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Resources by Topic: Rural-urban differences

Increased Migration from Urban Areas Spurs Rural Population Growth, While Urban Migration Growth Is International
Bar chart comparing net migration changes between metropolitan and nonmetropolitan areas between 2019 and 2022. Discusses sources of migration increase and the impact of COVID-19 on the trends.
Date: 03/2024
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Breast Cancer Screening among Medicare Advantage Enrollees with Dementia
Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
Type: Document
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Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
Type: Document
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Firearm Access and Gun Violence Exposure Among American Indian or Alaska Native and Black Adults
Results of a survey of 3,542 American Indian or Alaska Native and Black adults conducted in April and May 2023, to examine distributions of firearm access, firearm storage, firearm carrying, and gun violence exposure. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Michael D. Anestis, Jayna Moceri-Brooks, Devon Ziminski, R. Thurman Barnes, Daniel Semenza
Citation: JAMA Network Open, 7(3), e240073
Date: 03/2024
Type: Document
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Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training
Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
Type: Document
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The Nature of the Rural-Urban Mortality Gap
Examines rural-urban mortality disparities in the working-age U.S. population. Analyzes the natural-cause mortality (NCM) rate with 1999-2019 data from the Centers for Disease Control's wide-ranging online data for epidemiology research (WONDER) database according to sex, race and ethnicity, health condition, region, and state.
Author(s): Kelsey L. Thomas, Elizabeth A. Dobis, David A. McGranahan
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Nutritional Guidance on Fitness Centers' Websites in Illinois: An Automated Content Analysis
Examines the nutritional content on fitness websites in Illinois as well as metro versus nonmetro statistics related to body mass index (BMI), diet, physical activity, and more.
Author(s): Adee Athiyaman
Date: 03/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Inflation Reduction Act Research Series: Projected Impacts for Rural Medicare Enrollees
Provides an overview of how the Inflation Reduction Act (IRA) is intended to improve prescription drug affordability for Medicare enrollees. Describes Medicare enrollment in rural areas and rural residents' health status and access to care. Outlines the projected impact of drug-related IRA provisions for rural Medicare beneficiaries, including the expansion of financial assistance through the low-income subsidy program, out-of-pocket spending caps for insulin, changes in Part D benefit design, and more.
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Cross-Sectional Analysis of Primary Care Clinics' Policies, Practices, and Availability of Patient Support Services During the COVID-19 Pandemic
Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
Type: Document
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Rural Health Research Recap: Post-Acute Care in Rural Areas: The Role of Swing Beds and Nursing Homes
Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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