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Rural Health
Resources by Topic: Rural-urban differences

Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
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A Match Made in Rural: Interpreting Match Rates and Exploring Best Practices
Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Analysis of Hospital Operating Margins and Provision of Safety Net Services
Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
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Adults Living in Families Experiencing Food Insecurity in the Past 30 Days: United States, 2021
Examines characteristics of adults 18 and older living in families experiencing food insecurity. Includes data for those living in metro and nonmetro areas.
Author(s): Julie D. Weeks, Laryssa Mykyta, Jennifer H. Madans
Date: 04/2023
Sponsoring organization: National Center for Health Statistics
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, Rural-Urban Commuting Area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Engaging Primary Care in Value-Based Payment: New Findings from the 2022 Commonwealth Fund Survey of Primary Care Physicians
Describes the results of the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians regarding fee-for-service and value-based payment models. Highlights trends between smaller, rural practices and larger, urban ones and discusses implications on quality of care.
Author(s): Celli Horstman, Corinne Lewis
Date: 04/2023
Sponsoring organization: Commonwealth Fund
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Chronic Pain Among Adults — United States, 2019–2021
Reports on the prevalence of chronic pain and high-impact chronic pain among adults in the United States and within population groups. Includes data for metropolitan and nonmetro areas.
Author(s): S. Michaela Rikard, Andrea E. Strahan, Kristine M. Schmit, Gery P. Guy Jr.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(15), 379-385
Date: 04/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Americans' Experiences With Gun-Related Violence, Injuries, And Deaths
Surveyed 1,271 U.S. adults in March 2023 regarding experience with gun violence, injury, and death. Discusses respondent's level of concern of gun violence, precautionary measures taken, storage practices, healthcare provider practices, and general knowledge of gun violence including suicide statistics. Figures 4 and 5 compare respondents level of concern with and feeling of safety from gun violence in their community by rural, suburban, or urban community types.
Author(s): Shannon Schumacher, Ashley Kirzinger, Marley Presiado, Isabelle Valdes, Mollyann Brodie
Date: 04/2023
Sponsoring organization: KFF
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Ventilation Improvements Among K–12 Public School Districts — United States, August–December 2022
Reports on K-12 public school ventilation improvements to prevent COVID-19 transmission, including replacing or upgrading ventilation systems, installing filtration systems, installing ultraviolet germicidal irradiation devices, and improving airflow. Includes data for city, suburb, town, and rural locations.
Author(s): Miguella Mark-Carew, Gloria Kang, Sanjana Pampati, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(14), 372-376
Date: 04/2023
Sponsoring organization: Centers for Disease Control and Prevention
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