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Rural Health
Resources by Topic: Rural-urban differences

Breast Cancer Screening Disparities in Medicare Beneficiaries
Discusses breast cancer prevalence and screening mammography use among female Medicare fee-for-service beneficiaries between 2012 and 2021. Presents data on breast cancer prevalence and screening mammography in 2021 by county and race and ethnicity. Includes data on breast cancer screening among Medicaid Advantage enrollees in 2019 by urban/rural status and race and ethnicity.
Date: 10/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural and Urban Differences in Care Provided by Home Health Agencies in the United States: A Review of the Literature
Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
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Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
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Young Children's Geographic Access to Head Start Preschool Programs, 2022
Examines geographic access to Head Start Preschool Programs for income-eligible 3- and 4-year old children. Provides data related to children's access to and availability of programs by state, race/ethnicity, and metropolitan, micropolitan, small town, or rural location.
Author(s): Robin Ghertner, Alayna Schreier
Date: 10/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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QuickStats: Age-Adjusted Death Rates for Stroke Among Adults Aged ≥ 65 Years, by Region and Metropolitan Status — National Vital Statistics System, United States, 2020
Bar chart showing stroke death rates among adults 65 and older, overall and for metropolitan and nonmetro areas. Includes data for the U.S. as a whole as well as by region for the Northeast, Midwest, South, and West.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(43), 1386
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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COVID-19 Death Rates in Urban and Rural Areas: United States, 2020
Examines COVID-19 death rates for rural and urban areas in 2020, with data by six levels of urbanicity. Includes overall death rates as well as rates by sex for all age groups, for those under age 65, and for those 65 and older.
Author(s): Sally C. Curtin, Melonie Heron
Date: 10/2022
Sponsoring organization: National Center for Health Statistics
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Receipt of First and Second Doses of JYNNEOS Vaccine for Prevention of Monkeypox — United States, May 22–October 10, 2022
Reports on characteristics of those who received first and second doses of the JYNNEOS vaccine for prevention of monkeypox. Includes data by location for urban, suburban, and rural areas.
Author(s): Jennifer L. Kriss, Peter M. Boersma, Emalee Martin, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(43), 1374-1378
Date: 10/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — United States, 2021–22
Reports on influenza, primary COVID-19, and COVID-19 booster vaccination coverage among healthcare personnel during the 2020-2021 and 2021-2022 flu seasons. Includes data by primary workplace location for rural and nonrural areas.
Author(s): Hilda Razzaghi, Anup Srivastav, Marie A. de Perio, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(42), 1319-1326
Date: 10/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Use of Leading Practices in US Hospital Antimicrobial Stewardship Programs
Highlights a study exploring the portion of acute-care hospitals that have implemented best practices in their antimicrobial stewardship programs. Features data compiled from electronic questionnaires to program leaders on the implementation of 6 leading antimicrobial practices. Breaks down data by hospital size, teaching status, and whether the hospital is located in a rural or urban location, among other measures.
Author(s): Edward A. Stenehjem, Barbara I. Braun, Salome O. Chitavi, et al.
Citation: Infection Control and Hospital Epidemiology, 1-8
Date: 10/2022
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Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status.
Date: 10/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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