Rural Health
Resources by Topic: Rural-urban differences
Reported Receipt of Mental Health Services by Adolescents Aged 12 to 17 in the Rural and Urban U.S., 2021
Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Alcohol Use Disorder and Marijuana Use Disorder Among Adolescents and Young Adults Aged 12 to 24 in the Rural and Urban U.S., 2021
Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Aerobic Physical Activity Among Adults Age 18 and Older: United States, 2024
Offers data highlighting aerobic physical activity among adults. Includes a data breakdown by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Offers data highlighting aerobic physical activity among adults. Includes a data breakdown by 4 levels of urbanization in addition to other demographic characteristics, family income, education, disability status, and body mass index.
Author(s): Nazik Elgaddal, Ellen A. Kramarow
Date: 04/2026
Sponsoring organization: National Center for Health Statistics
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Overview of Motor Vehicle Traffic Crashes in 2024
Research note providing data on all police-reported traffic crashes including fatalities and people injured from the 2024 Fatality Analysis Reporting System Annual Report File and the 2024 Crash Report Sampling System, along with data in prior years. Features statistics on fatalities from 2015-2024 with breakdowns by urban and rural areas.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Research note providing data on all police-reported traffic crashes including fatalities and people injured from the 2024 Fatality Analysis Reporting System Annual Report File and the 2024 Crash Report Sampling System, along with data in prior years. Features statistics on fatalities from 2015-2024 with breakdowns by urban and rural areas.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Trends in Inpatient Revenue and Volume Among Critical Access Hospitals
Examines trends in Critical Access Hospital (CAH) revenue and volume between 2017 and 2024. Presents data on average outpatient-to-total revenue and mean average daily census among CAHs each year by CAH urban or rural location, region, profit status, and system affiliation.
Author(s): Tyler Malone, Angelina Budko
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Examines trends in Critical Access Hospital (CAH) revenue and volume between 2017 and 2024. Presents data on average outpatient-to-total revenue and mean average daily census among CAHs each year by CAH urban or rural location, region, profit status, and system affiliation.
Author(s): Tyler Malone, Angelina Budko
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Community Resources and Hazards Across the Rural-Urban Continuum
Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Explores variation by rurality in exposure to community-level social determinants of health, using data from all residential addresses in Maryland. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Author(s): Oshozimhede E. Iyalomhe, Shuo Jim Huang, Rozalina G. McCoy
Citation: JAMA Network Open, 9(4), e264864
Date: 04/2026
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Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — United States, 2024–25 Respiratory Virus Season
Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Adults' Leisure-Time Physical Activity Preferences and Association with Physical Activity Guidelines by Metropolitan Status, United States, 2019
Compares preferences in leisure-time physical activity (LTPA) and likelihood of meeting physical activity guidelines among adults by level of rurality, using 2019 BRFSS data. Discusses how rural-urban differences in LTPA can contribute to rural physical activity interventions.
Author(s): Christiaan G. Abildso, Eugene C. Fitzhugh, Alan M. Beck, et al.
Citation: PLOS One, 21(4), e0345026
Date: 04/2026
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Compares preferences in leisure-time physical activity (LTPA) and likelihood of meeting physical activity guidelines among adults by level of rurality, using 2019 BRFSS data. Discusses how rural-urban differences in LTPA can contribute to rural physical activity interventions.
Author(s): Christiaan G. Abildso, Eugene C. Fitzhugh, Alan M. Beck, et al.
Citation: PLOS One, 21(4), e0345026
Date: 04/2026
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Acute Myocardial Infarction in Medicare Beneficiaries During and After the COVID-19 Pandemic
Examines how acute myocardial infarction incidence and outcomes differed before and during the COVID-19 pandemic, using 2018-2023 fee-for-service Medicare beneficiary data. Includes data breakdowns by level of rurality.
Author(s): Jonah M. Graves, R. J. Waken, Fengxian Wang, et al.
Citation: JAMA Network Open, 9(4), e264122
Date: 04/2026
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Examines how acute myocardial infarction incidence and outcomes differed before and during the COVID-19 pandemic, using 2018-2023 fee-for-service Medicare beneficiary data. Includes data breakdowns by level of rurality.
Author(s): Jonah M. Graves, R. J. Waken, Fengxian Wang, et al.
Citation: JAMA Network Open, 9(4), e264122
Date: 04/2026
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Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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