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Rural Health
Resources by Topic: Rural-urban differences

Xylazine Awareness and Attitudes among People Who Use Drugs in Ohio, 2023–2024
Examines awareness and perceptions across rural and urban counties in Ohio of the drug xylazine, a non-opioid tranquilizer unsafe for human consumption. Utilizes 2023-2024 survey data from 630 people recruited at naloxone distribution sites to analyze awareness of xylazine by participant demographics, drug use, and rural versus urban location.
Author(s): Nichole L. Michaels, Saroj Bista, Ashley Short Mejia, Hannah Hays, Gary A. Smith
Citation: Harm Reduction Journal, 21,182
Date: 10/2024
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Association Between Obesogenic Environments and Childhood Overweight/Obesity Across the United States: Differences by Rurality
Examines the impact of environmental factors on childhood obesity in rural areas. Utilizes the Childhood Obesogenic Environment Index (COEI) to analyze statistical differences in rural versus urban counties in the U.S. Discusses the relationship of COEI variables and childhood overweight/obesity rates.
Author(s): Kara Davis, Demetrius A. Abshire, Courtney Monroe, Caroline Rudisill, Andrew T. Kaczynski
Citation: Journal of Rural Health
Date: 10/2024
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Travel Burden and Bypassing Closest Site for Surgical Cancer Treatment for Urban and Rural Oncology Patients
Examines travel burden to surgical cancer care and its relationship to rurality, bypassing of the nearest surgical site, and mortality rates. Analyzes 2016-218 data of 211,025 Medicare beneficiaries with cancer and includes breakdowns for type of cancer, surgery versus no surgery, patient demographics, patient health conditions, travel time, mortality rates, and location of metro, micro, or small town/rural.
Author(s): Tracy Onega, Niveditta Ramkumar, Gabriel A. Brooks, et al.
Citation: Journal of Rural Health
Date: 10/2024
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Demographic-Based Disparities in Outcomes for Adults with Central Line-Associated Bloodstream Infections in the United States: A National Inpatient Sample Database Study (2016–2020)
Analyzes cost, length of stay, and mortality for hospitalized adults with central line-associated bloodstream infections (CLABSI), utilizing 2016-2020 National Inpatient Sample (NIS) data. Provides data on differences in care conditions by race and ethnicity, region, and rural versus urban location and teaching versus non-teaching hospital status.
Author(s): Marie Dix, Troy Belleville, Anjali Mishra, et al.
Citation: Frontiers in Medicine, 11
Date: 10/2024
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Disparities in Infectious Disease-Related Health Care Utilization Between Medicaid-Enrolled American Indians and Non-Hispanic Whites—Lessons from the First 16 months of Coronavirus Disease 2019 and a Decade of Flu Seasons
Analyzes mortality and healthcare utilization disparities between American Indian and Alaskan Native (AIAN) and non-Hispanic White populations related to influenza-like-illness (ILI) and coronavirus disease 2019 (COVID-19). Utilizes 2009-2021 New York Medicaid claims data, comparing pre-COVID-19 data to 4 time periods during the COVID-19 pandemic. Includes data breakdowns according to respiratory illness type, health outcomes, race/ethnicity, and rural versus nonrural county.
Author(s): Scarlett Sijia Wang, Randall Akee, Emilia Simeonova, Sherry Glied
Citation: Health Services Research
Date: 10/2024
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Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October–November 2023
Reports national estimates of the prevalence and treatment of attention-deficit/hyperactivity disorder (ADHD) among U.S. adults. Includes data on adults with an ADHD diagnosis in metropolitan and nonmetro areas.
Author(s): Brooke S. Staley, Lara R. Robinson, Angelika H. Claussen, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(40), 890-895
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Healthcare Cost and Utilization Project (HCUP) Maternal Health Chartbook 2010–2019
Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Adults Aged 25–54 in Rural Areas Had Increase in Mortality Rates in Recent Decades
Bar chart showing rural and urban changes in natural-cause and external-cause mortality rates among prime working-age adults (aged 25 to 54), comparing 1999–2001 and 2017–2019.
Date: 10/2024
Sponsoring organization: USDA Economic Research Service
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Rural-Urban and Regional Variations in Aspects of Caregiving, Support Services and Caregiver Health in the USA: Evidence from a National Survey
Examines geographical differences in caregiving intensity, burden, health, and support based on U.S. region and rural versus urban location. Utilizes data from 3,551 informal caregivers part of the National Study of Caregiving and provides rural versus urban breakdowns of demographic information, active daily living (ADL) needs, caregiving characteristics, and more.
Author(s): Steven A Cohen, Neelam H Ahmed, Kerri A Ellis, et al.
Citation: BMJ Open, 14(10)
Date: 10/2024
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Science by the Slice: Rural Community Health Science, Policy, and the Future: Episode 2
Video podcast episode highlighting the 2024 State of the Science Meeting from the Southeastern Coastal Center for Agricultural Health and Safety featuring 2 speakers at the meeting. Discusses disparities in healthcare access for rural and urban residents including facility closures, access to specialty care, and local leadership. Transcript available in the video description.
Date: 10/2024
Sponsoring organization: Southeastern Coastal Center for Agricultural Health and Safety
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