Rural Health Disparities – Resources
Selected recent or important resources focusing on Rural Health Disparities.
COVID-19 Working Paper: Meatpacking Working Conditions and the Spread of COVID-19
Report details the working conditions of meatpacking plants and how they affected the spread of COVID-19 during the first months of the pandemic. Compares manufacturing jobs in rural versus total counties and highlights specific rural counties where meatpacking plants were infected. Discusses occupational characteristics that may have contributed to the spread.
Author(s): Thomas P. Krumel, Jr., Corey Goodrich
Date: 09/2021
Sponsoring organization: USDA Economic Research Service
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Report details the working conditions of meatpacking plants and how they affected the spread of COVID-19 during the first months of the pandemic. Compares manufacturing jobs in rural versus total counties and highlights specific rural counties where meatpacking plants were infected. Discusses occupational characteristics that may have contributed to the spread.
Author(s): Thomas P. Krumel, Jr., Corey Goodrich
Date: 09/2021
Sponsoring organization: USDA Economic Research Service
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trends in Death Rates in Urban and Rural Areas: United States, 1999-2019
Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Sponsoring organization: National Center for Health Statistics
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Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Sponsoring organization: National Center for Health Statistics
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The Growing Rural-Urban Divide in US Life Expectancy: Contribution of Cardiovascular Disease and Other Major Causes of Death
Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Cancer Mortality and Research Outcomes in a Rural State
Highlights a study exploring the factors contributing to high cancer rates in rural North Dakota. Breaks down cancer data by sex and geography, among other measures.
Author(s): Mark R. Williamson, Rashid M. Ahmed
Citation: Wisconsin Medical Journal, 120(2), 120-126
Date: 07/2021
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Highlights a study exploring the factors contributing to high cancer rates in rural North Dakota. Breaks down cancer data by sex and geography, among other measures.
Author(s): Mark R. Williamson, Rashid M. Ahmed
Citation: Wisconsin Medical Journal, 120(2), 120-126
Date: 07/2021
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The Synchronicity of COVID-19 Disparities: Statewide Epidemiologic Trends in SARS-CoV-2 Morbidity, Hospitalization, and Mortality among Racial Minorities and in Rural America
Presents a study of patterns in COVID-19 infection, hospitalization, and mortality among all adults tested for COVID-19 infection in Indiana between March 1 and December 31, 2020. Analyzes data by sex, age, rural/urban location, and other demographic factors. Discusses disparities among rural and minority populations during the fall 2020 surge.
Author(s): Brian E. Dixon, Shaun J. Grannis, Lauren R. Lembcke, et al.
Citation: PLoS One, 16(7), e0255063
Date: 07/2021
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Presents a study of patterns in COVID-19 infection, hospitalization, and mortality among all adults tested for COVID-19 infection in Indiana between March 1 and December 31, 2020. Analyzes data by sex, age, rural/urban location, and other demographic factors. Discusses disparities among rural and minority populations during the fall 2020 surge.
Author(s): Brian E. Dixon, Shaun J. Grannis, Lauren R. Lembcke, et al.
Citation: PLoS One, 16(7), e0255063
Date: 07/2021
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QuickStats: Percentage of Adults Aged ≥18 Years With Fair or Poor Health, by Urbanization Level and Age Group — National Health Interview Survey, United States, 2019
Bar chart showing adults reporting fair or poor health in metropolitan compared to nonmetro areas, overall and for ages 18-39, 40-64, and 65 or older.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(30), 1048
Date: 07/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Bar chart showing adults reporting fair or poor health in metropolitan compared to nonmetro areas, overall and for ages 18-39, 40-64, and 65 or older.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(30), 1048
Date: 07/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Communities at Risk: Widening Health Disparities Present New Challenges in Aftermath of Pandemic
Describes the health status, health disparities, and socioeconomic disparities of vulnerable rural communities. Analyzes the relationship between rural community vulnerability and the stability of the rural health safety net.
Date: 07/2021
Sponsoring organization: The Chartis Group
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Describes the health status, health disparities, and socioeconomic disparities of vulnerable rural communities. Analyzes the relationship between rural community vulnerability and the stability of the rural health safety net.
Date: 07/2021
Sponsoring organization: The Chartis Group
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Spatial and Temporal Inequalities in Mortality in the USA, 1968-2016
Examines excess mortality at the county level using Poisson regression models adjusted for poverty, education, population change, deindustrialization, and other demographic factors, including rural-urban comparisons. Offers spatial maps and population-weighted cartograms.
Author(s): Welcome Wami, David Walsh, Benjamin D. Hennig, et al.
Citation: Health Place, 70, 102586
Date: 05/2021
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Examines excess mortality at the county level using Poisson regression models adjusted for poverty, education, population change, deindustrialization, and other demographic factors, including rural-urban comparisons. Offers spatial maps and population-weighted cartograms.
Author(s): Welcome Wami, David Walsh, Benjamin D. Hennig, et al.
Citation: Health Place, 70, 102586
Date: 05/2021
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Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States
Results of a study to determine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening. Features statistics with breakdowns by metropolitan, micropolitan, and rural locations.
Author(s): Gabriel A. Benavidez, Anja Zgodic, Whitney E. Zahnd, Jan M. Eberth
Citation: Preventing Chronic Disease, 18
Date: 04/2021
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Results of a study to determine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening. Features statistics with breakdowns by metropolitan, micropolitan, and rural locations.
Author(s): Gabriel A. Benavidez, Anja Zgodic, Whitney E. Zahnd, Jan M. Eberth
Citation: Preventing Chronic Disease, 18
Date: 04/2021
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Appalachia
- Delta Region
- Health disparities
- Rural-urban differences
- The South
- U.S.-Mexico Border Region
Last Updated: 8/29/2025