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Rural Health
Resources by Topic: Rural-urban differences

Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021–22 School Year
Reports on COVID-19 prevention strategies early in the 2021-22 school year and describes disparities in implementing strategies by school characteristics. Appendix includes data on specific strategies related to mask wearing and ventilation for city, suburban, town, and rural schools.
Additional links: Appendix
Author(s): Sanjana Pampati, Catherine N. Rasberry, Zach Timpe, et al.
Citation: Emerging Infectious Diseases, 29(5), 937-944
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Effect of Rurality and Travel Distance on Contralateral Prophylactic Mastectomy for Unilateral Breast Cancer
Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Health-Related Quality of Life: Unhealthy Days, A Data Short Take
Reports on the number of days Minnesotans felt mentally or physically unhealthy from 2013 through 2021. Includes breakdowns of data by age, education, income, insurance type, race/ethnicity, citizenship, and RUCA region, which is further categorized by urban area, large rural city, small rural town, or isolated rural town.
Date: 04/2023
Sponsoring organization: Minnesota Department of Health
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Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Pesticide Exposure Among Latinx Children in Rural Farmworker and Urban Non-Farmworker Communities: Associations With Locality and Season
Presents a study on pesticide exposure of Latinx children. Compares exposure rates of rural children from farmworker families and urban children from non-farmworker families. Breaks down data by sex, family size, and types of pesticide detected, among other measures.
Author(s): Thomas A. Arcury, Haiying Chen, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5647
Date: 04/2023
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More than One in Five Adults with Limited Public Transit Access Forgo Health Care Because of Transportation Barriers
Provides information on adults who have foregone healthcare due to lack of transportation. Analyzes June 2022 data from the Urban Institute's Health Reform Monitoring Survey (HRMS) on healthcare access, missed appointments, and access to vehicles, with data broken down by demographics, disability status, health insurance coverage, and rural versus urban residence.
Author(s): Laura Barrie Smith, Michael Karpman, Dulce Gonzalez, Sarah Morriss
Date: 04/2023
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Hunger Among Adults Age 50-59 in 2021: An Annual Report
Reports on the extent, distribution, and trends of food insecurity among U.S. residents ages 50-59. Features state-level estimates and data breakdowns on food insecurity by income, race/ethnicity, metropolitan versus nonmetropolitan location, sex, and more.
Author(s): Craig Gundersen, James P. Ziliak
Date: 04/2023
Sponsoring organization: Feeding America
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The State of Senior Hunger in America in 2021: An Annual Report
Discusses food insecurity rates among Americans age 60 or older. Includes demographics and characteristics of seniors lacking sufficient access to food, and provides trends and state-level information on food insecurity. Features data breakdowns by metropolitan and nonmetropolitan settings.
Author(s): James P. Ziliak, Craig Gundersen
Date: 04/2023
Sponsoring organization: Feeding America
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W. Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
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