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Rural Health Disparities – Resources

Selected recent or important resources focusing on Rural Health Disparities.

Rural Working-Age Adults Report More Cost Barriers to Health Care
Policy brief examining rural-urban differences in affordability of care and cost-saving strategies among adults ages 18-64. Features demographics and statistics on prescription drug cost-saving measures and difficulty affording medical care in the past year, with breakdowns by rural and urban location.
Author(s): Erika C. Ziller, Carly Milkowski, Amanda Burgess
Date: 03/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Assessing Geographic Variability in Key Indicators of Air Quality: A Rural vs. Urban Comparison of Pollution and Socio-Economic Factors
Results of a study to examine rates of air pollution between rural and urban census tracts, using data from the Environmental Protection Agency (EPA) Air Quality System web portal for the years 2000-2020. Features statistics including mean concentrations of fine particulate matter air pollution (PM2.5) and ozone in rural and urban census tracts, and maps showing concentrations of PM2.5 for census tracts by EPA region.
Author(s): Daniel Kilpatrick, Jeremy Cothran, Stella Self, et al.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by age, race/ethnicity, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
Type: Document
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Cancer Disproportionately Impacts Adults Living in Rural Areas
Analyzes cancer disparities in metro and nonmetro areas across the U.S. as well as select states that did not expand Medicaid coverage: Georgia, South Carolina, Tennessee, and Texas. Utilizes multiple data sources to examine cancer incidence, mortality, and survival rates in metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: The National Grange
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Rural–Urban Disparities in Adverse Maternal Outcomes in the United States, 2016–2019
Analyzes maternal mortality and admissions to the intensive care unit (ICU) in rural and urban areas in the U.S. between 2016 and 2019. Utilizes Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) to examine rural versus urban maternal health disparities.
Author(s): Katharine A. Harrington, Natalie A. Cameron, Kasen Culler, William A. Grobman, Sadiya S. Khan
Citation: American Journal of Public Health, 113(2)
Date: 01/2023
Type: Document
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Health Disparities in Central Nervous System Disorders: Driving Transformative Change: Proceedings of a Workshop–in Brief
Highlights the proceedings of a workshop on strategies to reduce health disparities relating to central nervous system (CNS) disorders. Explores CNS health disparities in rural and low-income communities and among racial and ethnic minority groups, such as American Indian and Alaska Native tribal nations. Discusses the roles academia, industry, and the government have in creating a diverse neuroscience workforce to advance community partnerships and collaborations.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Toward Equitable Innovation in Health and Medicine: A Framework
Report describing a framework for decision-making during the innovation process for the purpose of equitable distribution of health and medicine. The framework considers who innovation is for, who has a say in developing the innovation, access to innovation, and the distribution of the value of the innovation. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Telehealth in Rural Integrated Care Webinar Series
A 3-part webinar series on telehealth in rural integrated care. Part 1 discusses general issues and opportunities for telehealth in decreasing health disparities. Part 2 focuses on the unique challenges for rural children and rural schools. Part 3 focuses on the unique challenges for rural migrant workers and farmworkers.
Additional links: Part 2, Part 3
Date: 2023
Type: Video/Multimedia
Sponsoring organization: National Council for Mental Wellbeing
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Common Problems, Common Solutions: Looking Across Sectors at Strategies for Supporting Rural Youth and Families Tool-Kit
Provides an overview of barriers faced by rural communities in supporting youth and families, and innovative strategies to improve outcomes for youth, families, and communities. Informed by interviews and listening sessions with practitioners and leaders working in rural areas across the United States.
Author(s): Lisa Pilnik, Christine Humowitz
Date: 2023
Type: Document
Sponsoring organizations: Georgetown University Center for Juvenile Justice Reform, U.S. Department of Justice
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Rural–Urban Disparities in Mortality and Place of Death for Gastrointestinal Cancer in the United States From 2003 to 2019
A research letter that examines age-adjusted mortality rates (AAMR) from gastrointestinal cancer in large metro, medium/small metro, and rural areas. Analyzes 2,490,412 AAMR records between 2013 and 2019 utilizing the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC Wonder) database. Provides breakdowns of AAMR data by age, sex, race/ethnicity, cancer type, urbanicity, and location of death, such as nursing facility, hospice facility, medical facility, or home.
Author(s): S. M. Qasim Hussaini, Amanda L. Blackford, Nivedita Arora, et al.
Citation: Gastroenterology, 163(6), 1676-1678
Date: 12/2022
Type: Document
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Last Updated: 3/25/2024