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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Rural-Urban Differences in the Prevalence of Chronic Pain Among Adult Cancer Survivors
Examines chronic pain differences among rural and urban cancer survivors, using data from the 2019-2021 and 2023 National Health Interview Survey. Features demographics and statistics with breakdowns by rural and urban areas.
Author(s): Hyojin Choi, Emily Hallgren, Maija Reblin, J. Kathleen Tracy, Erika Ziller
Citation: JAMA Network Open, 8(12), e2549972
Date: 12/2025
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American Cancer Society's Report on the Status of Cancer Disparities in the United States, 2025
Reports on cancer disparities by various demographic factors, socioeconomic status, geography, and other factors, utilizing 2018-2022 North American Association of Central Cancer Registries (NAACCR) data. Contains metropolitan versus nonmetropolitan data comparisons throughout, and discusses factors influencing access to cancer screening and treatment, including rurality.
Author(s): Farhad Islami, Gladys Arias, Dongjun Lee, et al.
Citation: CA: A Cancer Journal for Clinicians, 76(1), e70045
Date: 12/2025
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Bone Density Scan (DEXA) Utilization Among Women Without Diagnosed Osteoporosis Aged 50 and Older in the United States, 2022
Statistical brief examining likelihood of having ever received low bone density screening (DEXA) among women aged 50 and older without a diagnosis of osteoporosis. See Figure 7 for a comparison between metropolitan and nonmetropolitan areas.
Author(s): Terceira A. Berdahl
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Small Businesses in the North Central Region: Workforce Development
Discusses the landscape of rural businesses in the North Central Region (NCR). Provides rural versus urban data on number of employees, staffing shortages, lost sales opportunities, and issues recruiting and retaining employees, including childcare availability, housing affordability, access to healthcare, and more.
Author(s): Renee D. Wiatt
Date: 12/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Changes in Bed-Based Measures of Surge Capacity from 2018 to 2022 among Rural and Urban Hospitals
Policy brief describing how hospitals' inpatient capacity changed from 2018-2022 and examining trade-offs between cost-saving reductions and emergency preparedness. Features statistics on hospitals' average daily census (ADC) and number and percentage of unoccupied beds, with breakdowns by year and urban or rural location.
Author(s): Emma Kerr, Tyler Malone, Mark Holmes
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Advantage 2026 Spotlight: A First Look at Plan Offerings
Offers an overview of Medicare Advantage plan availability across the country for 2026. Discusses how many plans are available, who is offering plans, and costs. Offers data for rural and urban areas and county-level data.
Date: 12/2025
Sponsoring organization: KFF
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Revisiting the Rural and Urban Divide in Hospital Health Information Technology Adoption: Evidence From 2023
Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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Missouri Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Missouri in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 12/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Missouri Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Missouri in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 12/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Missouri Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Missouri in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 12/2025
Sponsoring organization: WWAMI Rural Health Research Center
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