Rural Health
Resources by Topic: Rural-urban differences
Rural and Nonrural Racial Variation in Mentally Unhealthy Days: Findings from the Behavioral Risk Factor Surveillance System in North Carolina, 2015–2019
Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
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Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
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Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
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Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
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Research Note Showing That the Rural Mortality Penalty Varies by Region, Race, and Ethnicity in the United States, 1999–2016
Evaluates rural mortality penalties by region, race, and ethnicity using 1999-2016 CDC WONDER data. Identifies regional variations in metro versus nonmetro mortality disparities experienced by Black/African American, Hispanic/Latino, White, Asian/Pacific Islander, and American Indian/Alaska Native populations.
Author(s): Danielle Rhubart, Alexis Santos
Citation: Demography, 60(6), 1699-1709
Date: 12/2023
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Evaluates rural mortality penalties by region, race, and ethnicity using 1999-2016 CDC WONDER data. Identifies regional variations in metro versus nonmetro mortality disparities experienced by Black/African American, Hispanic/Latino, White, Asian/Pacific Islander, and American Indian/Alaska Native populations.
Author(s): Danielle Rhubart, Alexis Santos
Citation: Demography, 60(6), 1699-1709
Date: 12/2023
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Rural Disparities in Cardiovascular and Cerebrovascular Health among Utah Prostate Cancer Survivors
Poster analyzing cardiovascular and cerebrovascular disease diagnosis among rural and urban prostate cancer survivors in Utah, utilizing Utah SEER Cancer Registry and Utah Population Database data for diagnoses between 1997 and 2015. Identifies rural-urban disparities in disease incidence rates, demographic characteristics, and first-course treatment methods.
Author(s): Shaelee Nielsen, Brock O'Neil, Bayarmaa Mark, Mia Hashibe
Date: 12/2023
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Poster analyzing cardiovascular and cerebrovascular disease diagnosis among rural and urban prostate cancer survivors in Utah, utilizing Utah SEER Cancer Registry and Utah Population Database data for diagnoses between 1997 and 2015. Identifies rural-urban disparities in disease incidence rates, demographic characteristics, and first-course treatment methods.
Author(s): Shaelee Nielsen, Brock O'Neil, Bayarmaa Mark, Mia Hashibe
Date: 12/2023
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2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report
Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide
Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
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Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Urban and Rural Healthcare Providers' Perspectives on HPV Vaccination in Minnesota
Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
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Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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