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Rural Health
Resources by Topic: Rural-urban differences

QuickStats: Percentage of Adults Aged ≥18 Years With Fair or Poor Health, by Urbanization Level and Age Group — National Health Interview Survey, United States, 2019
Bar chart showing adults reporting fair or poor health in metropolitan compared to nonmetro areas, overall and for ages 18-39, 40-64, and 65 or older.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(30), 1048
Date: 07/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Diabetes-Related Inpatient Stays, 2018
Brief examining nonmaternal inpatient stays related to type 1 and type 2 diabetes based on 2018 National Inpatient Sample (NIS) data. Presents distribution of inpatient stays by age, sex, insurance status, income, race and ethnicity, and metro and rural location.
Author(s): Kathryn R. Fingar, Lawrence D. Reid
Date: 07/2021
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Door-to-Door Vaccination Campaign Reaches the Most Vulnerable
Article and video describing the efforts of the Coalition Advocating for Pesticide Safety (CAPS), a community-based organization, to conduct COVID-19 vaccination outreach door-to-door in rural, at-risk, and immigrant communities in California. Describes the challenges facing public health agencies working in rural areas, vaccine hesitancy, and health disparities in rural areas.
Author(s): Stephen Johnson
Date: 07/2021
Sponsoring organizations: Chan Zuckerberg Initiative, Freethink
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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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