Rural Health
Resources by Type: Document

Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Data Snapshot: Updated Ohio Enrollment In The Federal ACA Marketplace
Examines policy changes and their impact on Affordable Care Act (ACA) marketplace enrollment in Ohio. Includes a county-level map and changes in marketplace enrollment and cost from 2025 to 2026.
Date: 07/2026
Sponsoring organization: Health Policy Institute of Ohio
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Putting the Roadmap to a Comprehensive State Graduate Medical Education Strategy into Practice: State Perspectives
Explores ways in which Missouri, North Carolina, and Wisconsin are planning and implementing aspects of their state graduate medical education strategies. Offers insights for other states investigating ways to sustain a rural healthcare workforce and considering a "grow your own" approach to expanded residency training.
Author(s): Lori Rodefeld, Raquel Davis, Erin P. Fraher, et al.
Date: 07/2026
Sponsoring organization: Milbank Memorial Fund
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Geographic Variation in Blood Transfusion among TRICARE Beneficiaries
Explores the geographic variations in blood distribution and transfusion practices using the U.S. Military Health System's TRICARE insurance database. Breaks down data by age, sex, and whether beneficiaries received care in rural or urban areas, among other measures.
Author(s): Avery A. Thompson, Mahima Jain, Tanujit Dey, et al.
Citation: Transfusion, 66(7), 1326-1335
Date: 07/2026
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The Role of Rurality and Area-Level Disadvantage in Lifestyle Risk Factors and Psychological Well-Being among Cancer Survivors: Findings from the 2021 NCI HINTS-SEER
Examines how rurality and area-level disadvantage are associated with obesity, smoking, and depression or anxiety among cancer survivors, using 2021 HINTS-SEER data. Compares the roles of area-level and individual factors in influencing cancer survivorship outcomes in rural and urban areas.
Author(s): Anita M. Kumar, Carrie A. Miller, Reyna Han, et al.
Citation: Cancer Causes & Control, 37, 125
Date: 07/2026
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Defining Veteran Rurality: An Analysis of the U.S. Veterans Health Administration Rural–Urban Taxonomy
Examines the Veterans Health Administration's (VHA) "Categorization B" rural–urban taxonomies and changes to drive time estimates to VHA care as determined by these taxonomies. Analyzes drive time across RUCA codes, Categorization B designation, and VHA designation. Discusses VHA rural and highly rural designations and the importance of aligning rural definitions to the VHA's access-to-care priorities.
Author(s): Diana J. Govier, Travis I. Lovejoy, Sarah S. Ono, et al.
Citation: Journal of Rural Health, 42(3), e70182
Date: 07/2026
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Economic Cynicism, COVID-19 and Deaths of Despair in Rural Ohio Counties
Explores the relationship between economic cynicism, COVID-19, and deaths of despair (DoDs) in rural counties in Ohio. Highlights rates of social connection, economic disadvantage and cynicism, and how they correlate with DoDs, among other measures.
Author(s): Christopher R. Browning, Bethany Boettner, Catherine A. Calder, Elisabeth Root
Citation: Sociology of Health & Illness, 48(6), e70227
Date: 07/2026
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Food Service Directors' Knowledge and Beliefs About Ultraprocessed Foods in California's San Joaquin Valley Schools
Examines food service director (FSD) perspectives on ultraprocessed foods (UPFs) while planning meals for schools in the largely rural San Joaquin Valley of California. Utilizes interview data from 20 FSDs and discusses themes such as healthfulness of UPFs, scratch-cooked foods versus UPFs, and reasons for including or not including UPFs in school menus.
Author(s): Anjali Gupta, Alix Zuceth Duran Gomez, Donna Matheson, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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