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Rural Health
Resources by Topic: Rural-urban differences

Rural-Urban Differences in Midwifery Care During Childbirth in the US
Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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TEFCA Awareness and Planned Participation Among U.S. Hospitals: 2023
Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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QuickStats: Percentage of Adults Aged ≥18 Years Who Walked for Transportation and Walked for Leisure in the Past 7 Days, by Urban-Rural Status — United States, 2022
Bar chart showing the percent of the adult population that walks for transportation and for leisure in rural and urban areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(28), 631
Date: 07/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022
Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
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Traffic Safety Facts, 2022 Data: Rural/Urban Traffic Fatalities
Reports 2022 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2022.
Date: 07/2024
Sponsoring organization: National Highway Traffic Safety Administration
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Perceived Social and Emotional Support Among Teenagers: United States, July 2021–December 2022
Compares child and parent reported social and emotional support among teens aged 12-17. Utilizes National Health Interview Survey and National Health Interview Survey–Teen data to analyze perceived support and related health conditions, with breakdowns according to sex, age group, race, sexual minority status, family income, parental education, region, and urbanization level, including large central or fringe metropolitan, medium or small metropolitan, or nonmetropolitan.
Author(s): Benjamin Zablotsky, Amanda E. Ng, Lindsey I. Black, et al.
Date: 07/2024
Sponsoring organization: National Center for Health Statistics
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Implementing Policy and Practice Changes to Support Breastfeeding Duration in New York State Communities
Analyzes the effectiveness of the Creating Breastfeeding Friendly Communities program to reduce disparities in breastfeeding. Examines the breastfeeding supports in place between 2017 and 2023 at selected worksites with breakdowns according to worksite size, social vulnerability, and rurality.
Author(s): Ann Lowenfels, Megan Murphy, Abbie Archibald, Sarah Avellino, Katie Potestio
Citation: Preventing Chronic Disease, 21
Date: 07/2024
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Mortality Disparities Among Arrestees by Race, Sentencing Disposition, and Place
Analyzes mortality disparities among justice-involved individuals in South Dakota. Examines the mortality rates of 182,472 unique arrestees from 2000-2016 according to sentence category, cause of death, and location, broken down by urban, rural non-Indian country, and rural Indian country.
Author(s): George Zuo, Beau Kilmer, Nancy Nicosia
Citation: JAMA Health Forum, 5(7)
Date: 07/2024
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Urban–Rural Disparities in Food Insecurity and Weight Status Among Children in the United States
Analyzes urban versus rural place of residence and its association with childhood food insecurity and weight status. Utilizes 2013-2016 National Health and Nutrition Examination Survey (NHANES) data and provides breakdowns of urban versus rural food insecurity by child's age and weight status, according to underweight/normal weight, overweight, and obese designations.
Author(s): Jayna M. Dave, Tzuan A. Chen, Alexandra N. Castro, et al.
Citation: Nutrients, 16(13), 2132
Date: 07/2024
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The Association of Travel Burden with Prenatal Care Utilization, What Happens after Provider-Selection
Analyzes the impact of travel burden on prenatal care (PNC) utilization. Utilizes 2015-2018 South Carolina Medicaid claims data to examine characteristics of birthing people, characteristics of PNC providers, and rural versus urban breakdowns of how travel burden is associated with PNC utilization.
Author(s): Songyuan Deng, Yuche Chen, Kevin J. Bennett
Citation: BMC Health Services Research, 24, 781
Date: 07/2024
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