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Rural Health
Resources by Topic: Rural-urban differences

Health Value and Belief Differences Among Rural Americans
Results of a study to better understand how Americans differ in their beliefs about health at individual, community, and societal levels. Appendix features survey question responses with breakdowns by rural and urban residence.
Additional links: American Health Values Survey: Rural Typology
Author(s): Larry L. Bye, Alyssa Ghirardelli, Angela Fontes, Mike Meit, Kristin Dwan
Date: 04/2019
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Testing and Improving the Acceptability of a Web-Based Platform for Collective Intelligence to Improve Diagnostic Accuracy in Primary Care Clinics
Explores use of the Human Dx collective intelligence tool among 13 primary care providers in community-based clinics, including 3 in rural areas. Includes statistics on characteristics of participating clinicians, with breakdown by urban or rural location.
Author(s): Valy Fontil, Kate Radcliffe, Helena C. Lyson, et al.
Citation: JAMIA Open, 2(1), 40-48
Date: 04/2019
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American Farm Bureau Federation Rural Stress Polling Presentation
Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Date: 04/2019
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
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Rural Health Research Recap: State of Rural Women's Healthcare Utilization and Health Indicators
Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Author(s): Shawnda Schroeder
Date: 04/2019
Sponsoring organization: Rural Health Research Gateway
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An Evaluation Report: Senior Food-Assistance, Related Programming, and Seniors' Experiences Across the Feeding America Network
Discusses characteristics of 17 food bank programs in rural and urban areas of 9 states, through interviews, observations, and document reviews. Examines challenges faced by food-insecure rural seniors and profiles food-assistance programs in rural areas of Montana, Alabama, and Minnesota.
Additional links: Executive Summary
Author(s): Edward A. Frongillo, Andrea M. Warren
Date: 04/2019
Sponsoring organization: Feeding America
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Preventive Health Service Use among Rural Women
A study of national data to understand whether health status and sociodemographic characteristics explain the differences in use of preventive services among women in rural and urban areas from 2014-2016. Features statistics including receipt of various services, health status indicators, sociodemographic characteristics, and predictions of women's health service receipt, with breakdowns by rural or urban residence.
Author(s): Erika Ziller, Jennifer Lenardson, Nathan Paluso, Jaclyn Janis
Date: 04/2019
Sponsoring organization: Maine Rural Health Research Center
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Using Population Health Measures to Evaluate the Environmental Burden of Cancer at the County Level
Results of a study using population health indicators and county-level factor analysis to examine rates of cancer from 2010 to 2014. Includes maps with shadings to show burden index and age-adjusted cancer mortality rates. Variables included poverty, income, food insecurity, isolation in rural areas, and long commutes.
Author(s): Lia C. Scott, Lawrence E. Barker, Lisa C. Richardson
Citation: Preventing Chronic Disease, 16
Date: 04/2019
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Trends in Emergency Department Use by Rural and Urban Populations in the United States
Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
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2017 Uninsured Rates in Urban and Rural America
A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Date: 04/2019
Sponsoring organization: U.S. Census Bureau
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Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
Focuses on differences between community-admitted and post-acute care Medicare home health patients over time in order to identify reasons for the increase in community-admitted patients. Addresses differences in rural/urban residency in Tables B.1. and E.1., as well as whether the county of residence is a primary care shortage area.
Author(s): Andrea Wysocki, Valerie Cheh
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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