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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Flood Risk is Higher in Rural and Disadvantaged Communities
Examines how flood risk varies based on rural or urban location and socioeconomic or demographic composition, using data from the 48 lower U.S. states. Features statistics on average percentage of properties at risk of flooding, with breakdowns by urban, large rural, small rural, and isolated areas. Offers recommendations for preparing evacuation and resource distribution materials and creating partnerships with local service agencies, especially in areas with large populations of older adults.
Author(s): Danielle Rhubart, Yue Sun
Date: 07/2021
Sponsoring organizations: Lerner Center for Public Health Promotion, Penn State Population Research Institute
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Evolving Roles of Rural Hospitals: Evidence from Pandemic Experiences
Slides presented at the 2021 Southern Legislative Conference annual meeting. Presents data on the spread of COVID-19 in rural communities over time and compares confirmed COVID-19 cases and COVID-19 deaths in urban and rural counties in the southern states. Highlights how state policies can invest in and support rural hospitals.
Date: 07/2021
Sponsoring organization: Rural Policy Research Institute
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Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020
Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Unintentional Drowning Deaths Among Children Aged 0-17 Years: United States, 1999-2019
Reports on accidental drowning deaths using National Vital Statistics System data. Includes comparison of deaths by rural or urban status among other demographic factors.
Author(s): Merianne Rose Spencer, Holly Hedegaard, Margaret Warner
Date: 07/2021
Sponsoring organization: National Center for Health Statistics
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Rural-Urban Variations in Travel Burdens for Care: Findings from the 2017 National Household Travel Survey
Provides estimates of the distance traveled and time spent on one-way trips for medical and dental care, examines how rural residents' travel behaviors vary by sociodemographic and geographic characteristics, and evaluates factors associated with a high travel burden for medical and dental care among rural residents. Features statistics with breakdowns by time and distance traveled, age, sex, household income, and rural or urban residence.
Additional links: Executive Summary
Author(s): Marvellous Akinlotan, Kristin Primm, Nima Khodakarami, Jane Bolin, Alva O. Ferdinand
Date: 07/2021
Sponsoring organization: Southwest Rural Health Research Center
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Most Frequent Principal Diagnoses for Inpatient Stays in U.S. Hospitals, 2018
Presents data on the most frequent principal diagnoses among nonmaternal, nonneonatal inpatient hospital stays. Uses the 2018 National Inpatient Sample (NIS) to describe the number of stays, mean cost per stay, and aggregate costs. Examines the distribution of stays for the most common diagnoses by patient and hospital characteristics, including rurality.
Author(s): Kimberly W. McDermott, Marc Roemer
Date: 07/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Acceptability of Adolescent COVID-19 Vaccination Among Adolescents and Parents of Adolescents — United States, April 15–23, 2021
Reports on intent for COVID-19 vaccination among unvaccinated adolescents age 13-17 and the parents of those age 12-17, as well as vaccination receipt for adolescents age 16–17 years. Includes information by location for metropolitan, micropolitan, and rural areas.
Author(s): Aaron M. Scherer, Amber M. Gedlinske, Andrew M. Parker, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(28), 997-1003
Date: 07/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Communities at Risk: Widening Health Disparities Present New Challenges in Aftermath of Pandemic
Describes the health status, health disparities, and socioeconomic disparities of vulnerable rural communities. Analyzes the relationship between rural community vulnerability and the stability of the rural health safety net.
Date: 07/2021
Sponsoring organization: The Chartis Group
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Access to Affordable Care in Rural America: Current Trends and Key Challenges
Describes geographic and demographic challenges that contribute to healthcare access and health disparities in rural areas. Covers patterns of insurance coverage between rural and urban areas, healthcare provider shortages, and rural hospital vulnerability and closures. Discusses programs and services supported by the U.S. Department of Health and Human Services (HHS) to reduce barriers to care in rural communities, including telehealth, healthcare workforce programs, and Rural Health Clinics and Community Health Centers.
Author(s): Gina Turrini, D. Keith Branham, Lucy Chen, et al.
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Urban-Rural Differences in Dental Care Use Among Adults Aged 18-64
Reports on dental visits for rural and urban populations in 2019, providing data from the National Health Interview Survey based on income relative to the federal poverty level.
Author(s): Amy E. Cha, Robin A. Cohen
Date: 07/2021
Sponsoring organization: National Center for Health Statistics
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