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Rural Health
Resources by Topic: Rural-urban differences

Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research
Date: 12/2024
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Enrollment in High-Deductible Health Plans Among People Younger Than Age 65 With Private Health Insurance: United States, 2019–2023
Examines privately insured adults under the age of 65 who are enrolled in high-deductible health plans (HDHP) and consumer-directed health plans (CDHP). Utilizes 2019-2023 National Health Interview Survey data of HDHPs and CDHPs, with breakdowns by employment-based versus directly purchased insurance, race/ethnicity, poverty level, education, sex, age group, and urbanization level by 4 groups: large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan.
Author(s): Robin A. Cohen, Elizabeth M. Briones
Date: 12/2024
Sponsoring organization: National Center for Health Statistics
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Exploring Disparities in Post-Cancer Treatment Instructions: An Analysis of Rural vs. Urban Breast Cancer Survivors in Missouri using BRFSS Data
Examines receipt of post-cancer treatment summary and follow-up instructions among rural and urban breast cancer survivors in Missouri, utilizing Behavioral Risk Factor Surveillance System Cancer Survivorship Module data for 2014, 2016, 2018, and 2020. Provides data breakdowns by metropolitan, micropolitan, small town, and rural setting.
Author(s): Allison B. Anbari, Knoo Lee, Jennifer M. Hulett, et al.
Citation: BMC Health Services Research, 24, 1533
Date: 12/2024
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Pharmacy-Based Preventive Services for Opioid Use Disorder: A Survey of U.S. Pharmacists
Examines pharmacist perceptions related to addressing opioid use disorder (OUD) and substance use disorder (SUD) in their patients. Utilizes online survey data from 1,146 pharmacists to analyze pharmacist concerns about drug use; drug screenings, interventions, and referrals; and commitment and readiness to address OUD and SUD in their patients. Includes breakdowns of pharmacist demographics as well as rurality of pharmacy locations.
Author(s): Li-Tzy Wu, Jacquie King, Kathryn Hefner, et al.
Citation: Addiction Science & Clinical Practice, 19, 88
Date: 12/2024
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Differential Effects of a Social Work Staffing Intervention on Social Work Access Among Rural and Highly Rural Veterans: A Cohort Study
Presents a study on the efficacy of a VA program to expand access of social work services to rural veterans. Draws data from VA sites that participated in the program from October 2016 to September 2021. Compares social worker utilization by rural and urban veterans and breaks down data by age, race, and reason for visit, among other factors.
Author(s): Andrew N. Honken, Christopher W. Halladay, Lisa E. Wootton, et al.
Citation: Health Services Research, 59(S2), e14327
Date: 12/2024
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Impact of the Affordable Care Act on Access to Accredited Facilities for Cancer Treatment
Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research, 59(6)
Date: 12/2024
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Urban and Rural Differences in the Efficacy of a Mobile Health Depression Treatment for Young Adults
Examines the efficacy of a randomized clinical trial of a mobile health (mHealth) depression treatment in 103 young adults ages 18-25 across the U.S. Explores whether treatment efficacy differed by rural and urban residence.
Author(s): Jeremy Mennis, J. Douglas Coatsworth, Michael Russell, et al.
Citation: International Journal of Environmental Research and Public Health, 21(12), 1572
Date: 11/2024
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Disparities Between Rural and Urban Communities: Response to 18 Months of Diet and Exercise Versus Control for Knee Osteoarthritis and Overweight or Obesity
Examines intervention outcomes related to pain, function, mobility, BMI, and health-related quality of life among rural and urban dwellers in North Carolina. Utilizes data from the Weight Loss and Exercise for Communities with Arthritis in North Carolina (WE-CAN) program, which provided diet and exercise (D+E) and attention control (C) interventions to 823 older adults.
Author(s): Stephen P Messier, Megan G Monroe, Leigh F Callahan, et al.
Citation: Arthritis Care & Research, 77(1), 69-76
Date: 11/2024
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Rural-Urban Disparities and Trends in Cancer Screening: An Analysis of Behavioral Risk Factor Surveillance System Data (2018-2022)
Examines trends in up-to-date cancer screening in rural and urban populations, utilizing 2018, 2020, and 2022 Behavioral Risk Factor Surveillance System data. Identifies geographic disparities in screening by cancer type, with data on breast, cervical, and colorectal cancers.
Author(s): Gabriel A Benavidez, Ami E Sedani, Tisha M Felder, Matthew Asare, Charles R Rogers
Citation: JNCI Cancer Spectrum, 8(6), pkae113
Date: 11/2024
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