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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2024
Reports on vaccination coverage among U.S. adolescents for ages 13 through 17. Includes nonmetro data on vaccination for the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), and HPV (human papillomavirus), as well as data on provider recommendation for HPV vaccination.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(30), 466-472
Date: 08/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Traffic Safety Facts, 2023 Data: Summary of Motor Vehicle Traffic Crashes
Presents descriptive statistics about traffic crashes of all severities, from those that result in property damage to those that result in the loss of human life. Features statistics including rural fatal crashes by average emergency medical services response times, vehicles involved in fatal crashes by speed limit, roadway function class, crash type, and hazardous cargo, and vehicle occupants killed in crashes, with breakdowns by state and by rural or urban location.
Date: 08/2025
Sponsoring organization: National Highway Traffic Safety Administration
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2024
Explores 2024 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 08/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Baseline Estimates of Colorectal Cancer Screening Among Adults Aged 45 to 75 Years, Behavioral Risk Factor Surveillance System, 2022
Examines colorectal cancer (CRC) screening rates for adults aged 45 to 75. Utilizes 2022 Behavioral Risk Factor Surveillance System survey data to analyze CRC screening status according to respondent demographics, income, access to healthcare and health plans, and metro versus nonmetro location.
Author(s): Sallyann Coleman King, Jessica King, Cheryll C. Thomas, Lisa C. Richardson
Citation: Preventing Chronic Disease, 22
Date: 08/2025
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U.S. Obesity Rate Changes Differ for Rural and Urban Areas, as Well as Across Regions
Reports on rural versus urban and regional differences in obesity prevalence among U.S. adults between 2019 and 2024. Identifies changes in obesity prevalence over time and discusses the geographic factors influencing obesity prevalence.
Author(s): Mariah Ehmke, Brandon J. Restrepo
Citation: Amber Waves
Date: 08/2025
Sponsoring organization: USDA Economic Research Service
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Adult Ratings of Neighborhood Medical Care Availability in Nonmetropolitan and Metropolitan Areas, United States 2021
Statistical brief examining perceptions of medical care availability and quality in nonmetropolitan and metropolitan areas, utilizing 2021 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Includes data breakdowns by level of rurality and age group, insurance status, physical health status, and more.
Author(s): Sandra L. Decker, Xue Wu
Date: 07/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Traffic Safety Facts, 2023 Data: Bicyclists and Other Cyclists
National data on fatal and non-fatal traffic crashes involving bicyclists and other cyclists, including riders of two-wheel vehicles, tricycles, and unicycles powered by pedals and/or motors. Features statistics from 2014-2023 with breakdowns including fatality and injury rates, age group, sex, time of day and day of the week, alcohol involvement, blood alcohol concentrations of riders, vehicle type and impact point, fatality rates by state, and rural or urban location.
Date: 07/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Motorcycles
National data on fatal and nonfatal traffic crashes involving two- and three-wheeled motorcycles, off-road motorcycles, mopeds, motor scooters, mini bikes, and pocket bikes. Features statistics from 2014-2023 with breakdowns including fatality and injury rates, age group and day of the week, engine size, speeding involvement, previous driving record of driver, alcohol-impaired driver fatality rate, blood alcohol concentrations of riders, helmet use and state, and rural or urban location.
Date: 07/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Trends and Differences in Infant Mortality Rates in Rural and Metropolitan Counties in the United States, 2021-2023
Data brief offering mortality rates for infants for 3 levels of urbanization. Includes trends between 2014 and 2023 as well as analysis of data from 2021 to 2023 by various demographic factors.
Author(s): Danielle M. Ely
Date: 07/2025
Sponsoring organization: National Center for Health Statistics
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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