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Rural Health
Resources by Topic: Rural-urban differences

Do Rural Patients with Early-Stage Prostate Cancer Gain Access to All Treatment Choices?
Compares prostate cancer treatment options and treatment rates for early-stage prostate cancer patients living in rural and urban areas in 10 states. Includes 4 levels of rurality in the analysis, along with patient demographics, cancer characteristics, and provider access.
Additional links: Policy Brief
Author(s): Laura-Mae Baldwin, C. Holly A. Andrilla, Michael P. Porter, et al.
Date: 02/2014
Sponsoring organization: WWAMI Rural Health Research Center
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Widening Rural-Urban Disparities in Life Expectancy, U.S., 1969-2009
Examined the trends in rural and urban disparities in life expectancy at birth in the U.S. between 1969-2009. Features statistics for socioeconomic, demographic, and health characteristics and life expectancy, with breakdowns by five rural and urban categories.
Author(s): Gopal K. Singh, Mohammad Siahpush
Citation: American Journal of Preventive Medicine, 46(2), e19-e29
Date: 02/2014
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Residency and Racial/Ethnic Differences in Weight Status and Lifestyle Behaviors Among US Youth
Discusses a secondary analysis of a study based on the rates of adolescent obesity and obesity-related behaviors of U.S. students in grades 6-10 during the 2005-2006 school year. Details the results of the analysis by age, gender, race, and whether the students were from metro or nonmetro areas, as well as several other factors.
Author(s): Mary Kay Kenney, Jing Wang, Ron Iannotti
Citation: Journal of Rural Health, 30(1), 89-100
Date: 01/2014
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Rural, Suburban, and Urban Differences in Factors That Impact Physician Adherence to Clinical Preventive Service Guidelines
Highlights a qualitative study based on interviews with 29 primary care physicians from various areas in Missouri regarding barriers to following the clinical preventive service guidelines. Breaks down results by location and perceived barrier, such as outcome expectancy, patient health status, or evidence interpretation.
Author(s): Elaine C. Khoong, Wesley S. Gibbert, Jane M. Garbutt, Walton Sumner, Ross C. Brownson
Citation: Journal of Rural Health, 30(1), 7-16
Date: 01/2014
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Health Care Avoidance Among Rural Populations: Results From a Nationally Representative Survey
Presents secondary analysis of questions from the 2008 Health Information Trends Study (HINTS) relating to healthcare avoidance that breaks down socio-demographic and economic data to better understand factors leading to avoidant behaviors. Compares data from metropolitan, urban/suburban, and rural populations.
Author(s): Angela M. Spleen, Eugene J. Lengerich, Fabian T. Camacho, Robin C. Vanderpool
Citation: Journal of Rural Health, 30(1), 79-88
Date: 01/2014
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Urban-Rural Differences in Coronary Heart Disease Mortality in the United States: 1999-2009
Describes the trends and magnitude of variations in death rates, with statistical breakdowns by age group, sex, race, geographical region, urbanization level, and year. Examines possible contributing factors for the disparities, including physical activity levels, access to healthcare, socioeconomic status, and education level.
Author(s): Ambar Kulshreshtha, Abhinav Goyal, Kaustubh Dabhadkar, Emir Veledar, Viola Vaccarino
Citation: Public Health Reports, 129(1), 19-29
Date: 01/2014
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Trends in Pediatric and Adult Hospital Stays for Asthma, 2000-2010
Provides data on inpatient hospital stays for asthma in community hospitals. Table 1 includes information on 2010 stays for children and adults based on the location of patients' residence, for metropolitan, micropolitan, and nonmetro areas.
Author(s): Marguerite L. Barrett , Lauren M. Wier, Raynard Washington
Date: 01/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Private Health Insurance: The Range of Base Premiums for Individuals Age 19 and 64 in the Individual Market by State in January 2013
Reports on the range of health insurance premiums offered to different categories of consumers in the individual market in the month of January 2013. As of 2014, insurers are no longer able to use gender or health status to set premiums and are restricted in the amount they can vary premiums based on age and tobacco use. Enclosure II, beginning on page 107, reports base premiums for an urban and rural zip code in four select states, one from each census region: Illinois, Nevada, Pennsylvania, and Texas.
Additional links: Full Report
Date: 01/2014
Sponsoring organization: Government Accountability Office
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A Population-Based Study of Edentulism in the U.S.: Does Depression and Rural Residency Matter after Controlling for Potential Confounders?
Examines the relationship of depression and rural residency with partial and full edentulism in U.S. adults. Analyzes data from the Behavioral Risk Factor Surveillance System (BRFSS) core survey and optional adult depression module from 2006. Includes data and statistics, such as self-defined health status, drinking and smoking status, level of emotional support, rural and non-rural, socioeconomic status, and others.
Author(s): Daniel M. Saman, Andrine Lemieux, Oscar Arevalo, May Nawal Lutfiyya
Citation: BMC Public Health, 14, 65
Date: 2014
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Urban and Rural Safety Net Health Care System Clinics: No Disparity in HPV4 Vaccine Completion Rates
Examines if HPV4 medication adherence differs between females who receive doses at rural versus urban safety net healthcare locations in the U.S. Includes descriptive information for females receiving care at rural versus urban safety net healthcare locations.
Author(s): Kelly Jo Sandri, Inge Verdenius, Mitchell J. Bartley, et al.
Citation: PLoS One, 9(5)
Date: 2014
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