Rural Health
Resources by Topic: Health disparities
Trends in United States Mortality among Patients with Atrial Fibrillation/Flutter Related Heart Failure (1999–2024): Disparities by Gender, Race/Ethnicity and Region
Examines the correlation between atrial fibrillation (AF) and heart failure (HF) mortality across various demographic groups in the United States. Utilizes 1999-2024 Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze deaths due to AF related HF by demographic groups, states, U.S. regions, and metro versus nonmetro areas.
Author(s): Suraksha Rani, Laksh Kumar, Sheikh Muhammad Ebtehaj Ali, et al.
Citation: BMC Cardiovascular Disorders, 25, 558
Date: 07/2025
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Examines the correlation between atrial fibrillation (AF) and heart failure (HF) mortality across various demographic groups in the United States. Utilizes 1999-2024 Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze deaths due to AF related HF by demographic groups, states, U.S. regions, and metro versus nonmetro areas.
Author(s): Suraksha Rani, Laksh Kumar, Sheikh Muhammad Ebtehaj Ali, et al.
Citation: BMC Cardiovascular Disorders, 25, 558
Date: 07/2025
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Maternal Mortality in the United States, 2025
Explores the causes of maternal mortality and its impact on overall health. Presents data on overall trends in U.S. maternal mortality; timing, causes, and place of maternal deaths; and how pregnancy-related deaths are related to infant mortality. Discusses rural disparities, behavioral health challenges, the COVID-19 pandemic's impact on pregnant women, and efforts to address the maternal health crisis.
Author(s): Eugene Declercq, Laurie Zephyrin
Date: 07/2025
Sponsoring organization: Commonwealth Fund
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Explores the causes of maternal mortality and its impact on overall health. Presents data on overall trends in U.S. maternal mortality; timing, causes, and place of maternal deaths; and how pregnancy-related deaths are related to infant mortality. Discusses rural disparities, behavioral health challenges, the COVID-19 pandemic's impact on pregnant women, and efforts to address the maternal health crisis.
Author(s): Eugene Declercq, Laurie Zephyrin
Date: 07/2025
Sponsoring organization: Commonwealth Fund
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Trends in Pulmonary Embolism Mortality in Cancer Patients in the United States from 1999-2022 – A CDC Wonder Database Study
Examines mortality rates from pulmonary embolism (PE) in cancer patients. Utilizes 1999-2022 Centers for Disease Control's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze 214,756 deaths, with breakdowns according to demographic variables, U.S. region, state, and rural versus urban location.
Author(s): Elizabeth Dort, Hannah Rud, Taylor Billion, Abubakar Tauseef
Citation: Respiratory Research, 26, 248
Date: 07/2025
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Examines mortality rates from pulmonary embolism (PE) in cancer patients. Utilizes 1999-2022 Centers for Disease Control's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data to analyze 214,756 deaths, with breakdowns according to demographic variables, U.S. region, state, and rural versus urban location.
Author(s): Elizabeth Dort, Hannah Rud, Taylor Billion, Abubakar Tauseef
Citation: Respiratory Research, 26, 248
Date: 07/2025
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Rural–Urban Disparities in Perinatal Smoking in the United States: Trends and Determinants
Analyzes rural versus urban disparities in perinatal smoking. Utilizes 2009-2021 Pregnancy Risk Assessment Monitoring System (PRAMS) data to examine differences in smoking status according to rurality, region, demographics, social indicators, and more.
Author(s): Patricia Da Rosa, Matthias Richter
Citation: International Journal of Environmental Research and Public Health, 22(6), 895
Date: 06/2025
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Analyzes rural versus urban disparities in perinatal smoking. Utilizes 2009-2021 Pregnancy Risk Assessment Monitoring System (PRAMS) data to examine differences in smoking status according to rurality, region, demographics, social indicators, and more.
Author(s): Patricia Da Rosa, Matthias Richter
Citation: International Journal of Environmental Research and Public Health, 22(6), 895
Date: 06/2025
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The Role of Rurality, Travel Time, and Neighborhood Socioeconomics on Patterns of Adjuvant Therapy Receipt among Patients with Endometrial Cancer
Analyzes associations between rurality, distance to care, and community socioeconomics on receipt of any adjuvant therapy, including vaginal brachytherapy, external beam radiation, and chemotherapy, for the treatment for endometrial cancer. Utilizes SEER data of patients diagnosed between 2006 and 2017.
Author(s): Victoria M. Petermann, Stephanie B. Wheeler, Jennifer L. Lund, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 34(8), 1277-1285
Date: 06/2025
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Analyzes associations between rurality, distance to care, and community socioeconomics on receipt of any adjuvant therapy, including vaginal brachytherapy, external beam radiation, and chemotherapy, for the treatment for endometrial cancer. Utilizes SEER data of patients diagnosed between 2006 and 2017.
Author(s): Victoria M. Petermann, Stephanie B. Wheeler, Jennifer L. Lund, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 34(8), 1277-1285
Date: 06/2025
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School-Based Health Centers and the Utilization of Primary Care in Rural Communities
Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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Linkage of Parent-Infant Health Care Claims Reveals Prenatal Care Gaps and Facilitates Congenital Heart Outcomes Study
Examines disparities in prenatal ultrasound and fetal echocardiogram utilization by demographic group, utilizing care data of infants who underwent congenital heart surgery between 2006 and 2019 in New York. Includes data on rural-urban disparities in receipt of prenatal care.
Author(s): Joyce L. Woo, Kacie L. Dragan, Sarah Crook, et al.
Citation: JACC: Advances, 4(7), 101871
Date: 06/2025
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Examines disparities in prenatal ultrasound and fetal echocardiogram utilization by demographic group, utilizing care data of infants who underwent congenital heart surgery between 2006 and 2019 in New York. Includes data on rural-urban disparities in receipt of prenatal care.
Author(s): Joyce L. Woo, Kacie L. Dragan, Sarah Crook, et al.
Citation: JACC: Advances, 4(7), 101871
Date: 06/2025
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Traffic Safety Facts, 2023 Data: Rural/Urban Traffic Fatalities
Reports 2023 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2023.
Date: 06/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Reports 2023 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2023.
Date: 06/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Fourth Annual Report (Implementation Year 3)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Lifespan Exposures to Rural-Urban Conditions and Later-Life Cognitive Function
Examines associations between rural or urban residence during childhood and adulthood and cognitive outcomes, including mild cognitive impairment and dementia, among older adults, utilizing 2016 Harmonized Cognitive Assessment Protocol (HCAP) data of 3496 individuals aged 65 years or older.
Author(s): Lingzhi Chu, Yingyan Wu, Heidi Karjalainen, Olivia E Atherton
Citation: Alzheimer's & Dementia, 21(6), e70267
Date: 06/2025
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Examines associations between rural or urban residence during childhood and adulthood and cognitive outcomes, including mild cognitive impairment and dementia, among older adults, utilizing 2016 Harmonized Cognitive Assessment Protocol (HCAP) data of 3496 individuals aged 65 years or older.
Author(s): Lingzhi Chu, Yingyan Wu, Heidi Karjalainen, Olivia E Atherton
Citation: Alzheimer's & Dementia, 21(6), e70267
Date: 06/2025
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