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Rural Health
Resources by Topic: Rural-urban differences

Rural and Urban Differences in COVID-19 Prevention Behaviors
Examines the influence of political ideology, demographic factors, and COVID-19 experiences on COVID-19-related preventive health behaviors in rural and urban communities, based on a survey of 5,009 adults. Features demographics and statistics on various behaviors and attitudes, with breakdowns by urban and rural location.
Author(s): Timothy Callaghan, Jennifer A. Lueck, Kristen Lunz Trujillo, Alva O. Ferdinand
Citation: Journal of Rural Health, 37(2), 287-295
Date: 03/2021
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Nonmetropolitan COVID-19 Incidence and Mortality Rates Surpassed Metropolitan Rates Within the First 24 Weeks of the Pandemic Declaration: United States, March 1 – October 18, 2020
Compares COVID-19 cases and death rates in metropolitan and nonmetropolitan areas across three 11-week periods in 2020. Features state-level maps providing a visual assessment of the changing impact that COVID-19 had on nonmetropolitan populations.
Author(s): Kevin A. Matthews, Fred Ullrich, Anne H. Gaglioti, et al.
Citation: Journal of Rural Health, 37(2), 272-277
Date: 03/2021
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Mapping Food Insecurity-Related 2-1-1 Calls in a 10-County Area of Central Texas by Zip Code: Exploring the Role of Geographic Food Access, Urbanicity and Demographic Indicators
Analyzes the relationship between food insecurity and geographic food access through the location and urbanicity of 2-1-1 food calls. Examines 55,405 food calls made in 2018 in Texas and the relative location of the ZIP code of the caller in relationship to nearby supermarkets. Provides descriptive statistics on the demographic makeup of caller locations, including amount of calls per county.
Author(s): Kathryn M. Janda, Deborah Salvo Dominguez, Nalini Ranjit, et al.
Citation: Journal of Community Health, 46(1), 86-97
Date: 02/2021
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North Dakota Nursing Facility Vacancy Rates
Highlights the vacancy rates of nurses in facilities across North Dakota. Presents statewide vacancy rates and compares rates in rural and urban areas.
Date: 02/2021
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Urban-Rural Differences in COVID-19 Exposures and Outcomes in the South: A Preliminary Analysis of South Carolina
Examines confirmed cases of COVID-19 in South Carolina from March 1 - September 5, 2020. Compares data between urban and rural counties and their relationship to mitigation strategies and social vulnerability. Includes figures that show space-time analysis of COVID-19 impacts.
Author(s): Qian Huang, Sarah Jackson, Sahar Derakhshan, et al.
Citation: PLoS One, 16(2)
Date: 02/2021
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Sponsoring organization: Appalachian Regional Commission
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Rural-Urban Disparities in All-cause Mortality among Low-Income Medicare Beneficiaries, 2004–17
Examines the change in all-cause mortality rates among low-income Medicare beneficiaries dually-enrolled in Medicaid between 2004 and 2017. Compares rates between rural and urban beneficiaries by age, ethnicity, insurance type, and census region.
Author(s): Emefah Loccoh, Karen E. Joynt Maddox, Jiaman Xu, et al.
Citation: Health Affairs, 40(2), 289-296
Date: 02/2021
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Racial/Ethnic Heterogeneity and Rural-Urban Disparity of COVID-19 Case Fatality Ratio in the USA: a Negative Binomial and GIS-Based Analysis
Examines racial heterogeneity in COVID-19 case fatality ratio, using data from January-December 2020. Features statistics with breakdowns by urban, completely rural, and mostly rural locations.
Author(s): Ayodeji E. Iyanda, Kwadwo A. Boakye, Yongmei Lu, Joseph R. Oppong
Citation: Journal of Racial and Ethnic Health Disparities, 9(2), 708-721
Date: 02/2021
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