Rural Health
Resources by Topic: Women
Severe Maternal Morbidity and Mortality After Delivery Hospitalization Among Rural Residents Bypassing Local Care for Urban Hospitals
Examines severe maternal morbidity and mortality (SMMM) when labor and delivery patients bypass rural, local hospitals to give birth at urban hospitals. Analyzes 235,375 rural versus urban births in South Carolina and associated 1-year postpartum follow-up visit data for rates of SMMM.
Author(s): Peiyin Hung, Haoyuan Gao, Jihong Liu, et al.
Citation: JAMA Network Open, 8(11), e2544522
Date: 11/2025
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Examines severe maternal morbidity and mortality (SMMM) when labor and delivery patients bypass rural, local hospitals to give birth at urban hospitals. Analyzes 235,375 rural versus urban births in South Carolina and associated 1-year postpartum follow-up visit data for rates of SMMM.
Author(s): Peiyin Hung, Haoyuan Gao, Jihong Liu, et al.
Citation: JAMA Network Open, 8(11), e2544522
Date: 11/2025
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Rural-Urban Differences in Post-9/11 Women Veterans' Firearm Ownership and Characteristics
Compares rural and urban firearm ownership, firearm characteristics, firearm safety practices, and other related characteristics among 525 women veterans with at least one post-9/11 deployment. Discusses assessment of firearm ownership and access as a component of suicide prevention for veterans.
Author(s): Ashley M. Griffith, Christin Miller, Nicole M. Caulfield, et al.
Citation: Injury Epidemiology, 12, 73
Date: 11/2025
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Compares rural and urban firearm ownership, firearm characteristics, firearm safety practices, and other related characteristics among 525 women veterans with at least one post-9/11 deployment. Discusses assessment of firearm ownership and access as a component of suicide prevention for veterans.
Author(s): Ashley M. Griffith, Christin Miller, Nicole M. Caulfield, et al.
Citation: Injury Epidemiology, 12, 73
Date: 11/2025
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Financial Challenges of Providing Obstetric Services at Rural US Hospitals
Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Rural-Urban Differences in Dietary Intake Across Pregnancy Trimesters: A Multisite Prospective Cohort Study
Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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Examines the relationship among dietary intake during pregnancy, socioeconomic status (SES), and rural versus urban location. Analyzes screening data from 495 pregnant women with rural versus urban breakdowns according to study site; demographics; SES variables of income, education, and insurance status; and fiber intake. Discusses the impact of rurality and SES on nutrition during pregnancy.
Author(s): Alex H. Crisp, Bethany Barone Gibbs, Jacob B. Gallagher, et al.
Citation: Journal of Rural Health, 41(4), e70085
Date: 10/2025
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"No Rest for Me Tonight": A Social-Ecological Exploration of Insomnia in Rural Appalachian Women
Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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County-Level Socioeconomic Status, Rurality, and Second Primary Cancer Risk among Breast Cancer Survivors in the United States
Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Associations Between Insurance Status, Financial Hardship, and Rurality on Receipt of Guideline-Concordant Mammography
Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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New York State's Paid Family Leave Improved Postpartum Health Care among Women with Hypertensive Disorders in Pregnancy
Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Navigating Hepatitis C Care: Knowledge Gaps and Access Barriers Among Young Women Who Inject Drugs in Rural Appalachia
Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian, Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE
Date: 09/2025
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Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian, Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE
Date: 09/2025
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Route and Efficiency Analysis of Cancer Health Care (REACH): Investigating Sociodemographic and Rurality of Metastatic Breast Cancer Patients at an NCI-Designated Facility
Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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