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Rural Health
Resources by Topic: Rural-urban differences

Challenges and Opportunities in Rural Health Care: Chelsea Lensing
A video recording of a podcast episode that discusses mental healthcare access in rural Iowa. Features Chelsea Lensing, economics professor at Coe College in Iowa, who studies disparities in healthcare access in rural versus urban populations. Transcript available below video.
Author(s): Paul Yeager, Chelsea Lensing
Date: 09/2024
Sponsoring organization: Iowa PBS
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The COVID-19 Pandemic and Associated Declines in Cancer Incidence by Race/Ethnicity and Census-Tract Level SES, Rurality, and Persistent Poverty Status
Examines the impact of COVID-19 on cancer screening, treatment, incidence, and disparities among different population groups. Utilizes U.S. National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data to compare 2020 and 2015-2019 incidence rates at 13 different cancer sites. Analyzes various cancer types across sociodemographic variables, including race/ethnicity, socioeconomic status, persistent poverty (PP), and rural versus urban location.
Author(s): Benmei Liu, Mandi Yu, Jeffrey Byrne, Katheen A. Cronin, Eric J. Feuer
Citation: Cancer Medicine, 13(17)
Date: 09/2024
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AHRQ Report to Congress: An Assessment of Sepsis in the United States and its Burden on Hospital Care
Offers an assessment of hospital care for sepsis between 2016 and 2021 including trends in hospital utilization, morbidity, in-hospital mortality, and disparities related to various patient demographics and geographic factors. Discusses rural throughout.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access
Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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A Proposed Method for Identifying Interfacility Transfers in Medicare Claims Data
Discusses a methodology for identifying interfacility transfers (IFTs) to prevent underrepresentation of low-income and rural patients in the data. Utilizes 2011–2020 Medicare claims data of patients with ST-Elevation Myocardial Infarction (STEMI) to examine transfers with breakdowns according to age; sex; race; income; access to emergency department (ED), trauma, or intensive care unit (ICU) care; and metro, micro, or rural location.
Author(s): Sayeh Nikpay, Michelle Leeberg, Katy Kozhimannil, et al.
Citation: Health Services Research, 60(1)
Date: 09/2024
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Poverty in the United States: 2023
Reports on poverty rates for 2022 and 2023, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Emily A. Shrider
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
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Income in the United States: 2023
Reports on income levels for 2022 and 2023, along with the percent change from 2022 to 2023. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2024 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Gloria Guzman, Melissa Kollar
Date: 09/2024
Sponsoring organization: U.S. Census Bureau
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2024
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
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Vital Signs: Suicide Rates and Selected County-Level Factors — United States, 2022
Examines differences in suicide rates by county-level health insurance coverage, broadband Internet access, and household income. Includes data on suicide rates for these three county-level factors for rural compared to urban areas.
Author(s): Alison L. Cammack, Mark R. Stevens, Rebecca B. Naumann, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(37), 810-818
Date: 09/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Geographic Variations in Urban-Rural Particulate Matter (PM2.5) Concentrations in the United States, 2010–2019
Compares fine particulate matter 2.5 (PM2.5) ambient air concentration in rural versus urban areas from 2010 to 2019, utilizing the AHRQ database on Social Determinants of Health. Examines rural-urban changes in PM2.5 concentration over time, with breakdowns by census tract race and ethnicity, poverty, residents under age 15, and residents over age 65.
Author(s): Daniel J. Kilpatrick, Peiyin Hung, Elizabeth Crouch, et al.
Citation: GeoHealth, 8(9), e2023GH000920
Date: 09/2024
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