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Rural Health
Resources by Topic: Rural-urban differences

Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, gender, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Date: 01/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021
Examines vaccination coverage for selected vaccines and doses among children born in 2018-2019. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, Michael Chen, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(2), 33-38
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The State of Rural Minnesota: 2023
Presents an overview of rural Minnesota. Includes county-level data and statistics on population migration, economic vitality, agriculture, employment, income, rurality, and more.
Additional links: Highlights Slideshow
Author(s): Kelly Asche, Marnie Werner
Date: 01/2023
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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A Study of Arizona Physician Relocation Patterns by Rurality and Primary Care Status
Results of a study examining Arizona physician locations, relocation patterns, and factors associated with relocating between 2014-2019. Features demographics and statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Benjamin R. Brady, Bryna Koch, Dexter L. Gulick, Heather Carter, Daniel J. Derksen
Citation: Family Medicine, 55(1), 20-26
Date: 01/2023
Type: Document
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2021
Presents 2021 survey data, including revisions, on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 01/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Coronavirus State and Local Fiscal Recovery Funds in Rural and Urban Pennsylvania
Report analyzing distribution of funding from the Coronavirus State and Local Fiscal Recovery Funds (SLFRF) program in Pennsylvania. Features statistics with breakdowns by urban or rural location, and by type of project for which municipalities have used their SLFRF, including public health.
Date: 01/2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022
Reports on racial and ethnic differences in COVID-19 vaccination status and parental intent to vaccinate for children and adolescents aged 5-17 years. Includes data by urbanicity for those living in metropolitan and nonmetro areas.
Author(s): Madeleine R. Valier, Laurie D. Elam-Evans, Yi Mu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(1), 1-8
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families
Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
Type: Document
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Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19
Examines rates of pediatric obesity before the COVID-19 pandemic and during the pandemic as related to normalized difference vegetation index (NDVI) or greenspace. Analyzes patient electronic health records (EHRs) of 81,418 children who had a pediatric visit between June 2019 and December 2019 and then again between June 2020 and December 2020. Includes demographic breakdowns of EHR patients by age, sex, race/ethnicity, insurance type, neighborhood measures such as social/economic deprivation and supermarket access, and urban, suburban, or rural location.
Author(s): Stephanie L. Mayne, Shannon Kelleher, Chloe Hannan, et al.
Citation: American Journal of Preventive Medicine, 64(1), 33-41
Date: 01/2023
Type: Document
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