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Rural Health
Resources by Topic: Rural-urban differences

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2020
Reports on vaccination coverage among U.S. adolescents ages 13 through 17. Includes data on vaccination coverage by metropolitan and nonmetropolitan residence and poverty status. Includes nonmetro data related to the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), HPV (human papillomavirus), MMR (measles, mumps, and rubella), hepatitis A, hepatitis B, and varicella.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(35), 1183-1190
Date: 09/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Overview of Barriers and Facilitators in COVID-19 Vaccine Outreach
Provides an overview of lessons learned from infectious disease outbreaks about barriers to vaccine uptake. Describes examples of promising and innovative COVID-19 vaccination outreach strategies, including strategies to build vaccine confidence in rural communities. Identifies best practices that could be used to inform outreach in areas with low vaccination rates. Highlights online tools and resources to assist with the design of vaccine outreach programs.
Author(s): Aldren Gonzales, Euny C. Lee, Violanda Grigorescu, et al.
Date: 09/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Primary Care Mental Health Integration to Improve Early Treatment Engagement for Veterans Who Screen Positive for Depression
Analyzes the impact of mental health integration into primary care clinics (PC-MHI) among veterans diagnosed with depression. Examines 15,155 patients that screened positively for depression, with data broken down by PC-MHI reach, timeliness of depression treatment, patient sociodemographic variables and health status, and clinic characteristics, including rurality. Discusses patient location and its relationship to veteran mental health disparities.
Author(s): Lucinda B. Leung, Karen Chu, Danielle E. Rose, et al.
Citation: Health Services Research, 59(S2)
Date: 08/2021
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School Nurses in Texas K-12 Public & Charter Schools, 2021
Fact sheet describing the school nurse workforce in Texas. Features statistics with breakdowns by metropolitan and nonmetropolitan areas and basic demographics, education levels, and school grade group distributions.
Date: 08/2021
Sponsoring organization: Texas Health and Human Services
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Relationship Between Population Density and Scope of Practice for Certified Registered Nurse Anesthetists in Arizona
Study surveyed 230 Certified Registered Nurse Anesthetists (CRNA) in Arizona to compare scope of practice and population density as well as scope of practice and job satisfaction. Discusses regulations and barriers in scope of practice for CRNAs and other healthcare professionals nationally in the context of recruitment and retention.
Author(s): Michael A. MacKinnon
Citation: AANA Journal, 89(4), 325-333
Date: 08/2021
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Secondhand Smoke Exposure at Home and/ or in a Vehicle: Differences Between Urban and Non-Urban Adolescents in the United States, From 2015 to 2018
Explores geographic disparities in secondhand smoke exposure for urban and non-urban youth. Analyzes 69,249 middle and high school students from the 2015-2018 National Youth Tobacco Survey and breaks down the sample by sex, grade level, type of tobacco, status related to living with a tobacco user, year studied, and urban versus non-urban location.
Author(s): Dale S. Mantey, Onyinye Omega-Njemnobi, Cristina S. Barroso
Citation: Nicotine & Tobacco Research, 23(8), 1327-1333
Date: 08/2021
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The Growing Rural-Urban Divide in US Life Expectancy: Contribution of Cardiovascular Disease and Other Major Causes of Death
Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Some Digital Divides Persist Between Rural, Urban, and Suburban America
Highlights differences in broadband access and digital technology adoption, such as smart phone, tablet, or computer, between rural, urban and suburban residents of the U.S.
Author(s): Emily A. Vogels
Date: 08/2021
Sponsoring organization: Pew Research Center
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Epidemiology of Acute Myeloid Leukemia in Virginia: Excellent Survival Outcomes for Patients in Rural Appalachia
Results of a study comparing the molecular characteristics of patients with acute myeloid leukemia (AML) in rural and urban Virginia. Also evaluates the effect of geography and socioeconomic factors on the biology, treatment, and survival rate of AML patients. Features demographics with breakdowns by urban or rural location and a county-level map showing frequency of patients, with shadings indicating urban or rural area.
Author(s): Krista M. Isaac, Daniel R. Reed, Raj Piyush Desai, et al.
Citation: Cancer Reports (Hoboken), 4(4), e1354
Date: 08/2021
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