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Rural Health
Resources by Topic: Rural-urban differences

Persistent Poverty and Late-Stage Breast Cancer Diagnosis in the United States: Impacts of Rural Residence, Race, and Time Within Surveillance Epidemiology and End Results Registries, 2004 to 2021
Examines associations between late-stage breast cancer diagnosis and persistent poverty by rurality, race, and year. Utilizes 2017-2021 SEER Program data.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 36, 1589-1597
Date: 08/2025
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A Twenty-Year Review: Revisiting the Drinking Water and Wastewater Infrastructure Funding Needs and Gaps in the Appalachian Region
Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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Workforce Impact of Emergency Department Boarding
Surveys 195 emergency department (ED) physicians about the impact of ED boarding on clinician wellness, burnout, moral injury, and workplace violence. Discusses policy ideas to alleviate challenges. Includes an urban, suburban, and rural breakdown of survey respondents.
Author(s): Vicki Norton, Kraftin E. Schreyer, Diane Kuhn
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Virginia's Licensed Master's Social Worker Survey: 2025
An overview of the licensed master's social worker (LMSW) workforce in Virginia based on data from the 2025 Licensed Master's Social Worker Survey. Features statistics including the number of LMSWs in metro, urban, and rural areas of Virginia.
Date: 08/2025
Sponsoring organization: Virginia Department of Health Professions
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Virginia's Licensed Clinical Social Worker Workforce: 2025
An overview of the licensed clinical social workers (LCSW) workforce in Virginia based on data from the 2025 Licensed Clinical Social Worker Workforce Survey. Features statistics including the number of LCSWs in rural Virginia and how many grew up in rural areas.
Date: 08/2025
Sponsoring organization: Virginia Department of Health Professions
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Montana Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Montana 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Route and Efficiency Analysis of Cancer Health Care (REACH): Investigating Sociodemographic and Rurality of Metastatic Breast Cancer Patients at an NCI-Designated Facility
Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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North Dakota Statewide Traffic Safety Survey, 2025: Traffic Safety Performance Measures for State and Federal Agencies
Provides information on traffic safety issues among varied demographic groups in North Dakota and their beliefs, practices, and distractions related to driving. Includes rural versus urban comparisons about driving safety, driving under the influence, and more.
Additional links: Issue Brief
Author(s): Kimberly Vachal, Andrew Kubas, Jaclyn Andersen
Date: 08/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Single-Center Retrospective Analysis of the Impact of Rurality on Glioblastoma Care in Vermont
Examines rural-urban differences in clinical presentation, treatment, and outcomes among 119 newly diagnosed glioblastoma patients who presented at the University of Vermont Medical Center from 2017 to 2021. Discusses rural cancer disparities in treatment outcomes and access to care.
Author(s): Gabriela Sarriera Valentin, Erin D'Agostino, Peter Callas, Alissa A. Thomas
Citation: BMC Health Services Research, 25, 1052
Date: 08/2025
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Washington's Rural Oral Health Workforce
Highlights challenges in access to oral healthcare in rural Washington, workforce shortages, and geographic disparities. Emphasizes the need for strategies to support recruitment, retention, and training of oral health professionals in underserved areas. Features demographics and statistics on oral health professionals, with breakdowns by rural and nonrural areas, and Washington maps showing distribution of various oral health professionals, with shadings indicating rural and nonrural counties.
Date: 08/2025
Sponsoring organization: UW Center for Health Workforce Studies
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