Rural Health
Resources by Topic: Rural-urban differences
The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
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Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
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Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health, 41(1)
Date: 2025
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Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health, 41(1)
Date: 2025
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Fast Facts on U.S. Hospitals, 2025
Offers resources highlighting data from the American Hospital Association (AHA) Annual Survey. Provides data on the number of hospitals by type, ownership, system-affiliated versus independent, and rural versus urban location. Includes an interactive map of community hospitals in the United States.
Additional links: Infographics from Fast Facts on U.S. Hospitals, 2025
Date: 2025
Sponsoring organization: American Hospital Association
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Offers resources highlighting data from the American Hospital Association (AHA) Annual Survey. Provides data on the number of hospitals by type, ownership, system-affiliated versus independent, and rural versus urban location. Includes an interactive map of community hospitals in the United States.
Additional links: Infographics from Fast Facts on U.S. Hospitals, 2025
Date: 2025
Sponsoring organization: American Hospital Association
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Poverty in Rural Arizona
Data visualization on poverty in Arizona by county and rural or urban location, utilizing 2022 American Community Survey 5-year estimate data. Data may be further sorted by demographic, including age, education, employment, and race.
Author(s): B. Koch, C. Drake, S. Coates
Date: 12/2024
Sponsoring organization: Arizona Center for Rural Health
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Data visualization on poverty in Arizona by county and rural or urban location, utilizing 2022 American Community Survey 5-year estimate data. Data may be further sorted by demographic, including age, education, employment, and race.
Author(s): B. Koch, C. Drake, S. Coates
Date: 12/2024
Sponsoring organization: Arizona Center for Rural Health
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Where the Road Ends: Emergency Care Sensitive Conditions Drive Excess Mortality in Medevac-Dependent Rural Alaska
Research letter detailing how poor access to emergency care and sociodemographic conditions contribute to disparities in mortality outcomes in rural Alaska, utilizing CDC WONDER 1999-2020 mortality data. Compares age-adjusted mortality rates for injuries, emergency care-sensitive conditions, and non-emergency care sensitive conditions in off road and on road communities.
Author(s): Brian Rice, Carla Britton, Stacy Rasmus, Tina Hernandez-Boussard
Citation: Emergency Medicine Journal, 2024, 214444
Date: 12/2024
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Research letter detailing how poor access to emergency care and sociodemographic conditions contribute to disparities in mortality outcomes in rural Alaska, utilizing CDC WONDER 1999-2020 mortality data. Compares age-adjusted mortality rates for injuries, emergency care-sensitive conditions, and non-emergency care sensitive conditions in off road and on road communities.
Author(s): Brian Rice, Carla Britton, Stacy Rasmus, Tina Hernandez-Boussard
Citation: Emergency Medicine Journal, 2024, 214444
Date: 12/2024
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Obstetric Care Access at Rural and Urban Hospitals in the United States
Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Cervical Cancer Incidence and Trends among Women Aged 15-29 Years by County-Level Economic Status and Rurality - United States, 2007-2020
Examines economic and geographic variations and trends in cervical cancer incidence, utilizing US Cancer Statistics data for women aged 15-29 during 2007-2020. Data on disparities in incidence by county-level economic status by rurality, among other demographic factors.
Author(s): Radhika Agarwal, Jessica B. King, Sameer V. Gopalani, Virginia Senkomago
Citation: Cancer Epidemiology, 94, 102730
Date: 12/2024
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Examines economic and geographic variations and trends in cervical cancer incidence, utilizing US Cancer Statistics data for women aged 15-29 during 2007-2020. Data on disparities in incidence by county-level economic status by rurality, among other demographic factors.
Author(s): Radhika Agarwal, Jessica B. King, Sameer V. Gopalani, Virginia Senkomago
Citation: Cancer Epidemiology, 94, 102730
Date: 12/2024
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Annual Report on the New Hampshire Health Care Workforce and Data Collection: Calendar Year 2024
Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2024
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2024
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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Virginia's Licensed Advanced Practice Registered Nurse Workforce: Comparison by Specialty, 2024
Results of the 2023 and 2024 surveys of over 14,900 Virginia Licensed Advanced Practice Registered Nurses (APRNs). Features statistics including percentages of Virginia APRNs who grew up in rural areas and who are currently practicing in a nonmetro location.
Date: 12/2024
Sponsoring organization: Virginia Department of Health Professions
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Results of the 2023 and 2024 surveys of over 14,900 Virginia Licensed Advanced Practice Registered Nurses (APRNs). Features statistics including percentages of Virginia APRNs who grew up in rural areas and who are currently practicing in a nonmetro location.
Date: 12/2024
Sponsoring organization: Virginia Department of Health Professions
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