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Rural Health
Resources by Topic: Rural-urban differences

Rural Households Account for Nearly One-fifth of U.S. Food-Insecure Households
Pie chart showing the proportion of food insecure households in metropolitan and nonmetropolitan areas in 2016.
Date: 12/2017
Sponsoring organization: USDA Economic Research Service
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Mortality Rates Have Increased for Working-age Rural Adults Since 2000
Line chart showing the change in mortality rates for nonmetropolitan and metropolitan residents, comparing 3-year averages for 1999-2001 and 2013-2015. Data is presented by age group.
Date: 12/2017
Sponsoring organization: USDA Economic Research Service
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Characteristics of Inpatient Stays Involving Hepatitis C, 2005-2014
Examines adult hospitalizations involving hepatitis C in 2014. Includes data by age group for hepatitis C inpatient stays for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Quyen Ngo-Metzger, Iris Mabry-Hernandez, Kevin C. Heslin, et al.
Date: 12/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Behavioral, Mental, and Physical Health Characteristics and Opioid Medication Misuse among Community Pharmacy Patients: A Latent Class Analysis
Study of opioid misuse risk factors based on mental, behavioral, and physical health characteristics for patients in 2 rural and 2 urban Pennsylvania counties. Uses latent class analysis methodology to identify combinations of indicators that may be visible to pharmacists and that may suggest increased risk of opioid misuse, including age, employment, whether a pharmacy is in a rural area, and education level.
Author(s): Gerald Cochran, Valerie Hruschak, Jennifer L. Bacci, Kenneth C. Hohmeier, Ralph Tarter
Citation: Research in Social and Administrative Pharmacy, 13(6), 1055-1061
Date: 11/2017
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Infrequent Provision of Palliative Care to Patients with Dialysis-Requiring AKI
Explores the use of palliative care among patients with acute kidney injury (AKI) who require dialysis. Examines data contained in the National Inpatient Sample (NIS) database from 44 states and over 4,000 hospitals. Compares palliative care use across different comorbidities, patient demographics, and hospital types, including urban and rural hospitals.
Author(s): Kelly Chong, Samuel A. Silver, Jin Long, et al.
Citation: Clinical Journal of the American Society of Nephrology, 12(11), 1744-1752
Date: 11/2017
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Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Older Adult Social Participation and Its Relationship with Health: Rural-Urban Differences
Analyzes social participation among older adults and if the relationships between social participation and health differ between rural and urban settings in Wisconsin. Includes study population statistics on current and past self-reported health status, marital status, employment, age, income, social participation, and rurality.
Author(s): Eric M. Vogelsang
Citation: Health & Place, 42, 111-119
Date: 11/2017
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Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy
Examines current trends, causes, costs, and potential solutions to the drug, alcohol, and suicide crises in the U.S. Includes rural data and discussion of rural-specific issues.
Author(s): Laura M. Segal, Anne De Biasi, Jennifer L. Mueller, Kendra May, Molly Warren
Date: 11/2017
Sponsoring organization: Trust for America's Health
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Concentrated Poverty Increased in Both Rural and Urban Areas Since 2000, Reversing Declines in the 1990s
Reports on trends in poverty rates between the 2000 Decennial Census and 2011-2015 American Community Survey (ACS). Examines spatially concentrated poverty, with a map showing county-level poverty rates for nonmetropolitan counties. Compares metropolitan and nonmetropolitan poverty rates by race/ethnicity.
Author(s): Brian C. Thiede, Hyojung Kim, Matthew Valasik
Date: 11/2017
Sponsoring organization: Carsey School of Public Policy
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Preventable Tooth Loss in Hawai'i: The Role of Socioeconomic Status, Diabetes, and Dental Visits
Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
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