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Rural Health
Resources by Topic: Mortality

Association Between Medicaid Expansion Under the Affordable Care Act and Survival Among Newly Diagnosed Cancer Patients
Examines the relationship between cancer survival and Medicaid expansion under the Affordable Care Act (ACA) by sex, race and ethnicity, poverty level, and rurality. Utilizes the Cancer Incidence in North America (CiNA) Survival dataset to analyze 2, 555 ,302 patients diagnosed with cancer to see pre-ACA and post-ACA survival rates.
Author(s): Xuesong Han, Jingxuan Zhao, K. Robin Yabroff, Christopher J. Johnson, Ahmedin Jemal
Citation: Journal of the National Cancer Institute, 114(8), 1176-1185
Date: 08/2022
Type: Document
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Factors Associated With Geographic Disparities in Gastrointestinal Cancer Mortality in the United States
Examines modifiable and nonmodifiable factors related to county-level mortality from esophageal, gastric, pancreatic, and colorectal cancers. Provides county-level U.S. maps and breaks down data by sex, race, health behaviors, income, insurance status, travel time and specialist density, screening rates, and location by large metropolitan, small metropolitan, and rural.
Author(s): Christopher Ma, Stephen E. Congly, Darius E.Chyou, et al.
Citation: Gastroenterology, 163(2), 437-448
Date: 08/2022
Type: Document
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Firearm Safety in Rural America
Policy brief describing the prevalence of firearm-related injuries and death in rural areas. Offers policy recommendations to mitigate the risk of rural firearm injury and death.
Author(s): Eneka Lamb, Ada Pariser, Andy Fosmire
Date: 07/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Examines the social risk factors rural residents face related to maternal and infant mortality. Utilizes data from 285 rural hospitals across the United States that have inpatient birthing centers to measure the availability of maternal and postpartum supports such as breastfeeding support groups, nurse home visiting, childbirth education classes, and more. Evaluates each hospital's social vulnerability index (SVI) on the county-level to determine the level of birth support inequities in rural areas and for residents who are Black, Indigenous, and People of Color (BIPOC).
Author(s): Bridget Basile Ibrahim, Julia D. Interrante, Alyssa H. Fritz, Mariana S. Tuttle, Katy Backes Kozhimannil
Citation: Children, 9(7), 1077
Date: 07/2022
Type: Document
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Life Expectancy Loss Among Native Americans During the COVID-19 Pandemic
Results of a study providing estimates of loss of life expectancy in 2020 and 2021 relative to 2019 for the Native American population. Features statistics including ratio of Native American to White mortality rates in 2020 and 2021, estimates of life expectancy and losses in life expectancy for the Native American population from 2019-2021, and life expectancy at birth and at age 65 with breakdowns by race.
Author(s): Noreen Goldman, Theresa Andrasfay
Citation: Demographic Research, 47(9), 233-246
Date: 07/2022
Type: Document
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Geographic Trends in Opioid Overdoses in the US From 1999 to 2020
Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Citation: JAMA Network Open, 5(7)
Date: 07/2022
Type: Document
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Increased Rates of Death from Unintentional Injury among Non-Hispanic White, American Indian/Alaska Native, and Non-Metropolitan Communities
Examines the rate of fatal and nonfatal injuries in non-metropolitan and metropolitan areas, and the association with race/ethnicity. Uses information from the National Hospital Ambulatory Medical Care Survey public use datafile for 2018. Features statistics including estimated rate of nonfatal unintentional injuries among people seeking treatment at hospitals, deaths from unintentional injuries, and age-adjusted death rates for all causes of unintentional injury from 2014-2018, with breakdowns by metropolitan and non-metropolitan location.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert, Tyrone F. Borders
Date: 07/2022
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
Type: Document
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Urban–Rural Differences in Drug Overdose Death Rates, 2020
Examines 2020 drug overdose deaths by sex, race and ethnicity, and type of drug, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Additional links: STATCAST Podcast Episode
Author(s): Merianne Rose Spencer, Matthew F. Garnett, Arialdi M. Miniño
Date: 07/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Wiping Away the Tears: Addressing Increasing Death in Rural America
Examines rural mortality trends and discusses the impact of the opioid epidemic and COVID-19 pandemic, as well as rural maternal and infant mortality. Describes federally-funded efforts to address rural disparities.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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