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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Measuring Supply Capacity at Center-Based CCEE Programs
Provides information and methodology to estimate enrollment and vacancies at center-based child care and early education (CCEE) programs by utilizing 2019 National Survey of Early Care and Education (NSECE) data. Lists CCEE enrollment expansion potential data for infants and 4-year old children according to provider and community characteristics, including urbanicity.
Author(s): W Wong, A R Datta
Date: 09/2023
Sponsoring organization: Administration for Children and Families
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Exploring Changes in the Supply of Listed Home-based Child Care and Early Education between 2012 and 2018
Examines home-based child care provider attrition from 2012 to 2018. Provides data on providers who stayed versus those who left according to demographic variables, child care characteristics, and community characteristics, including urbanicity.
Author(s): A R Datta, W Wong
Date: 09/2023
Sponsoring organizations: Administration for Children and Families, NORC at the University of Chicago
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Hunger Pains: How Food Insecurity Affects Oral Health
Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Factors Associated with Higher Hemoglobin A1c and Type 2 Diabetes-related Costs: Secondary Data Analysis of Adults 18 to 64 in Texas with Commercial Insurance
Examines factors associated with hemoglobin A1c values and diabetes-related costs in Texas residents with type 2 diabetes. Analyzes 2018-2019 data from 34,992 individuals with type 2 diabetes according to age, sex, comorbidities, health indicators, and metro versus nonmetro location.
Author(s): Marcia G. Ory ,Gang Han,Sagar N. Jani, et al.
Citation: PLoS One, 18(9)
Date: 09/2023
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Maternal, Infant, and Early Childhood Home Visiting Program in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Response to a Congressional Request for Information on Improving Access to Health Care in Rural and Underserved Areas
Letter to the House Committee on Ways and Means request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural and vulnerable beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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CDC's State of Vaccine Confidence Insights Report: Vaccination in Rural America Special Report
Examines vaccine confidence and uptake among rural populations in the United States between 2017-2023, with a focus on COVID-19 vaccination. Covers differences in vaccine uptake among rural, suburban, and rural populations. Discusses concerns about vaccination and identifies strategies for successful outreach to rural areas.
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Adult Obesity in Rural America: An Examination of the Relationships Between Obesity Prevalence, Sociodemographic Factors, Access to Care, and Differences Between Rural and Urban Counties
Provides an overview of obesity prevalence in rural versus urban counties. Analyzes factors related to obesity such as education, income, physical inactivity, healthcare workforce, and food, internet, and healthcare access. Includes case studies and data related to obesity prevalence in Texas and Arkansas.
Additional links: Appendix, Executive Summary
Date: 09/2023
Sponsoring organization: NORC at the University of Chicago
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Characteristics of 30-Day All-cause Hospital Readmissions, 2016–2020
Examines trends in 30-day all-cause hospital readmissions among patients 1 year old and older in the United States between 2016 and 2020. Explores changes in readmission rates from the pre-pandemic period (2016-2019) to 2020. Presents data by primary payer, patient location, and race and ethnicity.
Author(s): H. Joanna Jiang, Molly Hensche
Date: 09/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Influenza, Tdap, and COVID-19 Vaccination Coverage and Hesitancy Among Pregnant Women — United States, April 2023
Examines influenza, Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), and COVID-19 vaccination coverage among women pregnant during the 2022-23 influenza season. Includes data on vaccination coverage for those living in rural and nonrural areas.
Author(s): Hilda Razzaghi, Katherine E. Kahn, Kayla Calhoun, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(39), 1065-1071
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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