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Rural Health
Resources by Topic: Rural-urban differences

Stress and Physical Activity in Rural Cancer Survivors: The Moderating Role of Social Support
Details a study on the relationship between social support, leisure-time physical activity, and psychological distress among rural and urban cancer survivors. Breaks down data by age, gender, and cancer type, among other measures.
Author(s): Scherezade K. Mama, Nishat Bhuiyan, Joshua Smyth, Kathryn H. Schmitz
Citation: Journal of Rural Health, 36(4), 543-548
Date: 09/2020
Type: Document
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2019 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, affordability, healthy living, and effective treatment.
Date: 09/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Place Effects and Chronic Disease Rates in a Rural State: Evidence from a Triangulation of Methods
Investigates the relationship between place effects, or food environment, and prevalence of chronic diseases in West Virginia. Features data and statistics on how areas with access to different food vendors (hot spots) and those that lack food providers (cold spots) impact diabetes and obesity rates, with information broken down by rural or urban setting.
Author(s): Mohamed Shabani Kariburyo, Lauri Andress, Alan Collins, Paul Kinder
Citation: International Journal of Environmental Research and Public Health, 17(18), 6676
Date: 09/2020
Type: Document
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Assessment of North Dakota Mobility Options, Transit Needs, and Characteristics of Users
Examines existing transit and passenger mobility services in North Dakota to identify transportation gaps and funding requirements for rural and urban areas across the state. Provides county-level data and maps on population estimates, mobility needs index scores, demographics, number of workers without access to a vehicle, and more. Includes demographic information on rural transit riders, data for rural transit providers, and other rural-specific information.
Author(s): Jeremy Mattson, Dilip Mistry, Jill Hough
Date: 09/2020
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Household Food Security in the United States in 2019
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2019. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Report Summary, Statistical Supplement
Author(s): Alisha Coleman-Jensen, Matthew P. Rabbitt, Christian A. Gregory, Anita Singh
Date: 09/2020
Type: Document
Sponsoring organization: USDA Economic Research Service
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Supporting Puerto Rico's Disaster Recovery Planning
Examines the conditions in Puerto Rico before and after Hurricanes Maria and Irma in 2017. Presents a cross-sectional analysis of the disaster in rural and urban areas. Explores the state of healthcare, infrastructure, economy, ecology, and communication in Puerto Rico and discusses plans for recovery.
Date: 09/2020
Type: Document
Sponsoring organization: RAND Corporation
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Progression of COVID‐19 From Urban to Rural Areas in the United States: A Spatiotemporal Analysis of Prevalence Rates
Presents a study on the spread of COVID-19 from urban to rural areas. Highlights the change in rates of prevalence of COVID-19 in rural counties over the course of 3 weeks. Breaks down data by age, race, and co-occurring conditions of people in rural and urban counties.
Author(s): Rajib Paul, Ahmed A. Arif, Oluwaseun Adeyemi, et al.
Citation: Journal of Rural Health, 36(4), 591-601
Date: 09/2020
Type: Document
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VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study
Highlights a study on the ability of older veterans to use the VA Video Connect (VVC) app for telehealth services during the COVID-19 pandemic. Breaks down data by race, age, and rural versus urban location, among other factors.
Author(s): Kalpana P Padala, Kerrie B Wilson, Heath Gauss, Jessica D Stovall, et al.
Citation: Journal of Medical Internet Research, 22(9), e21561
Date: 09/2020
Type: Document
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Third Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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How Evidence-based Is US Dental Workforce Policy for Rural Communities?
Examines the alignment of policy and infrastructure with evidence-based strategies to promote access to oral health services for rural people. Focuses on best practices as well as barriers and facilitators to implementation of workforce strategies to increase the availability of services. Presents a scoping review of the evidence behind key strategies in the U.S. health policy context.
Author(s): Miranda Werts, Ginachukwa Amah, Elizabeth Mertz
Date: 09/2020
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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