Rural Health
Resources by Topic: Rural-urban differences
Knowledge, Attitudes, and Practices Regarding Avian Influenza Among Owners of Backyard Flocks — United States, July–December 2025
Reports findings from a survey of 638 backyard bird flock owners regarding their knowledge of signs and symptoms of avian influenza in humans and birds and intentions to use personal protective equipment if in contact with potentially infected birds. Includes data on the characteristics of the flock owners and flocks by urban, suburban, and rural setting.
Author(s): Melissa A. Rolfes, Leah Bauck, Beth A. Lipton, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(18), 234-239
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports findings from a survey of 638 backyard bird flock owners regarding their knowledge of signs and symptoms of avian influenza in humans and birds and intentions to use personal protective equipment if in contact with potentially infected birds. Includes data on the characteristics of the flock owners and flocks by urban, suburban, and rural setting.
Author(s): Melissa A. Rolfes, Leah Bauck, Beth A. Lipton, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(18), 234-239
Date: 05/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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Economic Stability of Children, a Key Social Determinant of Health, in the United States: Differences by Rurality
Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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Trends in Medicare Advantage Quality for Nonmetropolitan Enrollees, 2019-2023
Examines quality of care in Medicare Advantage (MA) plans by geography, region, and plan type. Analyzes average ratings of 2019-2023 MA plans on a 1-5 star rating scale according to metro, micro, or noncore rural location. Provides additional data on MA enrollments by rural concentration of contracts as well as star ratings by benchmark quartile and quality bonus capping.
Author(s): Abigail Barker, Eliot Jost, Timothy McBride, Keith J. Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines quality of care in Medicare Advantage (MA) plans by geography, region, and plan type. Analyzes average ratings of 2019-2023 MA plans on a 1-5 star rating scale according to metro, micro, or noncore rural location. Provides additional data on MA enrollments by rural concentration of contracts as well as star ratings by benchmark quartile and quality bonus capping.
Author(s): Abigail Barker, Eliot Jost, Timothy McBride, Keith J. Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural-Urban Disparities in Hepatocellular Carcinoma Incidence and Mortality
Results of a study examining rural-urban differences in hepatocellular carcinoma (HCC) incidence and mortality trends. Uses data from HCC diagnoses from 2001-2022 and deaths from 2007-2022, and features demographics and statistics with breakdowns by urban and rural counties.
Author(s): Haluk Damgacioglu, Gokhan Uygun, Ashish A. Deshmukh, et al.
Citation: JAMA Network Open, 9(5), e2612323
Date: 05/2026
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Results of a study examining rural-urban differences in hepatocellular carcinoma (HCC) incidence and mortality trends. Uses data from HCC diagnoses from 2001-2022 and deaths from 2007-2022, and features demographics and statistics with breakdowns by urban and rural counties.
Author(s): Haluk Damgacioglu, Gokhan Uygun, Ashish A. Deshmukh, et al.
Citation: JAMA Network Open, 9(5), e2612323
Date: 05/2026
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Louisiana Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Louisiana Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Louisiana Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Louisiana in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Challenges Associated With Rural-Urban Stratification for Generalizing Birth Outcomes: Insights From the ECHO Cohort
Analyzes the validity of preterm birth (PTB) prevalence and generalizability related to rural versus urban stratification within the Environmental influences on Child health Outcomes (ECHO) Cohort. Examines PTB prevalence during the 2017-2019 and 2020-2022 ECHO cohorts as compared to county-level PTB prevalence from the National Center for Health Statistics (NCHS), further broken down by rural versus urban location and demographic variables. Discusses similarities and differences in PTB prevalence proportions using ECHO versus NCHS and the importance of further context when defining rural places.
Author(s): Daniel Beene, Debra A. MacKenzie, Carlos A. Camargo Jr., et al.
Citation: Journal of Rural Health, 42(2), e70163
Date: 05/2026
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Analyzes the validity of preterm birth (PTB) prevalence and generalizability related to rural versus urban stratification within the Environmental influences on Child health Outcomes (ECHO) Cohort. Examines PTB prevalence during the 2017-2019 and 2020-2022 ECHO cohorts as compared to county-level PTB prevalence from the National Center for Health Statistics (NCHS), further broken down by rural versus urban location and demographic variables. Discusses similarities and differences in PTB prevalence proportions using ECHO versus NCHS and the importance of further context when defining rural places.
Author(s): Daniel Beene, Debra A. MacKenzie, Carlos A. Camargo Jr., et al.
Citation: Journal of Rural Health, 42(2), e70163
Date: 05/2026
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State-Level Medicaid Expansion and Hospital, Federally Qualified Health Center, and Rural Health Clinic Availability
Explores the association between state Medicaid expansion and the availability of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) in states that expanded Medicaid between 2014-2016. Examines the presence of hospitals, FQHCs, and RHCs in urban and rural counties between 2010-2019.
Author(s): Elliott Paintsil, Sebastian Linde
Citation: Journal of Rural Health, 42(2), e70159
Date: 05/2026
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Explores the association between state Medicaid expansion and the availability of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) in states that expanded Medicaid between 2014-2016. Examines the presence of hospitals, FQHCs, and RHCs in urban and rural counties between 2010-2019.
Author(s): Elliott Paintsil, Sebastian Linde
Citation: Journal of Rural Health, 42(2), e70159
Date: 05/2026
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