Rural Health
Resources by Topic: Rural-urban differences
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Disparities in Timely Access to Postoperative Home Health Care and Functional Recovery After Joint Replacement by Rurality and Dual Eligibility
Results of a study examining the association of Medicare and Medicaid dual-eligible status and rural residence with prompt initiation of home health services and subsequent functional recovery, following hip and knee replacement among patients age 65 or older. Features statistics with breakdowns by urban and rural residence.
Author(s): Amit Kumar, Jason Falvey, Deepak Adhikari, et al.
Citation: Journal of the American Medical Directors Association, 27(9), 106397
Date: 09/2026
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Results of a study examining the association of Medicare and Medicaid dual-eligible status and rural residence with prompt initiation of home health services and subsequent functional recovery, following hip and knee replacement among patients age 65 or older. Features statistics with breakdowns by urban and rural residence.
Author(s): Amit Kumar, Jason Falvey, Deepak Adhikari, et al.
Citation: Journal of the American Medical Directors Association, 27(9), 106397
Date: 09/2026
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The Association Between School Physical Education Practices and School Level Socioeconomic Status
Examines the relationship between socioeconomic status (SES) and school physical education (PE) practices. Utilizes School Health Map and National Center for Education Statistics data to analyze high-SES, moderate-SES, and low-SES schools according to PE practices as well as location of city, suburb, town, or rural.
Author(s): Sam Biver, Ben D. Kern, Hans van der Mars, Enbal Shacham
Citation: Journal of School Health, 96(9), e70217
Date: 09/2026
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Examines the relationship between socioeconomic status (SES) and school physical education (PE) practices. Utilizes School Health Map and National Center for Education Statistics data to analyze high-SES, moderate-SES, and low-SES schools according to PE practices as well as location of city, suburb, town, or rural.
Author(s): Sam Biver, Ben D. Kern, Hans van der Mars, Enbal Shacham
Citation: Journal of School Health, 96(9), e70217
Date: 09/2026
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Rural Health Disadvantages in the United States: Evidence from Nationally Representative Data
Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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Describes rural and urban mortality rate disparities since the 1990s and then examines National Health and Nutrition Examination Survey (NHANES) data from 1999, 2000, 2017, and 2020 to identify both individual and place-based factors associated with health outcomes within large metropolitan, small/medium metropolitan, and nonmetropolitan areas. Discusses disparities in the working adult population and how county characteristics contribute to rural and urban gaps.
Author(s): Brandon Restrepo, Elizabeth A. Dobis, Sarah A. Low, Kelsey L. Thomas
Citation: Economics & Human Biology, 62
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Urban Versus Rural Differences in Services Requested, Received, and Interest Expressed among Informal Caregivers of Older U.S. Veterans
Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Workplace Indicators and Well-Being among Oral Health Professionals in HRSA-Funded Health Centres
Discusses survey results on the associations between 16 drivers of well-being in the workplace and job satisfaction, burnout, engagement, and retention for 2,671 dental assistants, dental hygienists, and dentists. Highlights specific drivers by provider type and includes a rural and urban comparison of the study population. Notes findings related to dentists in rural facilities.
Author(s): Jinman Pang, Simona Surdu, Sage Shirey, Jean Moore
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Discusses survey results on the associations between 16 drivers of well-being in the workplace and job satisfaction, burnout, engagement, and retention for 2,671 dental assistants, dental hygienists, and dentists. Highlights specific drivers by provider type and includes a rural and urban comparison of the study population. Notes findings related to dentists in rural facilities.
Author(s): Jinman Pang, Simona Surdu, Sage Shirey, Jean Moore
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Rural and Urban Availability of Substance Use Treatment Facilities
Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Analyzing Trends of Medicare-Participating Nurse Practitioners and Physician Associates in the United States From 2017 to 2025
Results of a study describing how the geographic distribution of nurse practitioners (NPs) and physician associates (PAs) has changed. Features statistics with breakdowns by rural and urban areas and state-level maps showing increases or decreases in the numbers of NPs and PAs from 2017 to 2025.
Author(s): Ryan J. Crowley, Jag S. Lally, David M. Kline, Amanda M. Bunting
Citation: Journal of the American Association of Nurse Practitioners, 38(8), 617-625
Date: 08/2026
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Results of a study describing how the geographic distribution of nurse practitioners (NPs) and physician associates (PAs) has changed. Features statistics with breakdowns by rural and urban areas and state-level maps showing increases or decreases in the numbers of NPs and PAs from 2017 to 2025.
Author(s): Ryan J. Crowley, Jag S. Lally, David M. Kline, Amanda M. Bunting
Citation: Journal of the American Association of Nurse Practitioners, 38(8), 617-625
Date: 08/2026
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2026 Annual Insurance Update: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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