Rural Health
Resources by Topic: Rural-urban differences
Cigarette and Electronic Cigarette Use Among Adults by Urbanization Level: United States, 2024
Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025
Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Bridging the Gap: A Scoping Review of Family Caregiver Roles in Rural Health Settings
Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults
Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Geographic, Racial, and Sex Disparities in Time to Treatment for Early-Onset Colorectal Cancer
Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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Impact of Age and Rurality on Colorectal Cancer Outcomes in the United States
Examines how colorectal cancer stage at diagnosis and mortality differ based on age and rurality, using 2006-2020 SEER Program data. Includes rural versus nonrural data comparisons by age bracket.
Author(s): Caitlyn Grunert, Meng-Han Tsai, Charles R. Rogers, et al.
Citation: Cancer Causes & Control, 37, 61
Date: 03/2026
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Examines how colorectal cancer stage at diagnosis and mortality differ based on age and rurality, using 2006-2020 SEER Program data. Includes rural versus nonrural data comparisons by age bracket.
Author(s): Caitlyn Grunert, Meng-Han Tsai, Charles R. Rogers, et al.
Citation: Cancer Causes & Control, 37, 61
Date: 03/2026
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Health Insurance Coverage and Rural–Urban Differences in Maternal Health Care Among Postpartum Women—National Health Interview Survey
Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Health Insurance Coverage in Rural and Urban Missouri: Update
Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Trends in Cancer-and Respiratory Failure-Related Mortality in the US Adult Population: An Analysis of the CDC WONDER Database from 1999 to 2023
Examines how trends in respiratory failure-associated mortality among adults with cancer differ by rurality, state, age, sex, and other demographics, using 1999-2023 CDC WONDER data.
Author(s): Chengchi Xia, Tianshu Rong, Baoqing Wang
Citation: Frontiers in Cancer Control and Society, 4
Date: 03/2026
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Examines how trends in respiratory failure-associated mortality among adults with cancer differ by rurality, state, age, sex, and other demographics, using 1999-2023 CDC WONDER data.
Author(s): Chengchi Xia, Tianshu Rong, Baoqing Wang
Citation: Frontiers in Cancer Control and Society, 4
Date: 03/2026
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Rural Specialty Care for Veterans with the Chronic Overlapping Pain Conditions: Fibromyalgia, Migraine, or Irritable Bowel Syndrome
Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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