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Rural Health
Resources by Topic: Rural-urban differences

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: 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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Changes in Physical Inactivity Among US Adults Overall and by Sociodemographic Characteristics, Behavioral Risk Factor Surveillance System, 2020 Versus 2018
Analyzes changes in physical activity in U.S. adults during the COVID-19 pandemic by comparing 2020 Behavioral Risk Factor Surveillance System (BRFSS) data to 2018 and 2016 data. Focuses on prevalence of physical inactivity according to age, sex, race/ethnicity, education, income, and rural versus urban geographic location.
Author(s): Miriam E. Van Dyke, Tiffany J. Chen, Jasmine Y. Nakayama, Latetia V. Moore, Geoffrey P. Whitfield
Citation: Preventing Chronic Disease, 20
Date: 07/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Epidemiology and Outcomes of Choledocholithiasis and Cholangitis in the United States: Trends and Urban-Rural Variations
Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
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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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