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Rural Health
Resources by Topic: Rural-urban differences

Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders
Study examining mental health needs for Native Hawaiian and other Pacific Islanders (NHPI) of Marshallese and Samoan descent residing in Los Angeles County and rural Northwest Arkansas. Presents survey data for anxiety, depression, and alcohol use as well as need for, avoidance of, and delay in seeking mental healthcare. Discusses prevalence of these issues among the 223 survey respondents, comparing rural and urban-residing populations and noting disparities by sex.
Author(s): Andrew M. Subica, Nia Aitaoto, Bruce G. Link, et al.
Citation: Psychiatric Services, 70(7), 578-585
Date: 07/2019
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Provider‐Level Variation in Smoking Cessation Assistance Provided in the Cardiology Clinics: Insights from the NCDR PINNACLE Registry
Presents a study on the variation in smoking cessation assistance programs across the U.S. Highlights the prevalence of these programs in primary care settings and details the data by patient characteristics, census region, and urbanity.
Author(s): Mayank Sardana, Yuanyuan Tang, Jared W. Magnani, et al.
Citation: Journal of the American Heart Association, 8(13)
Date: 07/2019
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E-Cigarette Minimum Legal Sale Age Laws and Traditional Cigarette Use among Rural Pregnant Teenagers
Uses 2010-2016 data from 32 states to explore how minimum legal sale age laws for e-cigarettes affects cigarette use among pregnant teenagers in rural areas. Provides data and statistics on smoking before and during pregnancy, underage teen births, and birth outcomes. Includes rural/urban comparisons.
Author(s): Michael Pesko, Janet Currie
Citation: Journal of Health Economics, 66, 71-90
Date: 07/2019
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Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
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Adverse Childhood Experiences of Urban and Rural Preschool Children in Poverty
Examines the interaction of race and geographic location on adverse childhood experiences (ACEs) for preschool children living in poverty in Arkansas. Data was collected using the Family Map Inventory–Early Childhood (FMI-EC) tool of structured interviews and observation items for assessing family and home environment characteristics linked with children's well-being.
Author(s): Leanne Whiteside-Mansell, Lorraine McKelvey, Jennifer Saccente, James P. Selig
Citation: International Journal of Environmental Research and Public Health, 16(14), 2623
Date: 07/2019
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Urban/Rural Residence Effect on Emergency Department Visits Arising From Food-induced Anaphylaxis
Examines urban/rural differences by age and race/ethnicity in emergency department (ED) pediatric visit rates for food-induced anaphylaxis using 2009-2014 data from New York and Florida.
Author(s): Rie Sakai-Bizmark, Scott M.I. Friedlander, Karin Oshima, Eliza J. Webber, Laurie A. Mena, et al
Citation: Allergology International, 68(3), 316–320
Date: 07/2019
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Prognostic Factors for Rural Endometrial Cancer Patients in a Population-Based Cohort
Examines rural-urban differences in prognostication of endometrial cancer and mortality rates among 2,994 endometrial cancer patients in Utah between 1997 and 2012. Analyzes healthcare data from the Utah Population Database, which includes EMR data from the University of Utah Healthcare and Intermountain Healthcare, two of the largest healthcare providers in the state.
Author(s): Brenna E. Blackburn, Sean Soissan, Kerry Rowe, et al.
Citation: BMC Public Health, 19, 921
Date: 07/2019
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Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Wisconsin Divided Ten Ways: A Review of Rural-Urban Classification Systems
Provides a high-level overview of core classification systems, and systems that are county-based, census tract-based, ZIP code-based, and municipal-based. Includes county-level maps with shadings indicating levels of population density, based on various definitions of the terms urban and rural.
Additional links: Appendix A - Wisconsin County Classifications, Appendix B - Wisconsin Census Tract Classifications, Appendix C - Wisconsin ZIP Code Classification, Appendix D - Municipal Classifications
Date: 07/2019
Sponsoring organization: Wisconsin Office of Rural Health
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U.S. Employment-to-Population Ratios, Metro and Nonmetro Areas, 2008-17
Line chart comparing metropolitan and nonmetropolitan employment-to-population ratios by year.
Date: 07/2019
Sponsoring organization: USDA Economic Research Service
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