Rural Health
Resources by Topic: Rural-urban differences
Operating Status of Adult Day Services Centers in 2022
Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Rural Areas Have More Older People Exposed to Greater Wildfire Risk
Bar chart comparing the number of adults 60 or older with moderate, high, or highest risk of wildfire exposure by rurality.
Author(s): Richelle L. Winkler
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Bar chart comparing the number of adults 60 or older with moderate, high, or highest risk of wildfire exposure by rurality.
Author(s): Richelle L. Winkler
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Public Health Research and Program Strategies for Diabetes Prevention and Management
Editorial describing diabetes prevention and management efforts and policy since 1975. Discusses disparities in diabetes prevalence including rural residence. Highlights current and future work in diabetes prevention and management.
Author(s): Shelly-Ann Bowen, Arsham Alamian, Stephen Onufrak
Citation: Preventing Chronic Disease, 22
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Editorial describing diabetes prevention and management efforts and policy since 1975. Discusses disparities in diabetes prevalence including rural residence. Highlights current and future work in diabetes prevention and management.
Author(s): Shelly-Ann Bowen, Arsham Alamian, Stephen Onufrak
Citation: Preventing Chronic Disease, 22
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Pharmacy-Related Syringe Access Barriers: An Audit of Oregon Community Pharmacies
Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
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Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
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Rising Rural Mortality Rates From Natural Causes for Working-Age Adults Lead to Widening Gap With Urban Counterparts
Reports on disparities in natural cause mortality rates between rural and urban working age adults. Explores disparities by various demographic factors and underlying causes.
Author(s): Kelsey L. Thomas (Conley), Elizabeth A. Dobis, David McGranahan
Citation: Amber Waves
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Reports on disparities in natural cause mortality rates between rural and urban working age adults. Explores disparities by various demographic factors and underlying causes.
Author(s): Kelsey L. Thomas (Conley), Elizabeth A. Dobis, David McGranahan
Citation: Amber Waves
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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As Older Rural Population Grew, Ratio of Rural U.S. Eldercare Establishments Fell
Bar chart comparing the number of eldercare establishments per 1,000 adults 65 or older in rural and urban areas between 2010 and 2023. Eldercare establishments include those that provide home health, long-term care, or assisted living services, as noted in the 2024 Rural America At a Glance report.
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Bar chart comparing the number of eldercare establishments per 1,000 adults 65 or older in rural and urban areas between 2010 and 2023. Eldercare establishments include those that provide home health, long-term care, or assisted living services, as noted in the 2024 Rural America At a Glance report.
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Non-Health Care Costs Associated with Neonatal Intensive Care Unit Visitation
Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Vulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies
Discusses the importance of improving pharmacy access in rural and low-income areas. Utilizes data from the National Council for Prescription Drug Programs (NCPDP) dataQ to examine travel time to nearest pharmacy according to urbanicity. Defines a pharmacy vulnerability index according to this measure and reports on residents in the the contiguous U.S. living in or at risk of living in a pharmacy desert, with comparisons for small rural, large rural, suburban, and urban.
Author(s): Walter S. Mathis, Lucas A. Berenbrok, Peter A. Kahn, et al.
Citation: JAMA Network Open, 8(3)
Date: 03/2025
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Discusses the importance of improving pharmacy access in rural and low-income areas. Utilizes data from the National Council for Prescription Drug Programs (NCPDP) dataQ to examine travel time to nearest pharmacy according to urbanicity. Defines a pharmacy vulnerability index according to this measure and reports on residents in the the contiguous U.S. living in or at risk of living in a pharmacy desert, with comparisons for small rural, large rural, suburban, and urban.
Author(s): Walter S. Mathis, Lucas A. Berenbrok, Peter A. Kahn, et al.
Citation: JAMA Network Open, 8(3)
Date: 03/2025
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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