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Rural Health
Resources by Topic: Rural-urban differences

Impact of Rural Location on Receipt of Standard of Care Treatment and Survival for Locally Advanced Bladder Cancer in Louisiana
Examines whether rural or urban dwelling affects odds of receiving standard of care (SOC) treatment and survival outcomes among 983 locally advanced bladder cancer patients in Louisiana. Utilizes 2010-2020 Louisiana Tumor Registry data.
Author(s): Megan Escott, Yong Yi, Ashley Foret, et al.
Citation: Cancer Medicine, 13(12), e7301
Date: 06/2024
Type: Document
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The Appalachian Region: A Data Overview from the 2018-2022 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 06/2024
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Treatment for Opioid Use Disorder: Population Estimates — United States, 2022
Describes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medication for OUD. Includes data for metropolitan compared to micropolitan and noncore locations.
Author(s): Deborah Dowell, Samantha Brown, Shiromani Gyawali, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(25), 567-574
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Oral Cancer Incidence in Illinois, 1996 – 2020
Provides 2016-2020 data in Illinois for oral and pharyngeal cancer incidence rates by sex, race/ethnicity, age, site, and rurality. Includes state maps showing counties with lower or higher than average oral cancer rates.
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Department of Public Health
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Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Health Disparities in Psoriasis: Geographic Barriers to Access in the United States
Analyzes geographic access to dermatologists among patients with a psoriasis diagnosis and one or more claims for advanced psoriasis therapy, utilizing 2015-2019 STATinMED patient claims data. Compares rural versus urban provider availability by specialty and rates at which patients received local and non-local care.
Author(s): Lauren Seigel, Sofia Shoaib, Keshia Maughn, et al.
Citation: Journal of Dermatological Treatment, 35(1), 2365820
Date: 06/2024
Type: Document
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Excess Deaths Associated With COVID-19 by Rurality and Demographic Factors in the United States
Details a study on the patterns of excess death associated with COVID-19 by rural and urban location and other demographic factors using CDC WONDER data from March 2020 to February 2023. Breaks down percent of excess deaths by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore counties.
Author(s): Katherine A. Ahrens, Lauren M. Rossen, Carly Milkowski, et al.
Citation: Journal of Rural Health, 40(3), 491-499
Date: 06/2024
Type: Document
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act
Examines the impact of the 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act to provide veterans with equitable access to primary care. Analyzes VA and community care (CC) outpatient data to observe primary care utilization and wait times across Black, Hispanic, and White veteran populations, as well as by rural versus urban location. Discusses how policy can address healthcare access disparities experienced by U.S. veterans.
Author(s): Amy K. Rosen, Erin Beilstein-Wedel, Michael Shwartz, Heather Davila, Deborah Gurewich
Citation: JAMA Health Forum, 5(6)
Date: 06/2024
Type: Document
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