Rural Health
Resources by Topic: Rural-urban differences
Expanding Access to Low-Barrier Opioid Use Disorder Treatment in Non-Traditional Settings: Washington's Opioid Treatment Network
Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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Effect of Medicaid Audio-Only Telehealth Coverage Policy on Mental Health Visits in Federally Qualified Health Centers
Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Vaccination Coverage by Age 24 Months Among Children Born in 2021 and 2022 — National Immunization Survey-Child, United States, 2022–2024
Examines vaccination coverage for selected vaccines and doses among children born in 2021-2022. Supplementary Table 2 includes data on vaccine coverage for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(11), 146-155
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Examines vaccination coverage for selected vaccines and doses among children born in 2021-2022. Supplementary Table 2 includes data on vaccine coverage for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(11), 146-155
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Slow Growth Impacts Nation's Largest Counties Hardest: Diminishing Population Gains in Metro Areas Highlight Nationwide Trend
Discusses how county-level population growth varied between 2023-2024 and 2024-2025, with data breakdowns by level of rurality and for specific metropolitan and micropolitan areas.
Date: 03/2026
Sponsoring organization: U.S. Census Bureau
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Discusses how county-level population growth varied between 2023-2024 and 2024-2025, with data breakdowns by level of rurality and for specific metropolitan and micropolitan areas.
Date: 03/2026
Sponsoring organization: U.S. Census Bureau
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Dentist Workforce and Dental Care Utilization in the Rural and Urban U.S.
Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Cigarette and Electronic Cigarette Use Among Adults by Urbanization Level: United States, 2024
Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025
Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Bridging the Gap: A Scoping Review of Family Caregiver Roles in Rural Health Settings
Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults
Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Geographic, Racial, and Sex Disparities in Time to Treatment for Early-Onset Colorectal Cancer
Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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Research letter analyzes how timely treatment initiation differs among adults with early-onset colorectal cancer by four levels of rurality, sex, and race/ethnicity, using 2006-2020 SEER Program data.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes, Kenneth J. Vega
Citation: JAMA Network Open, 9(3), e261980
Date: 03/2026
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