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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations
Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Citation: JAMA Network Open, 5(6)
Date: 06/2022
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Non-Metropolitan and Metropolitan Trends in Mental Health Treatment Availability in Community Health and Community Mental Health Centers
Results of a study showing how the supply of community mental health centers (CMHCs) and community health centers (CHCs) offering mental health services changed over time, in non-metropolitan and metropolitan areas. Features statistics with breakdowns by year from 2000-2019 and by metropolitan and non-metropolitan location.
Author(s): Tyrone F. Borders, Timothy Williams, Katherine Youngen, Julia Cecil
Date: 06/2022
Sponsoring organization: Rural and Underserved Health Research Center
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Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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Focus on School-based Mental Health for Rural Central Virginia's Youth
Policy brief highlighting the increasing need for mental healthcare among the rural youth population of central Virginia and in the U.S. in general. Explores the effect that pandemic-related school shutdowns have had on youth mental health and the stigma surrounding mental healthcare in rural areas. Features statistics on suicide rates per 100,000 population with breakdowns by sex and rural or urban location, and student to school psychologist ratios from 2019-2020 with breakdowns by state.
Author(s): Sety Abooali
Date: 06/2022
Sponsoring organization: Virginia State Office of Rural Health
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Geographic Disparities in New Onset of Internalizing Disorders in Pennsylvania Adolescents Using Electronic Health Records
Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al.
Citation: Spatial and Spatio-Temporal Epidemiology, 41, 100439
Date: 06/2022
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Association Between Vaccination Coverage Disparity and the Dynamics of the COVID-19 Delta and Omicron Waves in the US
Examines vaccination disparities during the Delta and Omicron COVID-19 waves. Analyzes 2,417 counties for COVID-19 incidence and mortality rates. Discusses vaccination rates and impact of COVID-19 in rural areas.
Author(s): Diego F. Cuadros, Claudia M. Moreno, Godfrey Musuka, et al.
Citation: Frontiers in Medicine, 9
Date: 06/2022
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State of the State: An Update on Illinois' Opioid Statistics
Presents Illinois opioid statistics as well as national statistics. Includes 2019-2021 Illinois opioid fatality rate by rural, small urban, suburban, and urban county. Presents statewide overdose data by substance type as well as specifically opioid overdose data by user age and user race/ethnicity.
Author(s): Jennifer Epstein
Date: 06/2022
Sponsoring organization: Illinois Department of Public Health
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Association of Financial Factors and Telemedicine Adoption for Heart Attack and Stroke Care Among Rural and Urban Hospitals: A Longitudinal Study
Examines the adoption of telemedicine for cardiac and stroke care in rural and urban hospitals between 2012 and 2017. Analyzes indicators for telemedicine adoption with a focus on hospital profitability and geographic location. Includes data on 4,108 hospitals across the U.S., such as academic centers, Critical Access Hospitals, and general medical, among other hospital types, as well as breakdowns of hospital characteristics by rural versus urban location.
Author(s): Amir Alishahi Tabriz, Kea Turner, Dunc Williams Jr., et al.
Citation: Telemedicine and e-Health, 28(6), 781-788
Date: 06/2022
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Health Care Professionals' Perspectives on Healthcare in Rural America
Presents results of a survey of over 10,000 healthcare professionals from December 2021 - March 2022. Explores the relationship between social determinants of health and providers' perceptions of health access, quality, and outcomes. Discusses providers' comfort levels, interest in, and perceptions of patient benefits from health technology. Compares survey results from rural and non-rural providers throughout.
Date: 06/2022
Sponsoring organizations: Medscape, Walmart
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Characteristics of Adults Aged ≥18 Years Evaluated for Substance Use and Treatment Planning — United States, 2019
Examines past 30-day substance use patterns for alcohol, cannabis, cocaine, illicit stimulants, heroin, illicit fentanyl, prescription opioid misuse, prescription stimulant misuse, and prescription sedative, tranquilizer, and sleeping pill use. Also looks at the severity of problems experienced in these areas: alcohol, drug, employment, family, legal, medical, and psychiatric issues. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Akadia Kacha-Ochana, Christopher M. Jones, Jody L. Green, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(23), 749-756
Date: 06/2022
Sponsoring organization: Centers for Disease Control and Prevention
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