Rural Health
Resources by Topic: Rural-urban differences
Trends in Cancer Incidence in Younger Adults in the Midwest
Examines cancer incidence and type in adults aged 18-49 and living in the Midwest. Utilizes 2019-2024 National Health Interview Survey data to analyze cancer incidence according to patient demographics, including metro versus nonmetro location.
Author(s): Adee Athiyaman
Date: 01/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines cancer incidence and type in adults aged 18-49 and living in the Midwest. Utilizes 2019-2024 National Health Interview Survey data to analyze cancer incidence according to patient demographics, including metro versus nonmetro location.
Author(s): Adee Athiyaman
Date: 01/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Snapshot of Rural Health in Colorado, 2026
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Health Panel Comment Letter - Contract Year 2027 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
Offers comments in response to a November 28, 2025, proposed rule regarding policy and technical changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan programs for contract year 2027. Includes data on trends in chronic condition special need plans (C-SNPs) and institutional special needs plans (I-SNPs) between 2016 and 2025 and MA plan offerings by county metropolitan status.
Date: 01/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to a November 28, 2025, proposed rule regarding policy and technical changes to the Medicare Advantage, Medicare Prescription Drug Benefit, and Medicare Cost Plan programs for contract year 2027. Includes data on trends in chronic condition special need plans (C-SNPs) and institutional special needs plans (I-SNPs) between 2016 and 2025 and MA plan offerings by county metropolitan status.
Date: 01/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Policy Brief: Teen Mental Health and School-Based Services in California
Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Antecedents of Loneliness among Cancer Survivors: An Exploratory Analysis of the Health Information National Trends Survey (HINTS) Data
Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Iowa Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Iowa Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Iowa Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections
Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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