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Resources by Topic: Rural-urban differences

Factors Associated with Not Receiving HPV Vaccine among Adolescents by Metropolitan Statistical Area Status, United States, National Immunization Survey–Teen, 2016–2017
Examines 2016 and 2017 data from the National Immunization Survey - Teen (NIS-Teen) to better understand the sociodemographic factors for adolescents not initiating the human papillomavirus (HPV) vaccine series, including by metropolitan statistical area (MSA) status. Table 1 shares data on several sociodemographic and healthcare access factors by MSA for teens aged 13-17 that did not receive an HPV vaccine, including age, sex, immigration status, region of the U.S., parental information, vaccination facility type, and more.
Author(s): Charnetta L. Williams, Tanja Y. Walker, Laurie D. Elam-Evans, et al.
Citation: Human Vaccines & Immunotherapeutics, 16(3), 562-572
Date: 2020
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Missouri Primary Care Needs Assessment (PCNA) 2020
Analyzes Missouri's unmet healthcare needs and lack of access to healthcare services, and evaluates resources and services necessary to overcome health disparities in Missouri. Features statistics on Health Professional Shortage Areas, various incentive programs, and 33 primary care health indicators, with breakdowns by urban and rural locations.
Author(s): Sara Davenport, Laura Hart, Aleesha Jones, et al.
Date: 2020
Sponsoring organization: Missouri Office of Rural Health
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Targeted Medical School Admissions: A Strategic Process for Meeting Our Social Mission
Results of a 2018 survey of admissions personnel at allopathic and osteopathic medical schools about admissions strategies aimed at recruitment of students likely to practice in rural or urban underserved areas, or primary care. Features statistics on recruitment and selection activities of medical schools and characteristics of applicants, with breakdowns by rural, urban underserved, or primary care categories.
Author(s): David V. Evans, Andrew D. Jopson, C. Holly A. Andrilla, Randall L. Longenecker, Davis G. Patterson
Citation: Family Medicine, 52(7), 474-482
Date: 2020
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Annual Surveillance Report of Drug-Related Risks and Outcomes, 2019
Summarizes latest information on opioid prescribing, drug use, and overdose mortality from 2018-2019. Features statistics with breakdowns by large metropolitan, small metropolitan, nonmetropolitan urbanized, nonmetropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2018 to 2019.
Additional links: Highlights
Date: 2020
Sponsoring organization: Centers for Disease Control and Prevention
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Development of a National Childhood Obesogenic Environment Index in the United States: Differences by Region and Rurality
Details the formation of a childhood obesogenic environment index (COEI), which was used to identify rural, urban, and other geographic differences in environmental factors associated with obesity. Variables used to calculate COEI scores include availability of fast-food restaurants, farmers markets, grocery stores, and other related facilities; access to exercise opportunities; violent crime; walkability; and more. Includes county-level data on COEI scores across the U.S.
Author(s): Andrew Kaczynski, Jan Eberth, Ellen Stowe, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 17(83)
Date: 2020
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Health Literacy in Clinical Research: Practice and Impact: Proceedings of a Workshop
Summary of presentations and discussions held April 11, 2019 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include challenges for diverse populations' participation in clinical trials, best practices, and health literacy strategies for effective communication with participants. Chapter 4 includes a description of clinical trials during which researchers conducted health literacy interventions in cancer screenings in mainly rural areas.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15
Analyzes severe maternal morbidity and mortality among rural and urban residents during childbirth. Examines data from the 2007-2015 National Inpatient Sample with breakdowns according to age, insurance type, race/ethnicity, income, Census region, and rurality. Discusses policy implications and strategies to reduce maternal morbidity and mortality.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, Lindsay K. Admon
Citation: Health Affairs, 38, 12
Date: 12/2019
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Rural-Urban Differences in Financial Burden among Cancer Survivors: An Analysis of a Nationally Representative Survey
Analyzes 2012, 2014, and 2017 data from the National Cancer Institute's Health Information and National Trends Survey to determine differences in reported financial problems due to cancer in rural and urban populations. Table 1 provides a rural and urban comparison on several demographic and cancer characteristics, including sex, age, marital status, race and ethnicity, income, insurance status, and several factors related to cancer treatment.
Author(s): Whitney E. Zahnd, Melinda M. Davis, Jason S. Rotter, et al.
Citation: Supportive Care in Cancer, 27(12), 4779-4786
Date: 12/2019
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Rural–Urban Disparities in Pregnancy Intentions, Births, and Abortions Among US Adolescent and Young Women, 1995–2017
Study examining disparities in intendedness and resolution of first pregnancies among rural and urban adolescent and young women using 2002-2017 data from the National Survey of Family Growth. Breaks down data by race/ethnicity, by urban, rural, and suburban residence, and by state. Discusses public health implications of the findings.
Author(s): April Sutton, Daniel T. Lichter, Sharon Sassler
Citation: American Journal of Public Health, 109(12), 1762-1769
Date: 12/2019
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