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Rural Health
Resources by Topic: Rural-urban differences

Urban-Rural and Regional Variability in the Prevalence of Food Insecurity: The Survey of the Health of Wisconsin
Highlights a study on regional variability of food insecurity in Wisconsin from 2008-2012. Analyzes data based on age, race, and gender, and compares rural and urban areas of the state.
Author(s): Natalie Guerrero, Matthew C. Walsh, Kristen C. Malecki, F. Javier Nieto
Citation: Wisconsin Medical Journal, 113(4), 133-138
Date: 08/2014
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Rural-Urban Differences in Objective and Subjective Measures of Physical Activity: Findings From the National Health and Nutrition Examination Survey (NHANES) 2003-2006
Study focused on a nationally representative sample of micropolitan rural, nonmicropolitan rural, and urban adults aged 20-75 years. Compared amounts of time residents in each category spent in physical activities related to leisure, household activities, and transportation, with breakdowns by race/ethnicity, educational attainment, marital status, sex, and country of origin.
Author(s): Jessie X. Fan, Ming Wen, Lori Kowaleski-Jones
Citation: Preventing Chronic Disease, 11
Date: 08/2014
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Graduate Medical Education That Meets the Nation's Health Needs
Reviews the system supporting graduate medical education (GME) and discusses how it supports or creates barriers to the development of the physician workforce the nation needs. A section on geographic maldistribution on pages 43-44 discusses the rural physician workforce. The report also discusses GME issues related to rural health facilities, including Table 3-8 (p. 83), with data on rural hospital GME.
Additional links: Read Online
Author(s): Committee on the Governance and Financing of Graduate Medical Education
Date: 07/2014
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Colorectal Cancer Outcome Inequalities: Association Between Population Density, Race, and Socioeconomic Status
Studies the influence of population density and race/ethnicity on colorectal cancer outcomes. Examines the differences in advanced colorectal cancer rates and survival rates for patients in rural and large metropolitan counties.
Author(s): Timothy Fitzgerald, Suzanne Lea, Jason Brinkley, Emmanuel E. Zervos
Citation: Rural and Remote Health, 14(3), 2668
Date: 07/2014
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Persistent Poverty Dynamics: Understanding Poverty Trends Over 50 Years
Reports on high-poverty counties, with a poverty rate of 20% or more, based on data from the 2007-2011 American Community Survey, compared to 1970, 1980, 1990, and 2000 Census data. Includes comparison of rural (micropolitan and noncore) counties and metropolitan counties. Identifies counties with persistent and intermittent high poverty, as well as newly high poverty counties.
Author(s): Kathleen Miller, Bruce Weber
Date: 07/2014
Sponsoring organization: Rural Policy Research Institute
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Rural Residents Who Are Hospitalized in Rural and Urban Hospitals: United States, 2010
Reports on hospitalized rural residents, with a comparison of those treated at rural versus urban hospitals. Includes data on patients' age, payment source (Medicare, Medicaid, private insurance), number of procedures, and discharge status. Based on data from the 2010 National Hospital Discharge Survey.
Author(s): Margaret Jean Hall, Maria F. Owings
Date: 07/2014
Sponsoring organization: National Center for Health Statistics
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Barriers to Substance Abuse Treatment in Rural and Urban Communities: A Counselor Perspective
Compares rural and urban substance abuse counselors' perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Citation: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
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Overview of Emergency Department Visits in the United States, 2011
Provides data on emergency department (ED) visits, including information on ED visits in rural areas.
Author(s): Audrey J. Weiss, Lauren M. Wier, Carol Stocks, Janice Blanchard
Date: 06/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Effect of Rurality on Screening for Breast Cancer: A Systematic Review and Meta-Analysis Comparing Mammography
Examines urban and rural differences among adult women who utilize mammography screenings. Discusses urban–rural disparities in breast cancer treatment and experience.
Author(s): Janni Leung, Samantha McKenzie, Jennifer Martin, Deirdre McLaughlin
Citation: Rural and Remote Health, 14(2), 2730
Date: 06/2014
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The Association Between Managed Care Enrollments and Potentially Preventable Hospitalization among Adult Medicaid Recipients in Florida
Examines the spillover effect of Medicaid managed care into Medicaid patients in traditional fee-for-service plans. Analyzes the interaction on the preventable hospitalizations in both rural and urban settings at the patient and county levels.
Author(s): Jungwon Park, Keon-Hyung Lee
Citation: BMC Health Services Research, 14, 247
Date: 06/2014
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