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Rural Health
Resources by Topic: Rural-urban differences

The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California?
Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by Critical Access Hospital (CAH) classification and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
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Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016
Examines age-adjusted death rates for overdoses involving all opioids, cocaine, and psychostimulants with abuse potential. Includes data by opioid subcategory for prescription opioids, heroin, and synthetic opioids. Provides data by urbanization level for metropolitan, micropolitan, and noncore counties, as well as data by decedent demographics.
Author(s): Puja Seth, Lawrence Scholl, Rose A. Rudd, Sarah Bacon
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(12), 349-358
Date: 03/2018
Sponsoring organization: Centers for Disease Control and Prevention
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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces
Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Sponsoring organization: Leonard Davis Institute of Health Economics
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Receipt of a Sexual Risk Assessment From a Doctor or Medical Care Provider in the Past Year Among Women and Men Aged 15–44 With Recent Sexual Activity
Reports on receipt of sexual risk assessments among sexually active men and women aged 15-44, based on 2011–2015 data from the National Survey of Family Growth. Includes data by urban and rural patient residence.
Author(s): Casey E. Copen
Date: 03/2018
Sponsoring organization: National Center for Health Statistics
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In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured
Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Sponsoring organization: U.S. Census Bureau
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Geographic Variation in the 2016 Profitability of Urban and Rural Hospitals
Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Sponsoring organization: North Carolina Rural Health Research Program
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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults
Highlights oral health status and key issues among older adults living in California. Compares rates of untreated tooth decay and complete tooth loss in urban and rural areas of the state.
Author(s): Sahiti Bhaskara, Conrado E. Barzaga
Date: 03/2018
Sponsoring organization: Center for Oral Health
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A Health Picture of HUD-Assisted Children, 2006-2012
Describes the health characteristics of children living in HUD-assisted households, using data from the National Health Interview Survey. Features statistics with breakdowns by 6 levels of population classification, including noncore.
Author(s): Veronica E. Helms, Barry L. Steffen, Elizabeth Rudd, Jon Sperling
Date: 03/2018
Sponsoring organization: U.S. Department of Housing and Urban Development
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National Hospital Ambulatory Medical Care Survey: 2015 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 15 has metro/nonmetro injury visit data based on hospital location.
Date: 03/2018
Sponsoring organization: National Center for Health Statistics
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Domestic Migration and Fewer Births Reshaping America
Examines population trends by county metropolitan status. Summarizes changes for rural counties adjacent to metro counties, rural counties with recreational and scenic amenities, and rural farm counties related to domestic in-migration and out-migration, as well as births and deaths.
Author(s): Kenneth M. Johnson
Date: 03/2018
Sponsoring organization: Carsey School of Public Policy
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