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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Traffic Safety Facts, 2021 Data: Race and Ethnicity
National data on traffic fatalities by race and ethnicity, based on data from official death certificates. Features statistics from 2017-2021 with breakdowns by vehicle type, restraint use, alcohol-impaired driving, speeding, and rural or urban location.
Date: 05/2024
Sponsoring organization: National Highway Traffic Safety Administration
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Preventable Premature Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Counties, United States, 2010–2022
Analyzes National Vital Statistics System mortality data between 2010 and 2022 to find the 5 leading causes of preventable deaths for people less than 80 years old. Discusses trends across time in metropolitan, micropolitan, and noncore regions and the impact of COVID-19 on the findings. Offers recommendations for future data analysis.
Author(s): Macarena C. García, Lauren M. Rossen, Kevin Matthews, et al.
Citation: MMWR Surveillance Summaries, 73(2), 1-11
Date: 05/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Rural-Urban Disparities in the Availability of Hospital-Based Screening, Medications for Opioid Use Disorder, and Addiction Consult Services
Compares availability of opioid use disorder screening, medication, and addiction consult services in hospitals by level of rurality. Utilizes data from the 2021 American Hospital Association (AHA) Annual Survey of Hospitals. Discusses access barriers to opioid use disorder services in rural areas.
Author(s): Berkeley Franz, Cory E. Cronin, Zoe Lindenfield, et al.
Citation: Journal of Substance Use and Addiction Treatment, 160, 209280
Date: 05/2024
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Nicotine Pouch and E-Cigarette Use and Co-Use among US Youths in 2023 and 2024
Examines trends in nicotine pouch and e-cigarette use among 10th and 12th graders, utilizing 2023-2024 Monitoring the Future (MTF) data. Includes data breakdowns by demographic, including rural-urban comparisons.
Author(s): Dae-Hee Han, Alyssa F. Harlow, Richard A. Miech, et al.
Citation: JAMA Network Open, 8(4), e256739
Date: 04/2024
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Quality of Care in the SoonerCare Program, 2024
Reports on access, use, and effectiveness of care for Oklahoma's Medicaid program enrollees. Appendix A provides detailed rural/urban breakdowns on compliance with immunizations, cancer screenings, medication management, and more.
Date: 04/2024
Sponsoring organization: Oklahoma Health Care Authority
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Transportation Provider Survey
Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Addressing the Spectrum of Opioid Misuse Prevention, Treatment, and Recovery in Rural Washington State Communities: Provider Identified Barriers and Needs
Highlights a study on provider-identified barriers to opioid use disorder treatment, recovery, and prevention in rural Washington State. Draws conclusions from survey data taken from July-September 2020 and features some discussion of COVID-19 on top of other pre-existing barriers. Breaks down data by role in healthcare workforce, work setting, and substance focus, among other factors.
Author(s): Liat S. Kriegel, Katherine Hampilos, Elizabeth Weybright, et al.
Citation: Community Mental Health Journal, 60(3), 600-607
Date: 04/2024
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Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit
Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Rural-Urban Differences in Long-Term Mortality and Readmission Following COVID-19 Hospitalization, 2020 to 2023
Analyzes rural-urban disparities in mortality and hospital readmission among 9,325 patients hospitalized with COVID-19 from March 2020 to July 2022, with follow-up data through May 2023. Includes data on demographic and clinical factors associated with rural dwelling.
Author(s): Mohammed Yousufuddin, Maryam Mahmood, Ebrahim Barkoudah, et al.
Citation: Open Forum Infectious Diseases, 11(5)
Date: 04/2024
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Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic
Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
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