Rural Health Disparities – Resources
Selected recent or important resources focusing on Rural Health Disparities.
Rural-Urban Trends in Pediatric Emergency Department Visits for Ambulatory Care Sensitive Conditions from 2016-2019
Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Who is Benefiting from the Dramatic Decline in U.S. Cancer Mortality? Place-Based Evidence of Disparities in Rates of Improvement
Analyzes how improvements in cancer mortality between 1991 and 2019 varied by geography, using CDC WONDER data. Includes data comparisons by U.S. region, income level, and rurality at the county level.
Author(s): Arthur G. Cosby, Viswadeep Lebakula, Karissa Bergene, et al.
Citation: British Journal of Cancer
Date: 03/2026
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Analyzes how improvements in cancer mortality between 1991 and 2019 varied by geography, using CDC WONDER data. Includes data comparisons by U.S. region, income level, and rurality at the county level.
Author(s): Arthur G. Cosby, Viswadeep Lebakula, Karissa Bergene, et al.
Citation: British Journal of Cancer
Date: 03/2026
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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults
Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Advancing Diagnostic Excellence in Rural Areas: Proceedings of a Workshop—in Brief
Summarizes proceedings from an October 2025 workshop discussing current diagnostic challenges in rural areas and identifying strategies for improvement. Covers topics including access to diagnosis, diagnosis-related health disparities, new technologies and innovations, workforce training, education, and support, and other innovations in diagnosis and patient-centered care.
Additional links: Read Online
Date: 01/2026
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Summarizes proceedings from an October 2025 workshop discussing current diagnostic challenges in rural areas and identifying strategies for improvement. Covers topics including access to diagnosis, diagnosis-related health disparities, new technologies and innovations, workforce training, education, and support, and other innovations in diagnosis and patient-centered care.
Additional links: Read Online
Date: 01/2026
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Stroke Technology Diffusion in Rural Settings: Differential Exposure to Certification Levels by Community Income Levels
Analyzes how access to certified stroke center services has varied over time among rural communities by median family income level, using 2009-2019 Medicare Provider and Analysis Review (MedPAR) data. Compares access to Acute Stroke Ready Hospitals, Primary Stroke Centers, Thrombectomy-Capable Stroke Centers, or Comprehensive Stroke Centers among low, medium, and high-income communities.
Author(s): Yu-Chu Shen, Maya Spencer, Renee Y. Hsia
Citation: Neurology, 106(4), e214644
Date: 01/2026
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Analyzes how access to certified stroke center services has varied over time among rural communities by median family income level, using 2009-2019 Medicare Provider and Analysis Review (MedPAR) data. Compares access to Acute Stroke Ready Hospitals, Primary Stroke Centers, Thrombectomy-Capable Stroke Centers, or Comprehensive Stroke Centers among low, medium, and high-income communities.
Author(s): Yu-Chu Shen, Maya Spencer, Renee Y. Hsia
Citation: Neurology, 106(4), e214644
Date: 01/2026
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Access to Health Care by Rurality and Disability Status
Report explores barriers to access to care by rurality and disability status. Highlights the compounding barriers to access for rural people with disabilities. Discusses barriers due to financial reasons, lack of transportation, and workforce shortages, among other factors.
Author(s): Alexis Swendener, Ingrid Jacobson, Andrew Abram, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Report explores barriers to access to care by rurality and disability status. Highlights the compounding barriers to access for rural people with disabilities. Discusses barriers due to financial reasons, lack of transportation, and workforce shortages, among other factors.
Author(s): Alexis Swendener, Ingrid Jacobson, Andrew Abram, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Geographic and Demographic Differences in Studies of the Five Leading Causes of Death in the U.S.: Evidence from Peer-Reviewed Literature
Literature review examining the extent to which studies on mortality related to heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke included individual measures of rurality, race, and ethnicity, and analyzes the findings of these studies. Discusses differences in research on a condition-by-condition basis and suggests directions for future health disparities research.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Gogoal Falia, et al.
Date: 12/2025
Sponsoring organization: Southwest Rural Health Research Center
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Literature review examining the extent to which studies on mortality related to heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke included individual measures of rurality, race, and ethnicity, and analyzes the findings of these studies. Discusses differences in research on a condition-by-condition basis and suggests directions for future health disparities research.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Gogoal Falia, et al.
Date: 12/2025
Sponsoring organization: Southwest Rural Health Research Center
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories For the First Half (January-June) of 2025
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in the first half of 2025. Includes data for rural versus urban roads, among other measures. Compares 2024 fatality data to 2025 rates by month for a number of indicators, including rural areas.
Date: 11/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in the first half of 2025. Includes data for rural versus urban roads, among other measures. Compares 2024 fatality data to 2025 rates by month for a number of indicators, including rural areas.
Date: 11/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Association of Injury-Related Mortality with Unique Domains of Social Determinants of Health Across the Urban-Rural Continuum
Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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