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Rural Health
Resources by Topic: Rural-urban differences

The Poverty Area Measures Data Product
Provides background and technical information on the 2022 Poverty Area Measures (PAM) data product that examines the geography of poverty in the United States. Includes discussion on data selection, methodological considerations, and more, with analysis of poverty measures according to rural-urban commuting area (RUCA) codes.
Author(s): Tracey Farrigan, Austin Sanders
Date: 07/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Medicare Advantage Enrollees Account for a Rising Share of Inpatient Hospital Days
Describes the growth of Medicare Advantage (MA) as a share of hospital inpatient days between 2015 and 2022. Presents data from hospital cost reports submitted to the Centers for Medicare & Medicaid (CMS) regarding the share of inpatient days attributable to MA compared to traditional Medicare, the percentage of hospitals with more inpatient days from Medicare Advantage than traditional Medicare, and the variation across hospitals within counties. Compares trends in the share of inpatient days for MA enrollees across rural, micropolitan, and metropolitan hospitals.
Author(s): Jamie Godwin, Jeannie Fuglesten Biniek, Zachary Levinson, Tricia Neuman
Date: 07/2024
Type: Document
Sponsoring organization: KFF
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Email Recruitment for Chronic Pain Clinical Trials: Results from the LAMP Trial
Evaluates the use of postal mail and email as recruitment methods for a mindfulness-based chronic pain intervention trial, Learning to Apply Mindfulness to Pain (LAMP). Measures effectiveness, efficiency, and equity of responses in a population of veterans diagnosed with chronic pain. Includes data on rural versus urban response rates.
Author(s): John E. Ferguson, Emily Hagel Campbell, et al.
Citation: Trials, 25, 491
Date: 07/2024
Type: Document
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Rural-Urban Differences in Midwifery Care During Childbirth in the US
Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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TEFCA Awareness and Planned Participation Among U.S. Hospitals: 2023
Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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QuickStats: Percentage of Adults Aged ≥18 Years Who Walked for Transportation and Walked for Leisure in the Past 7 Days, by Urban-Rural Status — United States, 2022
Bar chart showing the percent of the adult population that walks for transportation and for leisure in rural and urban areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(28), 631
Date: 07/2024
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Traffic Safety Facts, 2022 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 2013-2022 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: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022
Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
Type: Document
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Traffic Safety Facts, 2022 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 2013-2022 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: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2022 Data: Rural/Urban Traffic Fatalities
Reports 2022 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2022.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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