Rural Health Disparities – Resources
Selected recent or important resources focusing on Rural Health Disparities.
Obstetric Outcomes among Rural Parturients across US Urban and Rural Hospitals
Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity
Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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Rural-Urban Residence and Life Expectancies With and Without Pain
Analyzes disparities in life expectancy and pain-free years of life remaining among rural, suburban, and urban upper-middle aged and older adults with and without chronic pain. Utilizes U.S. Health and Retirement Study (HRS) data for 18,160 individuals from 2000-2018. Includes data breakdowns by region, age group, sex, and severity of pain.
Author(s): Feinuo Sun, Zachary Zimmer, Nicolas Brouard
Citation: Health & Place, 89, 103305
Date: 09/2024
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Analyzes disparities in life expectancy and pain-free years of life remaining among rural, suburban, and urban upper-middle aged and older adults with and without chronic pain. Utilizes U.S. Health and Retirement Study (HRS) data for 18,160 individuals from 2000-2018. Includes data breakdowns by region, age group, sex, and severity of pain.
Author(s): Feinuo Sun, Zachary Zimmer, Nicolas Brouard
Citation: Health & Place, 89, 103305
Date: 09/2024
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The COVID-19 Pandemic and Associated Declines in Cancer Incidence by Race/Ethnicity and Census-Tract Level SES, Rurality, and Persistent Poverty Status
Examines the impact of COVID-19 on cancer screening, treatment, incidence, and disparities among different population groups. Utilizes U.S. National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data to compare 2020 and 2015-2019 incidence rates at 13 different cancer sites. Analyzes various cancer types across sociodemographic variables, including race/ethnicity, socioeconomic status, persistent poverty (PP), and rural versus urban location.
Author(s): Benmei Liu, Mandi Yu, Jeffrey Byrne, Katheen A. Cronin, Eric J. Feuer
Citation: Cancer Medicine, 13(17)
Date: 09/2024
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Examines the impact of COVID-19 on cancer screening, treatment, incidence, and disparities among different population groups. Utilizes U.S. National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data to compare 2020 and 2015-2019 incidence rates at 13 different cancer sites. Analyzes various cancer types across sociodemographic variables, including race/ethnicity, socioeconomic status, persistent poverty (PP), and rural versus urban location.
Author(s): Benmei Liu, Mandi Yu, Jeffrey Byrne, Katheen A. Cronin, Eric J. Feuer
Citation: Cancer Medicine, 13(17)
Date: 09/2024
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Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, sex, and metropolitan or nonmetropolitan status.
Date: 08/2024
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, sex, and metropolitan or nonmetropolitan status.
Date: 08/2024
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Place-Based, Intersectional Variation in Caregiving Patterns and Health Outcomes Among Informal Caregivers in the United States
Examines the correlation between informal caregivers' health and well-being and race/ethnicity, sex, and rural-urban status. Utilizes 2021-2022 Behavioral Risk Factor Surveillance System (BRFSS) data to analyze rural versus urban differences in informal caregiver demographics, type and time spent caregiving, and health status.
Author(s): Steven A. Cohen, Caitlin C. Nash, Mary L. Greaney
Citation: Frontiers in Public Health, 12
Date: 08/2024
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Examines the correlation between informal caregivers' health and well-being and race/ethnicity, sex, and rural-urban status. Utilizes 2021-2022 Behavioral Risk Factor Surveillance System (BRFSS) data to analyze rural versus urban differences in informal caregiver demographics, type and time spent caregiving, and health status.
Author(s): Steven A. Cohen, Caitlin C. Nash, Mary L. Greaney
Citation: Frontiers in Public Health, 12
Date: 08/2024
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Examining U.S. Disparities in Smoking among Rural Versus Urban Women of Reproductive Age: 2002–2019
Examines rural and urban trends in cigarette smoking prevalence and first-time quit ratios among adult women aged 18-44, utilizing 2002-2019 U.S. National Survey on Drug Use and Health (NSDUH) data. Includes data on pregnant and non-pregnant women. Discusses the significance of smoking behaviors and access to cessation support for multigenerational rural health disparities.
Author(s): Stephen T. Higgins, Tyler Erath, Fang-Fang Chen
Citation: Preventive Medicine, 108115
Date: 08/2024
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Examines rural and urban trends in cigarette smoking prevalence and first-time quit ratios among adult women aged 18-44, utilizing 2002-2019 U.S. National Survey on Drug Use and Health (NSDUH) data. Includes data on pregnant and non-pregnant women. Discusses the significance of smoking behaviors and access to cessation support for multigenerational rural health disparities.
Author(s): Stephen T. Higgins, Tyler Erath, Fang-Fang Chen
Citation: Preventive Medicine, 108115
Date: 08/2024
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Examining Rurality and Social Determinants of Health among Women with GDM: A 15-Year Comprehensive Population Analysis
Examines maternal demographic characteristics, including rurality, and risk of gestational diabetes mellitus (GDM) development over time. Utilizes birth record vital statistics of 589,605 women with live births in Kansas from 2005 to 2019. Compares rural and urban trends in maternal overweight, obesity, and GDM.
Author(s): Umama Ali, Laila Cure, Rhonda K. Lewis, et al.
Citation: BMC Women's Health, 24, 467
Date: 08/2024
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Examines maternal demographic characteristics, including rurality, and risk of gestational diabetes mellitus (GDM) development over time. Utilizes birth record vital statistics of 589,605 women with live births in Kansas from 2005 to 2019. Compares rural and urban trends in maternal overweight, obesity, and GDM.
Author(s): Umama Ali, Laila Cure, Rhonda K. Lewis, et al.
Citation: BMC Women's Health, 24, 467
Date: 08/2024
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Discharge Disposition for Home Health Care Patients with Alzheimer's Disease and Related Dementia: The Role of Living Arrangements and Rural Living
Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health, 41(1)
Date: 08/2024
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Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health, 41(1)
Date: 08/2024
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Disparities Impact Statement
Guidance for healthcare providers and other healthcare focused organizations to identify and address health disparities among various people groups including rural and tribal communities. Offers a 5 step process for developing an action plan by identifying disparities, defining health equity goals, establishing a health equity strategy, determining organizational needs, and tracking progress.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guidance for healthcare providers and other healthcare focused organizations to identify and address health disparities among various people groups including rural and tribal communities. Offers a 5 step process for developing an action plan by identifying disparities, defining health equity goals, establishing a health equity strategy, determining organizational needs, and tracking progress.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 9/27/2024