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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Indian Health Service and Health Care Affordability Issues Among American Indian/ Alaska Native People by Rurality
Report explores healthcare affordability and Indian Health Services (IHS) utilization among American Indian and Alaska Native (AI/AN) in rural and urban communities. Highlights rates of patients receiving care at IHS, privately insured, and uninsured in rural and urban communities, among other measures.
Author(s): Ingrid Jacobson, Katie Rydberg, Alexis Swendener, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Predictors of Inpatient RN Turnover in Rural and Urban VHA Hospitals
A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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Engagement and Retention in HIV Care in Rural Southern U.S. Using an All-Payer Claims Database
Analyzes HIV care engagement and retention among people living with HIV (PLWH) in Arkansas, utilizing 2013-2017 Arkansas All-Payer Claims Database data. Includes data and discussion of HIV access disparities in Arkansas by rurality, sex, and other demographic variables.
Author(s): Jun Tao, Mofan Gu, S. Alexandra Marshall, et al.
Citation: PLOS ONE, 20(12), e0339520
Date: 12/2025
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Community Resilience and Stroke Outcomes in Older Adults: Beyond Rural-Urban Classifications
Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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Maternal Chronic Disease Prevention in Rural America: A Life Course Perspective
Examines maternal chronic disease management in rural areas of the United States. Discusses social determinants of health and maternal health disparities specific to rural areas. Provides policy, public health surveillance, and community engagement approaches to address the rural maternal health crisis.
Author(s): Kobi V Ajayi, Emesomhi Eboreime, Alva Ferdinand, Ninfa Purcell, Robin Page
Citation: Journal of Primary Care & Community Health
Date: 12/2025
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2021-2024 NSDUH Data Brief: Trends in Substance Use among Young Adults
Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Geographic and Demographic Differences in Studies of the Five Leading Causes of Death in the U.S.: Evidence from Peer-Reviewed Literature
Literature review examining the extent to which studies on mortality related to heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke included individual measures of rurality, race, and ethnicity, and analyzes the findings of these studies. Discusses differences in research on a condition-by-condition basis and suggests directions for future health disparities research.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Gogoal Falia, et al.
Date: 12/2025
Sponsoring organization: Southwest Rural Health Research Center
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American Cancer Society's Report on the Status of Cancer Disparities in the United States, 2025
Reports on cancer disparities by various demographic factors, socioeconomic status, geography, and other factors, utilizing 2018-2022 North American Association of Central Cancer Registries (NAACCR) data. Contains metropolitan versus nonmetropolitan data comparisons throughout, and discusses factors influencing access to cancer screening and treatment, including rurality.
Author(s): Farhad Islami, Gladys Arias, Dongjun Lee, et al.
Citation: CA: A Cancer Journal for Clinicians, 76(1), e70045
Date: 12/2025
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Working Across Contexts: Critical Events in Rural Teletherapy in Alaska
Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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