Rural Health
Resources by Topic: COVID-19
Cost of Implementing Evidence-Based Practices to Reduce Opioid Overdose Fatalities in New York State Communities
Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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The Roles of COVID‐19 Pandemic Exposure and Telehealth in Prenatal Care Access for Rural and Racial Minority Communities in the United States: A Retrospective Cohort Study
Examines how timely receipt of prenatal care differed by geography, race, and ethnicity before and during COVID-19 public health emergency and with and without telehealth use. Utilizes National Clinical Cohort Collaborative (N3C) data from June 2018 through May 2022.
Author(s): Peiyin Hung, Jiani Yu, Adiba B. Promiti, et al.
Citation: Journal of Rural Health, 41(4), e70077
Date: 09/2025
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Examines how timely receipt of prenatal care differed by geography, race, and ethnicity before and during COVID-19 public health emergency and with and without telehealth use. Utilizes National Clinical Cohort Collaborative (N3C) data from June 2018 through May 2022.
Author(s): Peiyin Hung, Jiani Yu, Adiba B. Promiti, et al.
Citation: Journal of Rural Health, 41(4), e70077
Date: 09/2025
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Food Insecurity and Rural Child and Family Functioning
Examines the relationship between food security and family well-being in rural households during the COVID-19 pandemic. Analyzes feedback from 61 caregivers regarding household food insecurity, child mental health issues, parent-child conflict, and more.
Author(s): Merelise R. Ametti, Hannah E. Frering, Kierian Huang, Katya Marsh, Robert R. Althoff
Citation: JAMA Network Open, 8(9), e2530691
Date: 09/2025
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Examines the relationship between food security and family well-being in rural households during the COVID-19 pandemic. Analyzes feedback from 61 caregivers regarding household food insecurity, child mental health issues, parent-child conflict, and more.
Author(s): Merelise R. Ametti, Hannah E. Frering, Kierian Huang, Katya Marsh, Robert R. Althoff
Citation: JAMA Network Open, 8(9), e2530691
Date: 09/2025
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Transforming Care: The Impact of COVID-19 on Telehealth Adoption in U.S. Home Health Care Agencies
Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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Sources of Health Insurance among Adults with Long COVID: Estimates from the Medical Expenditure Panel Survey
Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Treatment Initiations and Opioid Overdoses among Recently Incarcerated People after Adoption of the Take-Home Methadone Policy
Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Trends in Mental Health Care Utilization in Rural and Nonrural Areas, 2019-2023
Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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Drug Overdose Deaths in Kentucky, 2019–2024: Are We Back to Pre-COVID-19 Levels?
Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Examines drug overdose deaths in Kentucky and the impact of COVID-19 on mortality rates. Utilizes 2019-2024 Kentucky Office of Vital Statistics data to analyze overdose mortality rates according to year, demographics, contributing drugs, and metro versus nonmetro location.
Author(s): Aaron P. Smith, Juan Lang, Carmen Canedo, et al.
Citation: Injury Epidemiology, 12, 51
Date: 08/2025
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Evaluating the Impact of Altitudinal Variations on COVID-19 Mortality Rates: A Comprehensive Analysis
Examines the effects of high altitude on county-level COVID-19 mortality, fatality rates, and vaccination outcomes, utilizing January 2020-August 2022 New York Times COVID-19 repository and American Community Survey data. Includes data on fatality by level of rurality in the pre- and post-vaccination periods.
Author(s): Emre Karsli, Damla Anbarli Metin, Arda Kocatas, et al.
Citation: BMC Pulmonary Medicine, 25, 413
Date: 08/2025
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Examines the effects of high altitude on county-level COVID-19 mortality, fatality rates, and vaccination outcomes, utilizing January 2020-August 2022 New York Times COVID-19 repository and American Community Survey data. Includes data on fatality by level of rurality in the pre- and post-vaccination periods.
Author(s): Emre Karsli, Damla Anbarli Metin, Arda Kocatas, et al.
Citation: BMC Pulmonary Medicine, 25, 413
Date: 08/2025
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