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Rural Health
Resources by Topic: Health disparities

Public Health Research and Program Strategies for Diabetes Prevention and Management
Editorial describing diabetes prevention and management efforts and policy since 1975. Discusses disparities in diabetes prevalence including rural residence. Highlights current and future work in diabetes prevention and management.
Author(s): Shelly-Ann Bowen, Arsham Alamian, Stephen Onufrak
Citation: Preventing Chronic Disease, 22
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Rising Rural Mortality Rates From Natural Causes for Working-Age Adults Lead to Widening Gap With Urban Counterparts
Reports on disparities in natural cause mortality rates between rural and urban working age adults. Explores disparities by various demographic factors and underlying causes.
Author(s): Kelsey L. Thomas (Conley), Elizabeth A. Dobis, David McGranahan
Citation: Amber Waves
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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Disparities in Cardiovascular Disease Prevalence by Race and Ethnicity, Socioeconomic Status, Urbanicity, and Social Determinants of Health Among Medicare Beneficiaries With Diabetes
Examines demographic disparities in cardiovascular disease prevalence among people with diabetes, utilizing 2015–2019 Medicare Current Beneficiary Survey data. Includes sociodemographic data, including rural-urban comparisons, on crude and adjusted prevalence of myocardial infarction, stroke, and heart failure.
Author(s): Xilin Zhou, Joohyun Park, Deborah B. Rolka, et al.
Citation: Preventing Chronic Disease, 22, 240270
Date: 03/2025
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Lung Cancer Disparities in Rural, Persistent Poverty Counties: A Secondary Data Analysis
Examines lung cancer incidence and mortality according to county-level smoking rates, rurality, and poverty. Analyzes county types, such as urban and non-persistent poverty, urban and persistent poverty, rural and non-persistent poverty, and rural and persistent poverty as correlated with lung cancer disparities.
Author(s): Veronica Bernacchi, Kelly Hirko, Eric Adjei Boakye, et al.
Citation: BMC Public Health, 25, 878
Date: 03/2025
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Vaccine-Preventable Conditions: Disparities in Hospitalizations Affecting Rural Communities in the Southeast United States
Examines hospitalizations related to vaccine-preventable diseases in southeastern U.S. communities. Analyzes data prior to the COVID-19 pandemic and during the pandemic across 3 age groups: pre-school children, school-aged children, and adults. Provides data breakdowns according to condition, age, and large metro, small/medium metro, or micro/non-core location.
Author(s): Etienne Pracht, Christina Eldredge, Divyani Tangudu, Richa Phuel, Athanasios Tsalatsanis
Citation: International Journal of Environmental Research and Public Health, 22(4), 466
Date: 03/2025
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Goal Alignment and Unintended Consequences of Accountable Care: How the Structure of Oregon's Medicaid Coordinated Care Model Shapes Health Plan-Clinic Partnerships
Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Mortality Trends of Traumatic Brain Injuries in the Adult Population of the United States: A CDC WONDER Analysis from 1999 to 2020
Examines demographic disparities in traumatic brain injury (TBI) mortality, utilizing 1999-2020 CDC Wonder data of 1,026,185 TBI-related deaths. See Fig. 5 for data breakdowns by level of rurality and year.
Author(s): Muhammad Hamza Dawood, Yusra Fazli, Sejal Lund, et al.
Citation: BMC Public Health, 25, 482
Date: 02/2025
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Incidence and Survival of Children and Adolescents With Wilms Tumor, United States, 2001–2020
Analyzes new cases of Wilms Tumor and 5-year survival rates among patients aged less than 20 years at diagnosis, utilizing 2003-2020 US Cancer Statistics (USCS) and 2001-2019 National Program of Cancer Registries (NPCR) data. Breaks down data by clinical and demographic factors, including level of rurality.
Author(s): Andrew F. Espinoza, Ekene Onwuka, David A. Siegel, et al.
Citation: Cancer Medicine, 14(3), e70598
Date: 02/2025
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A Fast Approach for Analyzing Spatio-Temporal Patterns in Ischemic Heart Disease Mortality Across US Counties (1999–2021)
Examines spatio-temporal patterns and county-level trends of ischemic heart disease (IHD) mortality in the United States from 1999 to 2021. Includes county-level U.S. maps presenting IHD trends as well as discussion of geographic and rural versus urban IHD disparities.
Author(s): A. Urdangarin, T. Goicoa, P. Congdon, M.D. Ugarte
Citation: Spatial and Spatio-Temporal Epidemiology, 52, 100700
Date: 02/2025
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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