Rural Health
Resources by Topic: Rural-urban differences
Data Gem: Access and Compare Rural vs. Urban Area Population Data
Video demonstrating how to compare rural and urban areas using data.census.gov. Transcript linked underneath the video player.
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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Video demonstrating how to compare rural and urban areas using data.census.gov. Transcript linked underneath the video player.
Date: 08/2025
Sponsoring organization: U.S. Census Bureau
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Growth of Health IT-Enabled Patient Engagement Capabilities Among U.S. Hospitals: 2021-2024
Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Washington Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Washington State 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Washington State 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Washington Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Georgia 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Georgia 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Washington Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Washington 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Washington 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: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Tobacco Retailer Density and Rurality Across Four US States: California, Connecticut, North Carolina, and Ohio
Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Use of Cancer Screening Tests, United States, 2023
Examines use of screening tests for breast, cervical, and colorectal cancer (CRC). Utilizes 2023 National Health Interview Survey data to analyze percentage of adults who are up-to-date with screening recommendations according to age, sociodemographics, healthcare usage, and large central metropolitan, large fringe metropolitan, medium/small metropolitan, or nonmetropolitan location.
Author(s): Susan A. Sabatino, Trevor D. Thompson, Jennifer M. Croswell, et al.
Citation: Preventing Chronic Disease, 22
Date: 08/2025
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Examines use of screening tests for breast, cervical, and colorectal cancer (CRC). Utilizes 2023 National Health Interview Survey data to analyze percentage of adults who are up-to-date with screening recommendations according to age, sociodemographics, healthcare usage, and large central metropolitan, large fringe metropolitan, medium/small metropolitan, or nonmetropolitan location.
Author(s): Susan A. Sabatino, Trevor D. Thompson, Jennifer M. Croswell, et al.
Citation: Preventing Chronic Disease, 22
Date: 08/2025
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Hospital Health Information Exchange Participation and Heart Failure Discharges to Skilled Nursing Facilities: A Cohort Study
Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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County-Level Cervical Cancer Screening Coverage and Differences in Incidence and Mortality
Research letter analyzing differences in cervical cancer incidence and mortality by rates of screening at the county level, utilizing SEER-22 database data. Identifies associations between county-level rurality, low income, and low repeat screening coverage. Highlights counties in Texas, Idaho, and New Mexico counties with low screening coverage and discusses targeted screening efforts in underserved areas.
Author(s): Trisha L. Amboree, Jane R. Montealegre, Haluk Damgacioglu, et al.
Citation: JAMA Network Open, 8(8), e2526709
Date: 08/2025
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Research letter analyzing differences in cervical cancer incidence and mortality by rates of screening at the county level, utilizing SEER-22 database data. Identifies associations between county-level rurality, low income, and low repeat screening coverage. Highlights counties in Texas, Idaho, and New Mexico counties with low screening coverage and discusses targeted screening efforts in underserved areas.
Author(s): Trisha L. Amboree, Jane R. Montealegre, Haluk Damgacioglu, et al.
Citation: JAMA Network Open, 8(8), e2526709
Date: 08/2025
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Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2024
Reports on vaccination coverage among U.S. adolescents for ages 13 through 17. Includes nonmetro data on vaccination for the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), and HPV (human papillomavirus), as well as data on provider recommendation for HPV vaccination.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(30), 466-472
Date: 08/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on vaccination coverage among U.S. adolescents for ages 13 through 17. Includes nonmetro data on vaccination for the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), and HPV (human papillomavirus), as well as data on provider recommendation for HPV vaccination.
Author(s): Cassandra Pingali, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(30), 466-472
Date: 08/2025
Sponsoring organization: Centers for Disease Control and Prevention
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