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Rural Health
Resources by Topic: Rural-urban differences

Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Traffic Safety Facts, 2024 Data: Pedestrians
National data on fatal and nonfatal traffic crashes involving pedestrians. Features statistics from 2015-2024 with breakdowns by sex, age group, blood alcohol concentrations of drivers and pedestrians, state, and rural or urban location.
Date: 06/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Endocrine-Disrupting Pesticides and Breast Cancer Incidence in the United States: An Ecological Analysis
Examines associations between endocrine-disrupting pesticide usage and breast cancer incidence at the county level, using 2001-2015 U.S. Geological Survey Pesticide National Synthesis Project and 2016-2020 NCI State Cancer Profiles data. Includes rural-urban data comparisons.
Author(s): Harish Neelam, Furqan Irfan, Robert Wahl, Kelly A. Hirko
Citation: Cancer Causes & Control, 37, 104
Date: 06/2026
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New York Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in New York 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Pain in the Nation 2026: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on suicide and well-being in the United States. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Lauren Battle
Date: 06/2026
Sponsoring organization: Trust for America's Health
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New York Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in New York 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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New York Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in New York 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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State of Nursing Education In Kansas
Examines the demand for nursing professionals, the state of nursing education, and nursing education pathways in Kansas. Provides demographic data on nursing students as well as location of nursing education programs by city, county, and rural, suburban, or urban location.
Date: 06/2026
Sponsoring organizations: Kansas Nursing Workforce Center, University of Kansas Medical Center
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A Study Pursuant to (Pennsylvania) Senate Resolution 27: Feasibility of a No-Fault Catastrophic Loss Fund for Birth-Related Neurological Injuries
Results of a study on the possibility of establishing a fund for claims brought due to birth-related neurological injuries in Pennsylvania. Discusses the disparity between obstetric care in urban and rural areas and the decreased access to maternity care due to closures of labor and delivery (L&D) units. Contains various statistics with breakdowns by urban and rural areas, and county-level maps showing availability of L&D units and travel times to birthing hospitals.
Author(s): Stevi Sprenkle, Stephen Kramer, Shanika Mitchell-Saint Jean, Amy Hockenberry, James Wynne
Date: 05/2026
Sponsoring organization: Legislative Budget and Finance Committee of the Pennsylvania General Assembly
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Licensed Recreational Therapists and Assistants
Presents statistics on North Carolina licensed recreational therapists and assistants, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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