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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Population Change in Aggregate and by Metropolitan/Nonmetropolitan Status, 1971-2024
Line chart showing population change for the U.S. as a whole and for metropolitan and nonmetro counties.
Author(s): John Cromartie, Justin B. Winikoff
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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Adolescent and Teenage Pregnancy Report Kansas, 2023
Summarizes research examining teen pregnancy in Kansas from 2019-2023. Includes rural/urban comparisons and county-level information on pregnancy and birth rates, with data broken down by age and year.
Author(s): Janet Stanek, Kay Haug, Cathryn Savage, et al.
Date: 05/2025
Sponsoring organization: Kansas Department of Health and Environment
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Annual Insurance Update 2025: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
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Rural North Carolina Continues Population Growth
Analyzes population trends for rural North Carolina from 2010-2024. Features a county-level map with shadings showing changes in population from 2023 to 2024, and statistics on population change during this period with breakdowns by urban, suburban, and rural areas.
Author(s): Dalton Bailey
Date: 05/2025
Sponsoring organization: NC Rural Center
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Inpatient Care Experiences Are Better in Critical Access Hospitals than in Other Hospitals
Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Traffic Safety Facts, 2023 Data: Passenger Vehicles
National data on traffic crashes involving passenger vehicles. Features statistics from 2020-2023 with breakdowns by vehicle type, time of day, fatalities, state, and rural or urban locations.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Alcohol-Impaired Driving
National data on traffic crashes involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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National Highway Traffic Safety Administration Quick Facts 2023
Provides statistics on motor vehicle crashes in 2021-2023, with breakdowns including fatalities, injuries, vehicle type, alcohol-impaired-driving, seat belt use, children, older population, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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