Rural Health
Resources by Topic: Rural-urban differences
Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Sociodemographic Drivers of Recruitment and Attrition in Digital Neurological Research: Longitudinal Cohort Study
Examines demographic differences in participation in a remote speech capture study with digital recruitment via the Mayo Clinic patient portal system. Includes data on enrollment and completion times by rural or urban area, among other factors.
Author(s): Peyman Nejat, Ashley D. Bachman, Vicki M. Stubbs, et al.
Citation: Journal of Medical Internet Research, 28, e83432
Date: 02/2026
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Examines demographic differences in participation in a remote speech capture study with digital recruitment via the Mayo Clinic patient portal system. Includes data on enrollment and completion times by rural or urban area, among other factors.
Author(s): Peyman Nejat, Ashley D. Bachman, Vicki M. Stubbs, et al.
Citation: Journal of Medical Internet Research, 28, e83432
Date: 02/2026
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Statewide Examination of Rural–Urban Differences in Assisted Living Facilities
Compares characteristics among rural and urban assisted living facilities (ALF) in Texas, using Texas Health and Human Services Commission (HHSC) facility survey data of 517 ALFs. Includes rural-urban comparisons between Type A and Type B facilities, provided services, certifications, antipsychotic drug use and dose reduction programs, and more.
Author(s): Katie Trainum, Alexa Stuifbergen, Heather Becker, Stephanie Morgan
Citation: Journal of the American Medical Directors Association, 27(4), 106121
Date: 02/2026
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Compares characteristics among rural and urban assisted living facilities (ALF) in Texas, using Texas Health and Human Services Commission (HHSC) facility survey data of 517 ALFs. Includes rural-urban comparisons between Type A and Type B facilities, provided services, certifications, antipsychotic drug use and dose reduction programs, and more.
Author(s): Katie Trainum, Alexa Stuifbergen, Heather Becker, Stephanie Morgan
Citation: Journal of the American Medical Directors Association, 27(4), 106121
Date: 02/2026
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Early-Life Rural Disadvantage and Executive Function in Adulthood: The Role of Income and Education
Examines the association between early-life rural dwelling and executive function (EF) later in life using Midlife in the United States (MIDUS) longitudinal survey data of 2,035 adults. Includes data and discussion on the influence of educational attainment and childhood financial status on adult EF.
Author(s): Julia Sheffler, Andrea Bautista, Helen Smith, Hannah Karter, Zhuo Meng
Citation: Journal of Public Health Research, 15(1), 22799036261418437
Date: 02/2026
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Examines the association between early-life rural dwelling and executive function (EF) later in life using Midlife in the United States (MIDUS) longitudinal survey data of 2,035 adults. Includes data and discussion on the influence of educational attainment and childhood financial status on adult EF.
Author(s): Julia Sheffler, Andrea Bautista, Helen Smith, Hannah Karter, Zhuo Meng
Citation: Journal of Public Health Research, 15(1), 22799036261418437
Date: 02/2026
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Using Rural-Urban Variables: Considerations for Rural Public Health Research
A tip sheet from the Centers for Disease Control and Prevention discussing best practices for using rural and urban variables in public health studies. Discusses rural definitions, differences in rural communities, including rural communities in interpretation, and more.
Date: 02/2026
Sponsoring organization: CDC Office of Rural Health
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A tip sheet from the Centers for Disease Control and Prevention discussing best practices for using rural and urban variables in public health studies. Discusses rural definitions, differences in rural communities, including rural communities in interpretation, and more.
Date: 02/2026
Sponsoring organization: CDC Office of Rural Health
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Migration in Rural Minnesota: A Nuanced Story
Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011–2023
Examines access to school-based health centers (SBHCs) and other school-based clinics (OSBCs) in California and their role in providing medical care to under-resourced communities. Analyzes availability of SBHCs and OSBCs between 2011 and 2023, services provided, and the school's characteristics, including location in large city, small/medium city, suburb, or town/rural.
Author(s): Katherine M. Rancaño, Ashley M. Kranz, Jessica Richard, et al.
Citation: Journal of School Health, 96(4), e70126
Date: 02/2026
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Examines access to school-based health centers (SBHCs) and other school-based clinics (OSBCs) in California and their role in providing medical care to under-resourced communities. Analyzes availability of SBHCs and OSBCs between 2011 and 2023, services provided, and the school's characteristics, including location in large city, small/medium city, suburb, or town/rural.
Author(s): Katherine M. Rancaño, Ashley M. Kranz, Jessica Richard, et al.
Citation: Journal of School Health, 96(4), e70126
Date: 02/2026
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Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach
Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Willingness of Older Adults to Travel for Medical Care
Presents results from a survey of 2650 adults aged 65 years and older on their willingness to travel for primary care, specialty care, and one-time diagnostic appointments. See Table 3 for metro-nonmetro data comparisons, among other demographic data breakdowns.
Author(s): Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke
Citation: JAMA Network Open, 9(2), e2560280
Date: 02/2026
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Presents results from a survey of 2650 adults aged 65 years and older on their willingness to travel for primary care, specialty care, and one-time diagnostic appointments. See Table 3 for metro-nonmetro data comparisons, among other demographic data breakdowns.
Author(s): Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke
Citation: JAMA Network Open, 9(2), e2560280
Date: 02/2026
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