Rural Health
Resources by Topic: Rural-urban differences
Policy Brief: Teen Mental Health and School-Based Services in California
Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Antecedents of Loneliness among Cancer Survivors: An Exploratory Analysis of the Health Information National Trends Survey (HINTS) Data
Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Iowa Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Iowa Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Iowa Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Iowa in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 01/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections
Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Medicare Advantage Demographics Report, 2023
Summarizes demographics data on Medicare Advantage enrollment in 2023. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2026
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2023. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2026
Sponsoring organization: AHIP
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Medicare Fee-for-Service Health Care Expenditures among Rural and Urban Beneficiaries During 2009-2019
Examines trends in Medicare Fee-for-Service spending among rural noncore, rural micropolitan, and urban beneficiaries, utilizing 2009-2019 CMS Medicare Geographic Variation Public Use files data. Details rural-urban differences in spending over time on per-patient hospital inpatient, hospital outpatient, physician services, and post-acute care, among other categories. Discusses implications for healthcare access and quality.
Author(s): Peiyin Hung, Theodoros Giannouchos, Xuanzi Qin, et al.
Date: 01/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Examines trends in Medicare Fee-for-Service spending among rural noncore, rural micropolitan, and urban beneficiaries, utilizing 2009-2019 CMS Medicare Geographic Variation Public Use files data. Details rural-urban differences in spending over time on per-patient hospital inpatient, hospital outpatient, physician services, and post-acute care, among other categories. Discusses implications for healthcare access and quality.
Author(s): Peiyin Hung, Theodoros Giannouchos, Xuanzi Qin, et al.
Date: 01/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Molecular and Socioeconomic Characteristics of Inflammatory Breast Cancer in the Carolina Breast Cancer Study
Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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