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Rural Health
Resources by Topic: Rural-urban differences

Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Supporting the Mental Health Well-being of High School Students
Report evaluates the perceived need for school-based mental health services and the levels of access to those services by rural students and students of color. Bases results on surveys of high school students and makes corresponding recommendations. Compares the access to mental health services in rural, urban, and suburban schools.
Additional links: Infographic
Author(s): Michelle Croft, Shannon Hayes, Raeal Moore
Date: 01/2020
Sponsoring organization: ACT Center for Equity in Learning
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Sugar-Sweetened Beverage Intake Among Adults, by Residence in Metropolitan and Nonmetropolitan Counties in 12 States and the District of Columbia, 2017
Results of a study measuring the sugar-sweetened beverage intake of 68,896 adults, using information from the Behavioral Risk Factor Surveillance System. Features demographic statistics with breakdowns by frequency of intake, state, and metropolitan or nonmetropolitan location.
Author(s): Omoye Imoisili, Sohyun Park, Elizabeth A. Lundeen, et al.
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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QuickStats: Infant Mortality Rates For Metro and Nonmetro Counties, by Race and Hispanic Origin — National Vital Statistics System, United States, 2017
Bar chart showing metropolitan and nonmetro infant mortality rates for infants of non-Hispanic White mothers, non-Hispanic Black mothers, and Hispanic mothers.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(3), 95
Date: 01/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or chronic obstructive pulmonary disease (COPD). Examines the frequency, type, and duration of post-acute care, as well as readmission and mortality rates in people discharged to a community or to post-acute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Sponsoring organization: National Center for Health Statistics
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Student Interest in a Primary Care of Underserved Populations Course
Results of a study assessing students' interest in a potential Michigan State University course on skills needed to care for and advocate for rural patients and the underserved. Features demographic statistics on survey respondents, with breakdowns by rural or metropolitan hometowns.
Author(s): Jennifer Edwards-Johnson, Julie P. Phillips, Andrea Wendling
Citation: Family Medicine, 52(1), 17-23
Date: 01/2020
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Cancer in Michigan 2020
Provides an overview of Michigan's cancer burden with data showing cancer rates by race and type of cancer, as well as mortality rates and cancer incidence by county. Includes rural versus urban comparisons of health behaviors such as smoking, drinking, and cancer screenings.
Date: 2020
Sponsoring organization: Michigan Department of Health and Human Services
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