Rural Health
Resources by Type: Document
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Peer Recovery Supports for Behavioral Health in Rural Communities
Discusses behavioral health peer recovery support services in rural and agricultural communities. Highlights innovative and promising practices for overcoming behavioral health barriers, such as addressing stigma, social isolation, and scarcity of services through community and peer supports.
Date: 04/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses behavioral health peer recovery support services in rural and agricultural communities. Highlights innovative and promising practices for overcoming behavioral health barriers, such as addressing stigma, social isolation, and scarcity of services through community and peer supports.
Date: 04/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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April 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2026 meeting. Covers community engagement requirements in Medicaid, state and federal tools for ensuring accountability of Medicaid managed care plans, the role of the state Medicaid agency in the Program of All-Inclusive Care for the Elderly (PACE), pharmacy benefit managers and Medicaid, and more. Includes rural references throughout.
Date: 04/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2026 meeting. Covers community engagement requirements in Medicaid, state and federal tools for ensuring accountability of Medicaid managed care plans, the role of the state Medicaid agency in the Program of All-Inclusive Care for the Elderly (PACE), pharmacy benefit managers and Medicaid, and more. Includes rural references throughout.
Date: 04/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Notes from the Field: Tetanus in Four Children — Idaho, Minnesota, Missouri, and Wisconsin, 2024
Reports on four cases of tetanus in children who had not completed a primary tetanus toxoid–containing vaccine (TTCV) series and did not received TTCV or tetanus immunoglobulin (TIG) after exposure and before illness onset. Two of the four children lived in nonmetro areas.
Author(s): Katherine L. Campbell, Avnika B. Amin, Jessica Goswitz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(14), 192-193
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on four cases of tetanus in children who had not completed a primary tetanus toxoid–containing vaccine (TTCV) series and did not received TTCV or tetanus immunoglobulin (TIG) after exposure and before illness onset. Two of the four children lived in nonmetro areas.
Author(s): Katherine L. Campbell, Avnika B. Amin, Jessica Goswitz, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(14), 192-193
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Prevalence of Selected Chronic Conditions Among Adults Age 45 and Older, by Age and Urbanization Level: United States, 2024
Provides data on the prevalence of heart disease, cancer, chronic obstructive pulmonary disease, and stroke among adults age 45 and older by level of rurality, using data from the 2024 National Health Interview Survey.
Author(s): Xun Wang, Lindsey I. Black
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Provides data on the prevalence of heart disease, cancer, chronic obstructive pulmonary disease, and stroke among adults age 45 and older by level of rurality, using data from the 2024 National Health Interview Survey.
Author(s): Xun Wang, Lindsey I. Black
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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A Mixed-Methods Approach for Understanding Cancer Center Catchment Area Needs: An Example of Rural Cancer Disparities, Needs, and Resiliencies
Examines the catchment area for the University of Iowa Health Care Holden Comprehensive Cancer Center and provides data on cancer burden, risks and protective factors, needs and barriers, and assets and resources related to cancer in Iowa. Utilizes rural versus urban cancer registry data as well as qualitative interview data from Iowa leaders to discuss cancer disparities in rural areas.
Author(s): Stephanie Evett, Amanda Kahl, Megan E. Schmidt, et al.
Citation: Cancer Causes Control, 37, 82
Date: 04/2026
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Examines the catchment area for the University of Iowa Health Care Holden Comprehensive Cancer Center and provides data on cancer burden, risks and protective factors, needs and barriers, and assets and resources related to cancer in Iowa. Utilizes rural versus urban cancer registry data as well as qualitative interview data from Iowa leaders to discuss cancer disparities in rural areas.
Author(s): Stephanie Evett, Amanda Kahl, Megan E. Schmidt, et al.
Citation: Cancer Causes Control, 37, 82
Date: 04/2026
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Population-Based Associations of Body Mass Index and Treatments Received for Breast Cancer in a Rural, Midwestern State
Examines how breast cancer treatment differed by body mass index (BMI), using 2010-2020 Iowa Cancer Registry data of 18,115 patients. Includes data breakdowns by patient rurality and hospital rurality.
Author(s): Breanna L. Blaess, Amanda R. Kahl, Ingrid Lizarraga, et al.
Citation: Cancer Medicine, 15(4), e71831
Date: 04/2026
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Examines how breast cancer treatment differed by body mass index (BMI), using 2010-2020 Iowa Cancer Registry data of 18,115 patients. Includes data breakdowns by patient rurality and hospital rurality.
Author(s): Breanna L. Blaess, Amanda R. Kahl, Ingrid Lizarraga, et al.
Citation: Cancer Medicine, 15(4), e71831
Date: 04/2026
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Analysis of Pennsylvania Crime Trends: An Updated Rural/Urban Comparison
Examines rural and urban crime trends in Pennsylvania from 2013-2023. Identifies areas where rural crime trends differ from urban patterns, and highlights differences across rural regions of the state. Features statistics on crime rates by offense category, injuries due to assault, access to drug and alcohol treatment centers, and most prevalent property crimes, with breakdowns by urban and rural areas, and Philadelphia alone.
Author(s): Brandon Vick, Robert Orth, Emily Schumacher, Angel Alcantara
Date: 04/2026
Sponsoring organization: Center for Rural Pennsylvania
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Examines rural and urban crime trends in Pennsylvania from 2013-2023. Identifies areas where rural crime trends differ from urban patterns, and highlights differences across rural regions of the state. Features statistics on crime rates by offense category, injuries due to assault, access to drug and alcohol treatment centers, and most prevalent property crimes, with breakdowns by urban and rural areas, and Philadelphia alone.
Author(s): Brandon Vick, Robert Orth, Emily Schumacher, Angel Alcantara
Date: 04/2026
Sponsoring organization: Center for Rural Pennsylvania
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A Roadmap for Building and Implementing a Comprehensive State Graduate Medical Education Strategy: Actionable Steps to Align Investments with Workforce Needs
Offers an evidence-based framework that organizes a graduate medical education (GME) growth strategy into 5 stages. Can be used as part of federal Rural Health Transformation Program activities to strengthen workforce recruitment and retention and to improve healthcare access in rural areas. Table 1 shows state GME models and technical assistance initiatives.
Author(s): Lori Rodefeld, Emily M. Hawes, Raquel Davis, et al.
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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Offers an evidence-based framework that organizes a graduate medical education (GME) growth strategy into 5 stages. Can be used as part of federal Rural Health Transformation Program activities to strengthen workforce recruitment and retention and to improve healthcare access in rural areas. Table 1 shows state GME models and technical assistance initiatives.
Author(s): Lori Rodefeld, Emily M. Hawes, Raquel Davis, et al.
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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