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Rural Health
Resources by Topic: Rural-urban differences

COVID-19 Mortality by Race and Ethnicity in US Metropolitan and Nonmetropolitan Areas, March 2020 to February 2022
Reviews COVID-19 mortality data for 977,018 adults between March 2020 and February 2022 to examine demographic differences between various waves of the pandemic, particularly as it relates to rural or urban classification. Suggests policy changes to reduce mortality.
Author(s): Dielle J. Lundberg, Elizabeth Wrigley-Field, Ahyoung Cho, Rafeya Raquib, Elaine O. Nsoesie, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Patient Satisfaction with Rural Health Centers
Examines patient satisfaction with health centers in Illinois by patient demographics, including metro versus nonmetro home location. Utilizes 7,002 records from Health Center Patient Survey (HCPS) data gathered from October 2014 through April 2015 to analyze health status, perception of healthcare quality, and satisfaction of health center patients.
Author(s): Adee Athiyaman
Date: 05/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Medicaid in Midlife: A Profile of Enrollees Ages 50 to 64
Provides an overview of Medicaid eligibility requirements for adults aged 50-64. Presents data on demographic characteristics of Medicaid beneficiaries in this age group.
Author(s): James McSpadden, Sari Siegel
Date: 05/2023
Sponsoring organization: AARP Public Policy Institute
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Tobacco Product Use Among Adults — United States, 2021
Examines use of combustible and noncombustible tobacco products among people aged 18 or older, using data from the 2021 National Health Interview Survey. Features statistics on the prevalence of cigarette smoking and use of other tobacco products with breakdowns including urban or rural location and the prevalence of cigarette smoking adults by race, ethnicity, and depression diagnosis history between 2019 and 2021.
Author(s): Monica E. Cornelius, Caitlin G. Loretan, Ahmed Jamal, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(18), 475–483
Date: 05/2023
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Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of 7 clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder with Fatal Drug Overdoses among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
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Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021–22 School Year
Reports on COVID-19 prevention strategies early in the 2021-22 school year and describes disparities in implementing strategies by school characteristics. Appendix includes data on specific strategies related to mask wearing and ventilation for city, suburban, town, and rural schools.
Additional links: Appendix
Author(s): Sanjana Pampati, Catherine N. Rasberry, Zach Timpe, et al.
Citation: Emerging Infectious Diseases, 29(5), 937-944
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Effect of Rurality and Travel Distance on Contralateral Prophylactic Mastectomy for Unilateral Breast Cancer
Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Health-Related Quality of Life: Unhealthy Days, A Data Short Take
Reports on the number of days Minnesotans felt mentally or physically unhealthy from 2013 through 2021. Includes breakdowns of data by age, education, income, insurance type, race/ethnicity, citizenship, and RUCA region, which is further categorized by urban area, large rural city, small rural town, or isolated rural town.
Date: 04/2023
Sponsoring organization: Minnesota Department of Health
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Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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