Rural Health
Resources by Topic: Rural-urban differences
OBGYNs and the Provision of Sexual and Reproductive Health Care: Key Findings from a National Survey
Reports on a nationwide survey of obstetrician-gynecologists (OBGYNs) regarding sexual and reproductive healthcare, covering screening practices; provision of contraception, abortion, and sexually transmitted infection care; and the effects of policy on healthcare access and quality. Analyzes survey data from 1,210 OBGYN participants on contraception provision and other services, access to specific services based on regional and urban/rural location, provider characteristics and experiences, Medicaid coverage, and more.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 02/2021
Sponsoring organization: KFF
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Reports on a nationwide survey of obstetrician-gynecologists (OBGYNs) regarding sexual and reproductive healthcare, covering screening practices; provision of contraception, abortion, and sexually transmitted infection care; and the effects of policy on healthcare access and quality. Analyzes survey data from 1,210 OBGYN participants on contraception provision and other services, access to specific services based on regional and urban/rural location, provider characteristics and experiences, Medicaid coverage, and more.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 02/2021
Sponsoring organization: KFF
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Availability of Supplemental Benefits in Medicare Advantage Plans in Rural and Urban Areas
Examines differences in Medicare Advantage (MA) plans with supplemental benefits that are available to enrollees in nonmetropolitan and metropolitan areas. Features statistics including average number of organizations offering MA plans, proportion of MA plans offering supplemental benefits, and MA plan premiums as of 2020, with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines differences in Medicare Advantage (MA) plans with supplemental benefits that are available to enrollees in nonmetropolitan and metropolitan areas. Features statistics including average number of organizations offering MA plans, proportion of MA plans offering supplemental benefits, and MA plan premiums as of 2020, with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural HIV Prevalence and Service Availability in the United States: A Chartbook
Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Changes in Suicide Rates — United States, 2018–2019
Reports on changes in counts and age-adjusted suicide rates from 2018 to 2019. Includes data by level of county urbanicity for four levels of metropolitan areas and two nonmetro levels, overall and by sex. Also includes data on suicide mechanism of injury by level of urbanization.
Author(s): Deborah M. Stone, Christopher M. Jones, Karin A. Mack
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(8), 261-268
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on changes in counts and age-adjusted suicide rates from 2018 to 2019. Includes data by level of county urbanicity for four levels of metropolitan areas and two nonmetro levels, overall and by sex. Also includes data on suicide mechanism of injury by level of urbanization.
Author(s): Deborah M. Stone, Christopher M. Jones, Karin A. Mack
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(8), 261-268
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Racial Residential Segregation and Colorectal Cancer Mortality in the Mississippi Delta Region
Investigates whether rurality influences the relationship between racial segregation and colorectal cancer (CRC) outcomes in the Mississippi Delta Region. Features county-level data on CRC mortality, with information broken down by race and rurality.
Author(s): Aaron J. Kruse-Diehr, Justin T. McDaniel, Marquita W. Lewis-Thames, Aimee S. James, Musa Yahaya
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Investigates whether rurality influences the relationship between racial segregation and colorectal cancer (CRC) outcomes in the Mississippi Delta Region. Features county-level data on CRC mortality, with information broken down by race and rurality.
Author(s): Aaron J. Kruse-Diehr, Justin T. McDaniel, Marquita W. Lewis-Thames, Aimee S. James, Musa Yahaya
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Trends in Nursing Home Closures in Nonmetropolitan and Metropolitan Counties in the United States, 2008-2018
Policy brief documenting closures of facilities dually certified by Medicare and Medicaid or facilities certified by Medicaid only. Identifies areas lacking nursing homes and summarizes characteristics of open and closed nursing homes. Features statistics with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing areas with one or more nursing home closures from 2008-2018 and counties considered nursing home deserts.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clinton MacKinney, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief documenting closures of facilities dually certified by Medicare and Medicaid or facilities certified by Medicaid only. Identifies areas lacking nursing homes and summarizes characteristics of open and closed nursing homes. Features statistics with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing areas with one or more nursing home closures from 2008-2018 and counties considered nursing home deserts.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clinton MacKinney, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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