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Rural Health Disparities – Resources

Selected recent or important resources focusing on Rural Health Disparities.

Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2021, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions and medication-related issues.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2022 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Includes a discussion of rural hospital closures and the impact on the distance required to access selected healthcare services.
Date: 11/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them
Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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QuickStats: Age-Adjusted Death Rates for Stroke Among Adults Aged ≥ 65 Years, by Region and Metropolitan Status — National Vital Statistics System, United States, 2020
Bar chart showing stroke death rates among adults 65 and older, overall and for metropolitan and nonmetro areas. Includes data for the U.S. as a whole as well as by region for the Northeast, Midwest, South, and West.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(43), 1386
Date: 10/2022
Type: Chart/Graph
Sponsoring organization: Rural Health Information Hub
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Rural Health Research Recap: Maternal Health Disparities: An Intersection of Race and Rurality
Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Urban–Rural Disparities in Diabetes-Related Mortality in the USA 1999–2019
Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
Type: Document
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Rural and Urban Women Have Differing Sexual and Reproductive Health Experiences
Explores the healthcare disparities women aged 15 to 49 experience related to sexual and reproductive health. Analyzes 2015-2019 data from the National Survey of Family Growth (NSFG) to investigate contraceptive use in 1,128 rural residents and 6,007 urban residents. Includes rural versus urban demographic breakdowns according to race/ethnicity, nativity, income, education, LGB+ identity, and history of/plans for having children.
Author(s): Emma Pliskin, Kate Welti, Jennifer Manlove
Date: 09/2022
Type: Document
Sponsoring organization: Child Trends
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Preserving Independence among Under-Resourced Older Adults in the Southeastern United States: Existing Barriers and Potential Strategies for Research
Literature review examining barriers to independent aging in the Southeast, including physical, mental, and social challenge related to chronic conditions, health disparities, and access to care. Includes a section on barriers for older adults in rural areas of the Southeast.
Author(s): Ene M. Enogela, Taylor Buchanan, Christy S. Carter, et al.
Citation: International Journal for Equity in Health, 21, 119
Date: 08/2022
Type: Document
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Rural Maternal Health Networks: Evaluation Findings from the First Implementation Year of the RMOMS 2019 Cohort
Webinar recording discusses the outcomes of the Rural Maternity and Obstetrics Management Strategies (RMOMS) program on rural maternal health networks. Features presentations from representatives of the Mission Analytics Group and the Insight Policy Research.
Date: 08/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Spatial Access to Hospital-Based Obstetric Units in Minoritized Racial/Ethnic Areas
Documents geographic accessibility and travel burdens for obstetric care based on local minoritized racial/ethnic group (MRG) distributions at the ZIP Code Tabulation Area (ZCTA) level. Features statistics with breakdowns by race or ethnicity and urban or rural ZCTA, and maps showing geographic distribution of ZCTAs meeting the 95th percentile threshold, locations of hospital-based obstetric units across top MRG ZCTAs in 2019, and driving distances to a hospital obstetric unit by MRG classification.
Author(s): Peiyin Hung, Gabriel Benavidez, Melinda A. Merrell, et al.
Date: 08/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 11/14/2022