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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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Mortality Trends Involving Fatal-Arrhythmias and Anemia in the United States: A Retrospective Analysis of 25 Years
Examines trends in mortality associated with cardiac arrhythmias among anemic adults using 1999-2023 CDC WONDER data, with demographic and geographic data breakdowns. See Figure 4 and Supplemental Table 5 for rural-specific data.
Author(s): Sarim Hassan Shahab, Saim Jan, Abdul Wasay, et al.
Citation: Medicine, 105(8), e47838
Date: 02/2026
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Merkel Cell Carcinoma: A Retrospective Analysis of Urban vs. Rural Survival Outcomes from the United States' National Cancer Institute, a SEER Based Study
Compares Merkel cell carcinoma survival outcomes among rural and urban patients using 2010-2021 SEER data. Discusses the role of access barriers on cancer mortality among rural populations.
Author(s): Grace Evelyn Steinback, Joycie Chang, Anand Rajpara, Michael Siscos
Citation: Clinical Surgical Oncology, 5(1), 100120
Date: 02/2026
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Methamphetamine Use, Mental Health Comorbidities, and Treatment in Rural and Urban Areas, 2016-2019
Examines the prevalence of methamphetamine use by level of rurality and U.S. region, with data on methamphetamine use and mental illness, suicide and suicidal ideation, concurent alcohol use, treatment for methamphetamine use disorder, method of use, and other relating to methamphetamine use prevalence and associated risks.
Author(s): Signe E. Burchim, Lisa A. Garberson, Sara C. Woolcock, et al.
Date: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Nonventilator Hospital-Acquired Pneumonia: Prevalence and Hospital and Patient Characteristics, 2019-2023
Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in Respiratory Failure Mortality in the United States from 1999 to 2023
Examines changes over time in respiratory failure among adults 45 aged years and older, using 1999-2023 CDC WONDER data. Breaks down data by demographic group, including metro-nonmetro comparisons.
Author(s): Yunfei Shu, Suihan Xu, Biao Zeng, et al.
Citation: Frontiers in Medicine, 13, 1718556
Date: 02/2026
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Michigan Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Michigan 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: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Michigan Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Michigan 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: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Michigan Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Michigan 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: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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