Rural Health
Resources by Topic: Rural-urban differences
Drug Overdose Deaths Involving Cocaine and Psychostimulants with Abuse Potential — United States, 2003–2017
Reports age-adjusted death rates in 2016 and 2017 for cocaine and psychostimulants, with information by age group, sex, race/ethnicity, urbanization level, U.S. Census region, and state. Includes data for metropolitan, micropolitan, and non-core counties. Provides national-level trend data for 2003-2017 on deaths related to these substances that also involved opioids and that did not involve opioids.
Author(s): Mbabazi Kariisa, Lawrence Scholl, Nana Wilson, Puja Seth, Brooke Hoots
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(17), 388-395
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports age-adjusted death rates in 2016 and 2017 for cocaine and psychostimulants, with information by age group, sex, race/ethnicity, urbanization level, U.S. Census region, and state. Includes data for metropolitan, micropolitan, and non-core counties. Provides national-level trend data for 2003-2017 on deaths related to these substances that also involved opioids and that did not involve opioids.
Author(s): Mbabazi Kariisa, Lawrence Scholl, Nana Wilson, Puja Seth, Brooke Hoots
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(17), 388-395
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Challenges and Opportunities for Lung Cancer Screening in Rural America
Examines 2015 data from the National Health Interview Survey to explore rural versus urban and geographic differences in low-dose computed tomography (LDCT) screening for lung cancer. Includes discussion on barriers to providing LDCT screening for rural populations.
Author(s): Cassie L. Odahowski, Whitney E. Zahnd, Jan M. Eberth
Citation: Journal of the American College of Radiology, 16(4), 590-595
Date: 04/2019
Type: Document
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Examines 2015 data from the National Health Interview Survey to explore rural versus urban and geographic differences in low-dose computed tomography (LDCT) screening for lung cancer. Includes discussion on barriers to providing LDCT screening for rural populations.
Author(s): Cassie L. Odahowski, Whitney E. Zahnd, Jan M. Eberth
Citation: Journal of the American College of Radiology, 16(4), 590-595
Date: 04/2019
Type: Document
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A Geospatial Analysis of Distances to Hospitals That Admit Pediatric Asthma Patients
Study examining pediatric care concentration in urban areas of Florida and the impacts of regionalization on rural EMS operations, focusing on pediatric asthma exacerbations. Analyzes data from 11,226 EMS pediatric asthma encounters, tracking travel distance to admitting facilities using geospatial mapping, and comparing rural and urban EMS calls.
Author(s): Jennifer Fishe, Erik Finlay, Sam Palmer, Phyllis Hendry
Citation: Prehospital Emergency Care, 23(5), 882-886
Date: 04/2019
Type: Document
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Study examining pediatric care concentration in urban areas of Florida and the impacts of regionalization on rural EMS operations, focusing on pediatric asthma exacerbations. Analyzes data from 11,226 EMS pediatric asthma encounters, tracking travel distance to admitting facilities using geospatial mapping, and comparing rural and urban EMS calls.
Author(s): Jennifer Fishe, Erik Finlay, Sam Palmer, Phyllis Hendry
Citation: Prehospital Emergency Care, 23(5), 882-886
Date: 04/2019
Type: Document
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Rural-Urban Disparities in Access to Home- and Community-based Services and Supports: Stakeholder Perspectives from 14 States
Examines rural-urban disparities in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
Type: Document
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Examines rural-urban disparities in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
Type: Document
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Scratching the Surface of Psychiatric Services Distribution and Public Health: An Indiana Assessment
Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
Type: Document
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Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
Type: Document
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
Type: Document
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Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
Type: Document
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Association Between Emergency Medical Service Response Time and Motor Vehicle Crash Mortality in the United States
Analyzes data from counties across the United States to determine whether longer emergency medical service (EMS) response times are related to higher fatality rates from motor vehicle crashes. Includes EMS response times based on rurality, population density, proximity to trauma centers, and more.
Author(s): James Byrne, N. Clay Mann, Mengtao Dai, et al.
Citation: JAMA Surgery, 154(4), 286-293
Date: 04/2019
Type: Document
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Analyzes data from counties across the United States to determine whether longer emergency medical service (EMS) response times are related to higher fatality rates from motor vehicle crashes. Includes EMS response times based on rurality, population density, proximity to trauma centers, and more.
Author(s): James Byrne, N. Clay Mann, Mengtao Dai, et al.
Citation: JAMA Surgery, 154(4), 286-293
Date: 04/2019
Type: Document
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Sacramento, California, April 3-5, 2019
Summarizes the 85th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Sacramento, California. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural cancer prevention and control and supportive services for older adults.
Date: 04/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 85th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Sacramento, California. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural cancer prevention and control and supportive services for older adults.
Date: 04/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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