Rural Health
Resources by Topic: Rural-urban differences
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Aerobic Physical Activity Among Adults Age 18 and Older: United States, 2024
Offers data highlighting aerobic physical activity among adults. Includes a data break down by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Offers data highlighting aerobic physical activity among adults. Includes a data break down by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Alcohol Use Disorder and Marijuana Use Disorder Among Adolescents and Young Adults Aged 12 to 24 in the Rural and Urban U.S., 2021
Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Reported Receipt of Mental Health Services by Adolescents Aged 12 to 17 in the Rural and Urban U.S., 2021
Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Overview of Motor Vehicle Traffic Crashes in 2024
Research note providing data on all police-reported traffic crashes including fatalities and people injured from the 2024 Fatality Analysis Reporting System Annual Report File and the 2024 Crash Report Sampling System, along with data in prior years. Features statistics on fatalities from 2015-2024 with breakdowns by urban and rural areas.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Research note providing data on all police-reported traffic crashes including fatalities and people injured from the 2024 Fatality Analysis Reporting System Annual Report File and the 2024 Crash Report Sampling System, along with data in prior years. Features statistics on fatalities from 2015-2024 with breakdowns by urban and rural areas.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Trends in Inpatient Revenue and Volume Among Critical Access Hospitals
Examines trends in Critical Access Hospital (CAH) revenue and volume between 2017 and 2024. Presents data on average outpatient-to-total revenue and mean average daily census among CAHs each year by CAH urban or rural location, region, profit status, and system affiliation.
Author(s): Tyler Malone, Angelina Budko
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Examines trends in Critical Access Hospital (CAH) revenue and volume between 2017 and 2024. Presents data on average outpatient-to-total revenue and mean average daily census among CAHs each year by CAH urban or rural location, region, profit status, and system affiliation.
Author(s): Tyler Malone, Angelina Budko
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Community Resources and Hazards Across the Rural-Urban Continuum
Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Rural-Urban Trends in Pediatric Emergency Department Visits for Ambulatory Care Sensitive Conditions from 2016-2019
Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Student Enrollment in Rural Medical Schools
Data brief summarizing the distribution of student enrollment in Doctor of Medicine (MD)- and Doctor of Osteopathic Medicine (DO)-granting schools or sites in rural areas. Features statistics with breakdowns by urban and rural communities.
Author(s): Janessa M. Graves, Randall Longenecker, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Data brief summarizing the distribution of student enrollment in Doctor of Medicine (MD)- and Doctor of Osteopathic Medicine (DO)-granting schools or sites in rural areas. Features statistics with breakdowns by urban and rural communities.
Author(s): Janessa M. Graves, Randall Longenecker, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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