Rural Health
Resources by Topic: Rural-urban differences
Changes in the U.S. Economy and Rural-Urban Employment Disparities
Describes long-term changes in the U.S. economy associated with rural-urban employment disparities. Identifies industry-level trends affecting employment in rural areas. Presents demographic data related to employment, and highlights findings related to educational attainment, age, and gender.
Date: 01/2024
Type: Document
Sponsoring organization: Board of Governors of the Federal Reserve System
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Describes long-term changes in the U.S. economy associated with rural-urban employment disparities. Identifies industry-level trends affecting employment in rural areas. Presents demographic data related to employment, and highlights findings related to educational attainment, age, and gender.
Date: 01/2024
Type: Document
Sponsoring organization: Board of Governors of the Federal Reserve System
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The Prevalence of Bilateral Hearing Loss in the United States in 2019: A Small Area Estimation Modelling Approach for Obtaining National, State, and County Level Estimates by Demographic Subgroup
Estimates rates and totals of mild, moderate, and severe bilateral hearing loss by age group, gender, race and ethnicity, state, and county. Utilizes data from the National Health and Nutrition Examination Survey, American Community Survey, Census County Business Patterns, and Social Security Administration, among others. Includes discussion of rural-urban hearing loss disparities, and identifies county characteristics associated with higher hearing loss prevalence.
Author(s): David B. Rein, Carolina Franco, Nicholas S. Reed, et al.
Citation: The Lancet Regional Health - Americas, 100670
Date: 01/2024
Type: Document
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Estimates rates and totals of mild, moderate, and severe bilateral hearing loss by age group, gender, race and ethnicity, state, and county. Utilizes data from the National Health and Nutrition Examination Survey, American Community Survey, Census County Business Patterns, and Social Security Administration, among others. Includes discussion of rural-urban hearing loss disparities, and identifies county characteristics associated with higher hearing loss prevalence.
Author(s): David B. Rein, Carolina Franco, Nicholas S. Reed, et al.
Citation: The Lancet Regional Health - Americas, 100670
Date: 01/2024
Type: Document
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How Does Cost Affect Access to Healthcare?
Explores trends in how costs affect access to healthcare using data from the 2022 National Health Interview Survey (NHIS). Covers the percentage of adults who delayed or went without care due to cost. Presents data by income level, health status, race and ethnicity, insurance status, and urban/rural residence. Also discusses insulin users who rationed insulin due to costs and the impact of medical debt on accessing care.
Author(s): Shameek Rakshit, Krutika Amin, Cynthia Cox
Date: 01/2024
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Explores trends in how costs affect access to healthcare using data from the 2022 National Health Interview Survey (NHIS). Covers the percentage of adults who delayed or went without care due to cost. Presents data by income level, health status, race and ethnicity, insurance status, and urban/rural residence. Also discusses insulin users who rationed insulin due to costs and the impact of medical debt on accessing care.
Author(s): Shameek Rakshit, Krutika Amin, Cynthia Cox
Date: 01/2024
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Alzheimer Disease or Other Dementias in Adult Day Services Centers, 2020
Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Place of Care in the Last Three Years of Life for Medicare Beneficiaries
Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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Rural-Urban Disparities in Colorectal Cancer Screening, Diagnosis, Treatment, and Survivorship Care: A Systematic Review and Meta-Analysis
Systematic review of 39 studies on rural-urban colorectal cancer (CRC) disparities. Summarizes study results related to CRC screening, stage at diagnosis, treatment, and survivorship care. Discusses barriers to access, identifies trends, and evaluates study characteristics.
Author(s): Aryana Sepassi, Meng Li, Jason Zell, Alexandre Chan, Ila M Saunders, Dana B Mukamel
Citation: The Oncologist, 29(4), e431-e446
Date: 01/2024
Type: Document
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Systematic review of 39 studies on rural-urban colorectal cancer (CRC) disparities. Summarizes study results related to CRC screening, stage at diagnosis, treatment, and survivorship care. Discusses barriers to access, identifies trends, and evaluates study characteristics.
Author(s): Aryana Sepassi, Meng Li, Jason Zell, Alexandre Chan, Ila M Saunders, Dana B Mukamel
Citation: The Oncologist, 29(4), e431-e446
Date: 01/2024
Type: Document
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Michigan's Roadmap to Rural Prosperity
Describes the characteristics, challenges, and significance of Michigan's rural communities, and identifies strategies for building rural prosperity. Presents data on rural and urban demographics and living conditions. Discusses rural health and well-being, workforce, service delivery, housing, infrastructure, economic development, and natural environment.
Date: 01/2024
Type: Document
Sponsoring organization: Michigan Office of Rural Prosperity
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Describes the characteristics, challenges, and significance of Michigan's rural communities, and identifies strategies for building rural prosperity. Presents data on rural and urban demographics and living conditions. Discusses rural health and well-being, workforce, service delivery, housing, infrastructure, economic development, and natural environment.
Date: 01/2024
Type: Document
Sponsoring organization: Michigan Office of Rural Prosperity
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Interconnected: An Update on Minnesota's Child Care Challenges
A recorded webinar that discusses childcare shortages in rural and urban areas of Minnesota. Focuses on challenges from the COVID-19 pandemic, strategies and investments to improve child care in the state, and childcare models in rural areas.
Author(s): Jessica Beyer, Tikki Brown, Marla Fountain, et al.
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: Center for Rural Policy and Development
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A recorded webinar that discusses childcare shortages in rural and urban areas of Minnesota. Focuses on challenges from the COVID-19 pandemic, strategies and investments to improve child care in the state, and childcare models in rural areas.
Author(s): Jessica Beyer, Tikki Brown, Marla Fountain, et al.
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: Center for Rural Policy and Development
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A Comparison of 2017-19 Uncompensated Care of Rural and Urban Hospitals by Net Patient Revenue, System Affiliation, and Ownership
Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Bridging the Gap: Building Authentic Partnerships Between Urban and Rural Organizations
Provides strategies to improve cooperation and partnerships between urban and rural organizations. Discusses issues such as context, partnership, communication, and programming. Includes references to specific food programs that have had successful collaborations.
Date: 01/2024
Type: Document
Sponsoring organization: No Kid Hungry
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Provides strategies to improve cooperation and partnerships between urban and rural organizations. Discusses issues such as context, partnership, communication, and programming. Includes references to specific food programs that have had successful collaborations.
Date: 01/2024
Type: Document
Sponsoring organization: No Kid Hungry
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