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Rural Health Information Hub

Rural Health
Resources by Topic: Health conditions

Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
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Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health, 41(1)
Date: 2025
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Barriers to Participation in Clinical Trials of Rural Older Adult Cancer Survivors: A Qualitative Study
Explores barriers to clinical trial participation for older cancer survivors living in rural areas. Utilizes semi-structured interviews to discuss challenges such as lack of transportation, limited communication with providers, age, and more.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: Journal of Rural Health, 41(1), e12852
Date: 2025
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Sponsoring organization: Arizona Department of Health Services
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CMS Office of Minority Health: Health Equity Data Book
Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Service Use among Individuals Enrolled in Medicaid and CHIP Before and During The COVID-19 Public Health Emergency
Examines behavioral health (BH) service usage changes among Medicaid and Children's Health Insurance Program (CHIP) enrollees during the COVID-19 public health emergency (PHE). Compares BH service initiation and treatment before the PHE (2018-2019) and during the PHE (2019-2020), with further data breakdowns by enrollee BH condition and demographic variables, including rural versus urban location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Physician Engagement in Addressing Health-Related Social Needs and Burnout
Results of a 2022 study exploring physicians' engagement in addressing health-related social needs and its association with burnout. Supplementary material features statistics including geographic location with breakdowns by greater or less than 20% rural patient care.
Additional links: Supplementary Content
Author(s): Masami Tabata-Kelly, Xiaochu Hu, Michael J. Dill, et al.
Citation: JAMA Network Open, 7(12), e2452152
Date: 12/2024
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Bird Flu Exposure Prevention – Employer Checklist
Checklist for employers of farmworkers to decrease risk of H5N1 exposure. Covers California-specific regulations in addition to guidance on written procedures, sanitation, biosecurity, training, personal protective equipment, and medical care. Checklist available in both English and Spanish.
Author(s): Teresa Andrews, Elizabeth Georgian
Date: 12/2024
Sponsoring organization: Western Center for Agricultural Health and Safety
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