, 25-44, 45-64, and 65 and older.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(47), 1503
Date: 11/2022
Sponsoring organization: Centers for Disease Control and Prevention
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