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Rural Health
Resources by Topic: Rural-urban differences

National Ambulatory Medical Care Survey: 2019 National Summary Tables
Provides data on outpatient visits to physician offices, with information on physician practice, patient, and visit characteristics. Tables 1, 12, 17, and 28 include data by metropolitan status for metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Interruptions in Routine Blood Pressure Screening Services Among Local Health Departments During the COVID-19 Pandemic
Examines interruptions related to preventative chronic disease interventions in local health departments (LHDs) during the COVID-19 pandemic. Provides results from 820 LHDs responding to the Forces of Change (FoC) survey from November 2020 to March 2021 regarding blood pressure screenings, staff capacity, and chronic disease priorities during the pandemic. Includes breakdowns of LHD data by type of governance, Census region, and size of LHD, including those serving fewer than 50,000 people.
Author(s): Margaret C. Cunningham, Jordan Royster, Timothy C. McCall
Citation: Journal of Public Health Management and Practice, 29(1),108-111
Date: 01/2023
Type: Document
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Rural–Urban Disparities in Adverse Maternal Outcomes in the United States, 2016–2019
Analyzes maternal mortality and admissions to the intensive care unit (ICU) in rural and urban areas in the U.S. between 2016 and 2019. Utilizes Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) to examine rural versus urban maternal health disparities.
Author(s): Katharine A. Harrington, Natalie A. Cameron, Kasen Culler, William A. Grobman, Sadiya S. Khan
Citation: American Journal of Public Health, 113(2)
Date: 01/2023
Type: Document
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A Disaggregated View of Market Concentration in the Food Retail Industry
Examines changes in food retailing market concentration at the national, state, Metropolitan Statistical Area, and county levels in the United States from 1990-2019, using data from the National Establishment Time Series dataset. Features statistics with breakdowns by metro, large nonmetro, small nonmetro, and rural areas.
Author(s): Eliana Zeballos, Xiao Dong, Ergys Islamaj
Date: 01/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Variations in Affordability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status across Eight Geographically Dispersed States
Examines affordability of healthcare in terms of healthcare coverage, forgone healthcare due to cost, forgone medications due to cost, and needing to pay back healthcare bills over time. Analyzes data from respondents aged 18-64 participating in the Behavioral Risk Factor Surveillance System (BRFSS) survey, with information broken down by race/ethnicity and metropolitan versus non-metropolitan.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Seat Belt Use in 2022 - Overall Result
Examines rates of seat belt use and occupant fatalities from 2009-2022, and compares seat belt use rates from 2022 and 2021 by major characteristics. Features statistics with breakdowns including rural or urban location.
Date: 01/2023
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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COVID-19 Mortality Rates across Noncore, Micropolitan, and Metropolitan Counties by Community Characteristics, December 2020-January 2021
Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Problems Paying Medical Bills: United States, 2021
Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Type: Document
Sponsoring organization: Capital Link
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Unmet Needs for Help with Mobility Limitations among Older Adults Aging in Place: The Role of Rurality
Examines unmet mobility needs related to issues of access and appropriate housing in elderly populations. Analyzes data from 3,343 respondents of the National Health and Aging Trends Study (NHATS) by age, gender, race, education, income, and housing status/characteristics. Includes differences in health characteristics, fall history, and unmet needs with data broken down by rural versus urban location.
Author(s): Carrie Henning-Smith, Megan Lahr, John Mulcahy, Hannah MacDougall
Citation: Journal of Aging and Health
Date: 01/2023
Type: Document
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