Rural Health
Resources by Topic: Rural-urban differences
The Burden of Cardiovascular Disease in the United States: Patterns and Barriers to Care
Provides an overview of cardiovascular disease (CVD), including related adverse health outcomes, risk factors, and prevention and treatment options. Discusses disparities in CVD burden, barriers patients may face in accessing care, and the economic costs of insufficient CVD prevention and treatment. Presents an analysis of 2019 data on the prevalence of CVD, risk factors, complications, and healthcare utilization and spending among fee-for-service Medicare beneficiaries by sex, age, race/ethnicity, Medicaid enrollment, and rural/urban residence. Highlights U.S. Department of Health and Human Services (HHS) initiatives to address CVD.
Date: 08/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of cardiovascular disease (CVD), including related adverse health outcomes, risk factors, and prevention and treatment options. Discusses disparities in CVD burden, barriers patients may face in accessing care, and the economic costs of insufficient CVD prevention and treatment. Presents an analysis of 2019 data on the prevalence of CVD, risk factors, complications, and healthcare utilization and spending among fee-for-service Medicare beneficiaries by sex, age, race/ethnicity, Medicaid enrollment, and rural/urban residence. Highlights U.S. Department of Health and Human Services (HHS) initiatives to address CVD.
Date: 08/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Changes in Substance Use Diagnoses in the Great Plains during the COVID-19 Pandemic
Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
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Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
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How Narrow or Broad are ACA Marketplace Physician Networks?
Examines physician networks and participation in Qualified Health Plans (QHPs) and how network size impacts costs and access for patients. Utilizes 2021 physician workforce and provider network data to analyze patient access to physicians in their network, distribution of Marketplace enrollees and plans, availability of specialists, share of physicians included in enrollees' provider networks by rural versus urban location, and more.
Author(s): Matthew Rae, Karen Pollitz, Kaye Pestaina, et al.
Date: 08/2024
Sponsoring organization: KFF
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Examines physician networks and participation in Qualified Health Plans (QHPs) and how network size impacts costs and access for patients. Utilizes 2021 physician workforce and provider network data to analyze patient access to physicians in their network, distribution of Marketplace enrollees and plans, availability of specialists, share of physicians included in enrollees' provider networks by rural versus urban location, and more.
Author(s): Matthew Rae, Karen Pollitz, Kaye Pestaina, et al.
Date: 08/2024
Sponsoring organization: KFF
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Description of Census-Tract-Level Social Determinants of Health in Cancer Surveillance Data
Examines cancer incidence, stage at diagnosis, and mortality by cancer site, utilizing census tract-level data from the Surveillance, Epidemiology, and End Results (SEER) specialized database. Includes data on rurality and other sociodemographic characteristics, with rural-urban breakdowns by race, ethnicity, and persistent poverty.
Author(s): Manami Bhattacharya, Kathleen A Cronin, Tracey L Farrigan
Citation: Journal of the National Cancer Institute Monographs, 2024(65), 152-161
Date: 08/2024
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Examines cancer incidence, stage at diagnosis, and mortality by cancer site, utilizing census tract-level data from the Surveillance, Epidemiology, and End Results (SEER) specialized database. Includes data on rurality and other sociodemographic characteristics, with rural-urban breakdowns by race, ethnicity, and persistent poverty.
Author(s): Manami Bhattacharya, Kathleen A Cronin, Tracey L Farrigan
Citation: Journal of the National Cancer Institute Monographs, 2024(65), 152-161
Date: 08/2024
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Predictors of Telehealth Use after the Minnesota Telehealth Act: Analysis Using the Minnesota All Payer Claims Database
Examines factors contributing to telehealth use among commercially insured and Medicare Advantage patients in Minnesota. Factors evaluated include age, sex, various chronic health conditions, rurality, broadband access, and more.
Author(s): Arkadipta Ghosh, Ethan Jacobs, Elizabeth Greener, et al.
Citation: Health Affairs Scholar, 2(8)
Date: 08/2024
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Examines factors contributing to telehealth use among commercially insured and Medicare Advantage patients in Minnesota. Factors evaluated include age, sex, various chronic health conditions, rurality, broadband access, and more.
Author(s): Arkadipta Ghosh, Ethan Jacobs, Elizabeth Greener, et al.
Citation: Health Affairs Scholar, 2(8)
Date: 08/2024
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National- and State-Level Estimates of WIC Eligibility and Program Reach in 2022: Final Report, Volume 1
Compares eligibility versus participation in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits in 2022 using Community Population Survey Annual Social and Economic Supplement (CPS-ASEC), American Community Survey (ACS), and National Vital Statistics data. Discusses trends over time for infants and pregnant women as well as by breastfeeding status, race and ethnicity, Medicaid participation, and urbanicity. Includes state and regional comparisons.
