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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Prepregnancy Health Care Engagement Among American Indian and Alaska Native People Before and After the Affordable Care Act
Examines the impact of the Affordable Care Act (ACA) on healthcare engagement and disparities in American Indian and Alaska Native (AI/AN) populations as compared to White populations. Utilizes 2009-2015 Pregnancy Risk Assessment Monitoring System data to examine Medicaid coverage, healthcare interaction and screening, family history discussions, prenatal vitamin use, and teeth cleaning in rural versus urban populations, before and after ACA implementation.
Author(s): Danielle R. Gartner, Katlyn Hettinger, Heather Howard-Bobiwash, Claire E. Margerison
Citation: Health Equity, 8(1)
Date: 05/2024
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
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Does SNAP Cover the Cost of a Meal in Your County?
Analyzes the ability of the the Supplemental Nutrition Assistance Program (SNAP) to cover the price of a meal. Includes background information on the program as well as an interactive map that shows the cost of a moderately priced meal by county and the proportion of the cost covered by SNAP, county designation according to the rural-urban continuum code (RUCC), and SNAP benefit per meal versus total cost of meal according to select time periods between 2022-2023.
Additional links: Key Findings
Date: 05/2024
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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2022 Entering Class AACOMAS Profile: Applicant and Matriculant Report
Summary tables of osteopathic medical school applicants and matriculants. Features statistics including type of geographical area where applicants and matriculants were raised, with breakdowns by 6 levels of population size.
Date: 05/2024
Sponsoring organization: American Association of Colleges of Osteopathic Medicine
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Preliminary Birth Report Kansas, 2023
Provides 2023 county-level data on live births/maternal age in Kansas, with further breakdowns by frontier, rural, densely-settled rural, semi-urban, and urban location.
Date: 05/2024
Sponsoring organization: Kansas Department of Health and Environment
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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Prevalence of Hospital Readmission in Illinois Counties, 2007-2022
Examines hospital readmission rates in Illinois that happened within a 30-day period from initial discharge. Analyzes 2007-2022 Centers for Medicare & Medicaid Services (CMS) data to observe county-level as well as metro versus nonmetro changes in readmission rates.
Author(s): Adee Athiyaman
Date: 05/2024
Sponsoring organization: Illinois Institute for Rural Affairs
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COVID-19 Vaccination Site Accessibility, United States, December 11, 2020–March 29, 2022
Analyzes the accessibility of COVID-19 vaccination sites via walking and driving time. Includes state-level graphs and maps that provide visual data on COVID-19 immunization access, as well as comparisons across noncore, metropolitan, small metropolitan, medium metropolitan, large fringe metropolitan, and large central metropolitan locations.
Author(s): Randy Yee, David Carranza, Christine Kim, et al.
Citation: Emerging Infectious Diseases, 30(5), 947-955
Date: 05/2024
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Benefits, Challenges, and Strategies Related to Using Presumptive Recommendations for HPV Vaccination: A Qualitative Study with Rural and Non-Rural-Serving Primary Care Professionals
Examines the use of presumptive recommendations that assume parents will want to vaccinate, a strategy aimed at improving HPV vaccination uptake in rural and non-rural primary care clinics in North Carolina. Analyzes interview data from primary care professionals (PCPs) about the impact of presumptive recommendations, focusing on issues such as patient trust and cultural sensitivity.
Author(s): Olufeyisayo O. Odebunmi, Lisa P. Spees, Caitlin B. Biddell, et al.
Citation: Human Vaccines & Immunotherapeutics, 20(1)
Date: 05/2024
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Association Between Sociodemographics and Change in Alcohol or Tobacco Use Behaviors During the COVID-19 Pandemic
Presents a study exploring the changes in alcohol and tobacco use during the COVID-19 pandemic and aims to identify correlating sociodemographic factors. Breaks down survey data by sociodemographic markers, such as age, sex, and rural versus urban location, among other factors.
Author(s): Selam Habtemariam, Chloe M. Hery, Xiaochen Zhang, et al.
Citation: PLoS ONE, 19(5), e0304111
Date: 05/2024
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