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Rural Health
Resources by Topic: Rural-urban differences

The Economic Impact of North Carolina's Hospitals
Reports on the statewide and regional economic contributions of 113 hospitals across North Carolina. Features statistics including number of hospitals by county designation and number of beds, with breakdowns by nonmetropolitan, micropolitan, and metropolitan areas.
Additional links: Infographic, Technical Documentation
Author(s): Sara Nienow, Carly Dotson
Date: 05/2026
Sponsoring organization: North Carolina Healthcare Association
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Environmental Supports, Expectations, and Barriers to Leisure-Time Physical Activity During Pregnancy: A Rural–Urban Comparison
Discusses leisure-time physical activity (LTPA) during pregnancy among rural and urban populations. Utilizes data from 374 pregnant women regarding their LTPA and related environmental support for LTPA in the first trimester with data broken down according to demographics as well as urban, micropolitan, or small town rural location.
Author(s): Carly Williamson Rogers, Alex Crisp, Katrina Wilhite, et al.
Citation: Journal of Rural Health, 42(2), e70166
Date: 05/2026
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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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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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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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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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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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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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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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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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