Additional links: Appendices, Summary
Author(s): Courtenay Kessler, Andrew Bryant, Kate Munkacsy, Kelsey Farson Gray
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
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Compares eligibility versus participation in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits in 2022 using Community Population Survey Annual Social and Economic Supplement (CPS-ASEC), American Community Survey (ACS), and National Vital Statistics data. Discusses trends over time for infants and pregnant women as well as by breastfeeding status, race and ethnicity, Medicaid participation, and urbanicity. Includes state and regional comparisons.
Additional links: Appendices, Summary
Author(s): Courtenay Kessler, Andrew Bryant, Kate Munkacsy, Kelsey Farson Gray
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
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Variations in Caregivers' Health and Well-Being in the North Central Region: Research Snapshot
Examines the emotional and financial health of caregivers across race/ethnicity, sex, household income, rurality, and caregiving type. Utilizes 2023 data from the North Central Region and provides statistics on physical, mental, social, and financial effects of caregiving.
Author(s): Elena Pojman, Florence Becot, Shoshanah Inwood
Date: 08/2024
Sponsoring organization: North Central Regional Center for Rural Development
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Examines the emotional and financial health of caregivers across race/ethnicity, sex, household income, rurality, and caregiving type. Utilizes 2023 data from the North Central Region and provides statistics on physical, mental, social, and financial effects of caregiving.
Author(s): Elena Pojman, Florence Becot, Shoshanah Inwood
Date: 08/2024
Sponsoring organization: North Central Regional Center for Rural Development
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Place-Based, Intersectional Variation in Caregiving Patterns and Health Outcomes Among Informal Caregivers in the United States
Examines the correlation between informal caregivers' health and well-being and race/ethnicity, sex, and rural-urban status. Utilizes 2021-2022 Behavioral Risk Factor Surveillance System (BRFSS) data to analyze rural versus urban differences in informal caregiver demographics, type and time spent caregiving, and health status.
Author(s): Steven A. Cohen, Caitlin C. Nash, Mary L. Greaney
Citation: Frontiers in Public Health, 12
Date: 08/2024
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Examines the correlation between informal caregivers' health and well-being and race/ethnicity, sex, and rural-urban status. Utilizes 2021-2022 Behavioral Risk Factor Surveillance System (BRFSS) data to analyze rural versus urban differences in informal caregiver demographics, type and time spent caregiving, and health status.
Author(s): Steven A. Cohen, Caitlin C. Nash, Mary L. Greaney
Citation: Frontiers in Public Health, 12
Date: 08/2024
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Comparative Analysis of Breast and Lung Cancer Survival Rates and Clinical Trial Enrollments Among Rural and Urban Patients in Georgia
Examines if there is a presence of health disparities when comparing rural and urban breast and lung cancer patients in Georgia. Analyzes survival rates and clinical trial enrollments at a Comprehensive Cancer Center (CCC), providing rural versus urban descriptive statistics.
Author(s): Tatiana Kurilo, Rebecca D. Pentz
Citation: Oncology Research, 32(9), 1401-1406
Date: 08/2024
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Examines if there is a presence of health disparities when comparing rural and urban breast and lung cancer patients in Georgia. Analyzes survival rates and clinical trial enrollments at a Comprehensive Cancer Center (CCC), providing rural versus urban descriptive statistics.
Author(s): Tatiana Kurilo, Rebecca D. Pentz
Citation: Oncology Research, 32(9), 1401-1406
Date: 08/2024
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Intersection of Poverty and Rurality for Early-Onset Colorectal Cancer Survival
Research letter examining associations between early-onset colorectal cancer (EO-CRC) mortality, poverty, and rurality, utilizing 2006-2015 SEER Program data of 58,200 patients with EO-CRC. Analyzes whether the intersection of rurality and persistent poverty compound 5-year EO-CRC mortality risk, with breakdowns by age group.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Caroline A. Thompson
Citation: JAMA Network Open, 7(8), e2430615
Date: 08/2024
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Research letter examining associations between early-onset colorectal cancer (EO-CRC) mortality, poverty, and rurality, utilizing 2006-2015 SEER Program data of 58,200 patients with EO-CRC. Analyzes whether the intersection of rurality and persistent poverty compound 5-year EO-CRC mortality risk, with breakdowns by age group.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Caroline A. Thompson
Citation: JAMA Network Open, 7(8), e2430615
Date: 08/2024
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