Rural Health
Resources by Topic: Health conditions
Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Impact of Urban–Rural Residence on Treatment and Survival in Patients with Glioblastoma: A SEER-Based Study with External Validation
Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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Evaluating the Impact of the Ripe for Revival Mobile Market with Vouchers on Food and Nutrition Security, Fruit and Vegetable Intake, and Blood Pressure in Rural Eastern North Carolina: A Quasi-Experimental Trial Design Study Protocol
Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Associations Between Socioeconomic Disadvantage and Rurality With New Diagnoses of Atrial Fibrillation
Examines how new diagnoses of atrial fibrillation vary by socioeconomic status and rurality, using 2021-2022 data of 369,619 patients at a Midwestern health system.
Author(s): Jonathan A. Handler, J. Rebecca Mills, Dale L. Smith, et al.
Citation: Journal of Health Care for the Poor and Underserved, 37(3), 1070-1088
Date: 08/2026
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Examines how new diagnoses of atrial fibrillation vary by socioeconomic status and rurality, using 2021-2022 data of 369,619 patients at a Midwestern health system.
Author(s): Jonathan A. Handler, J. Rebecca Mills, Dale L. Smith, et al.
Citation: Journal of Health Care for the Poor and Underserved, 37(3), 1070-1088
Date: 08/2026
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Precision Oncology for Solid Tumor Malignancies in the Rural United States: A Scoping Review
Scoping review examining literature published between 2014 and 2026 on precision oncology service delivery, access, research, and health policy in the rural United States. Discusses topics related to rural and urban disparities, patient and provider perceptions, and implementation.
Author(s): Dena P. Rhinehart, Madelyn F. Klugman, Shuait Nair, et al.
Citation: JCO Oncology Advances, 3(3), e2600045
Date: 08/2026
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Scoping review examining literature published between 2014 and 2026 on precision oncology service delivery, access, research, and health policy in the rural United States. Discusses topics related to rural and urban disparities, patient and provider perceptions, and implementation.
Author(s): Dena P. Rhinehart, Madelyn F. Klugman, Shuait Nair, et al.
Citation: JCO Oncology Advances, 3(3), e2600045
Date: 08/2026
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Southward Expansion of Ixodes scapularis (Blacklegged) Tick Pathogens — Western North Carolina, November 2024–August 2025
Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Expansion of Access to Rheumatology Care for Rural Veterans: Program Development and Initial Feasibility of the National Tele-Rheumatology Program Using the RE-AIM Framework
Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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The Role of Rurality on Self-Reported Sleep and Cognition in Middle-Aged and Older Adults: A Preliminary Study
Presents a study aiming to understand the way rurality impacts the relationship between sleep and cognition in aging adults. Breaks down participants' self-reported sleep, objective cognition, working memory, and executive function, among other measures, and compares rates of individuals from rural and non-rural areas.
Author(s): Madison Musich, Amy N. Costa, Puja Halder, et al.
Citation: Rural and Remote Health, 26(3), 10695
Date: 08/2026
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Presents a study aiming to understand the way rurality impacts the relationship between sleep and cognition in aging adults. Breaks down participants' self-reported sleep, objective cognition, working memory, and executive function, among other measures, and compares rates of individuals from rural and non-rural areas.
Author(s): Madison Musich, Amy N. Costa, Puja Halder, et al.
Citation: Rural and Remote Health, 26(3), 10695
Date: 08/2026
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