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Rural Health
Resources by Topic: Rural-urban differences

Food Insecurity Increased to 1 in 10 Adults Ages 50 and Older in 2022
Fact sheet describing food insecurity among adults ages 50 and older. Identifies trends, presents data on demographic disparities, and provides state-by-state and age group comparisons. Figure 4 compares metropolitan and nonmetropolitan food insecurity prevalence.
Author(s): Olivia Dean, Carlos Figueiredo
Date: 01/2024
Sponsoring organization: AARP Public Policy Institute
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Informing the Surgical Workforce Pathway: How Rural Community Characteristics Matter
Explores rural and urban surgeons' perspectives on community characteristics, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Telehealth Expansion, Internet Speed, and Primary Care Access Before and During COVID-19
Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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Determinants of Disparities of Diabetes-Related Hospitalization Rates in Florida: A Retrospective Ecological Study Using a Multiscale Geographically Weighted Regression Approach
Analyzes the determinants related to diabetes hospitalizations in Florida according to ZIP code tabulation area (ZCTA) level. Utilizes 2016 to 2019 data to examine socioeconomic, demographic, healthcare-related, and built environment characteristics that correlate with diabetes-related hospitalizations. Includes state maps showing diabetes hospitalizations according to specific determinants, including rurality.
Author(s): Jennifer Lord, Agricola Odoi
Citation: International Journal of Health Geographics, 23(1)
Date: 01/2024
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Minnesota - Shift in Migration Patterns Continue in 2022
Describes migration patterns in Minnesota due to natural changes and out- versus in-migration. Includes county-level maps and data according to entirely rural, town/rural mix, urban/town/rural mix, and entirely rural.
Author(s): Kelly Asche
Date: 01/2024
Sponsoring organization: Center for Rural Policy and Development
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Telemedicine Use and Decrements to Type 2 Diabetes and Hypertension Care During the COVID-19 Pandemic
Examines type 2 diabetes and/or hypertension quality of care as associated with telemedicine use during the COVID-19 pre-pandemic (March 13, 2019 to December 31, 2019) and pandemic (March 13, 2020 to December 31, 2020) periods. Examines variables such as HbA1c monitoring and control, blood pressure monitoring and control, and telemedicine use. Presents data according to patient demographic characteristics, including metropolitan, micropolitan, small town, or rural residence.
Author(s): Hector P. Rodriguez, Elizabeth Ciemins, Karl Rubio, et al.
Citation: BMC Digital Health, 2, 2
Date: 01/2024
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County-Level Colorectal Cancer Screening Rates on Colorectal Cancer Survival in the State of Georgia: Does County-Level Rurality Matter?
Evaluates 5-year colorectal cancer (CRC) survival rates in Georgia by county-level rurality and CRC screening rate, utilizing 2004-2010 Surveillance, Epidemiology, and End Results (SEER) Program data. Discusses rural-urban CRC mortality disparities, and describes the influence of CRC screening on mortality.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes
Citation: Cancer Medicine, 13(1)
Date: 01/2024
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Medicare COVID-19 Hospitalization Trends Report
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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