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Rural Health
Resources by Topic: Rural-urban differences

Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Population Change in Aggregate and by Metropolitan/Nonmetropolitan Status, 1971-2024
Line chart showing population change for the U.S. as a whole and for metropolitan and nonmetro counties.
Author(s): John Cromartie, Justin B. Winikoff
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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National Highway Traffic Safety Administration Quick Facts 2023
Provides statistics on motor vehicle crashes in 2021-2023, with breakdowns including fatalities, injuries, vehicle type, alcohol-impaired-driving, seat belt use, children, older population, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Older Population
National data on traffic crashes involving drivers age 65 and older. Features statistics from 2014-2023 with breakdowns by sex, age group, blood alcohol concentrations, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Compared With Urban Counties, Rural Counties Had a Lower Share of Working-Age Populations and a Higher Share of Residents Older Than 60 in 2023
Chart showing percentages of working-age populations and share of residents older than 60 in 2023, with breakdowns by urban and rural areas.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Rural Dependency Ratios Higher Than Urban Ratios in 2023, Indicating a Greater Need in Rural Areas for Caregiving for Children and Older Adults
Bar graph showing dependency ratios comparing the number of youth or older people for every 100 working-age people in 2023. Features breakdowns by 5 levels of population density.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories in 2024
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in 2024. Includes data for rural versus urban roads, among other measures. Compares 2023 fatality data to 2024 rates by month for a number of indicators, including rural areas.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Public Transit Supports for Food Access: 2021 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS HEAL)
Examines public transit availability and planning, presence of demand responsive transportation (DRT), and DRT services to food retail destinations in 1,956 municipalities. Provides data on demographic disparities in public transit access and planning, including rural-urban disparities. Discusses health impacts of access to healthy food and the importance of planning for adequate public transit.
Author(s): Brianna L. Smarsh, Young Shin Park, Seung Hee Lee, Diane M. Harris, Heidi M. Blanck
Citation: Preventing Chronic Disease, 22, 240458
Date: 05/2025
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Who Regularly Uses the Nutrition Facts Label? Exploring Demographic, Socioeconomic, and Geographic Differences
Analyzes the consumers who regularly read nutrition facts labels when purchasing food. Utilizes National Health and Nutrition Examination Survey (NHANES) data to examine label use by demographic and household characteristics, dietary and spending behaviors, nutrition information use measures, and geographic characteristics, including small/medium metropolitan area versus nonmetropolitan area.
Additional links: Report Summary
Author(s): Brandon J. Restrepo
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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As Rural Populations Grow Older, Communities Increasingly Rely on Smaller Labor Force
Reports on rural-urban differences in labor force availability and age dependency ratios caused by the growing demographic share of older people in the U.S. Breaks down data by county-level rurality, and discusses rural infrastructure, healthcare, and caregiving needs.
Author(s): Richelle L. Winkler
Citation: Amber Waves
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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