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Rural Health
Resources by Topic: Rural-urban differences

Adolescent Birth Rates and Rural–Urban Differences by Levels of Deprivation and Health Professional Shortage Areas in the United States, 2017–2018
Provides rural versus urban data on birth rates in females aged 15 to 19 years by county area deprivation index (ADI), Health Professional Shortage Area (HPSA), race/ethnicity, and healthcare resources. Utilizes 2017-2018 data from the National Center for Health Statistics, American Community Survey 5-year population estimates, and the Area Health Resources Files.
Author(s): Sylvester O. Orimaye, Nathan Hale, Edward Leinaar, Michael G. Smith, Amal Khoury
Citation: American Journal of Public Health, 111(1), 136-144
Date: 01/2021
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Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
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Rural Availability of Sexual Assault Nurse Examiners (SANEs)
Study examining the availability of sexual assault nurse examiners (SANEs) in rural areas based on county-level and hospital-level data from Pennsylvania. Describes challenges for SANE availability, including inconsistent coverage and barriers to certification, noting the potential risk of lower quality sexual assault care for rural victims.
Author(s): Elizabeth Thiede, Sheridan Miyamoto
Citation: The Journal of Rural Health, 37(1), 81-91
Date: 01/2021
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Community Social Determinants and Health Outcomes Drive Availability of Patient-Centered Medical Homes
Examines the geographic distribution of patient-centered medical homes and whether they appear in communities with greater disease burdens and social vulnerability. Analyzes spatial clusters of mental and physical health surveys, health behaviors, and premature mortality and compares these metrics with medical home saturation and sociodemographic characteristics, including rurality.
Author(s): Nathaniel Bell, Rebecca Wilkerson, Kathy Mayfield-Smith, Ana Lopez-De Fede
Citation: Health & Place, 67, 102439
Date: 01/2021
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The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
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Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults
Examines the effect the ACA had on oral healthcare utilization in rural areas. Compares use of oral health services by adults from 2011-2016 in rural and urban communities.
Author(s): Wei-Chen Lee, Chih-Ying Li, Hani Serag, et al.
Citation: Journal of Rural Health, 37(1), 103-113
Date: 01/2021
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Telemedicine for Tobacco Cessation and Prevention to Combat COVID-19 Morbidity and Mortality in Rural Areas
Discusses the use of telehealth to initiate tobacco cessation programs in rural areas as a means of limiting comorbidity and mortality during the COVID-19 pandemic. Highlights the rates of tobacco use in rural areas by type and compares rates to urban areas. Explores several examples of programs using telemedicine to implement successful models of tobacco cessation treatment in the U.S.
Author(s): Ashley L. Merianos, Bradley Fevrier, E. Melinda Mahabee-Gittens
Citation: Frontiers in Public Health, 8, 598905
Date: 01/2021
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Federal Universal Service Fund and Other Selected Federal Broadband Programs: A Primer
Provides an overview of federal programs designed to accelerate broadband deployment and adoption in rural and tribal areas and among eligible households.
Date: 01/2021
Sponsoring organization: Congressional Research Service
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Poll Finds Rural Residents More Hesitant to Get Vaccinated
Results of a poll conducted from November 30 - Dec 8, 2020, in which approximately 1,700 respondents were asked if they would get a COVID-19 vaccination if it were determined to be safe, effective, and available at no cost. Features statistics with breakdowns by urban, suburban, or rural location.
Author(s): Tim Marema
Citation: Journal of Appalachian Health, 3(1), 61-65
Date: 01/2021
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Cancer-Related Hospitalizations for Adults, 2017
Examines adult nonmaternal hospital stays involving cancer. Includes hospitalization rates principally for cancer and principally for other causes by location of patient residence for large central metropolitan areas; large fringe metro areas; medium or small metro; and micropolitan or noncore (rural) areas.
Author(s): Marc Roemer
Date: 01/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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