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Rural Health
Resources by Topic: Rural-urban differences

The State of Cancer in Florida: CCRAB Annual Report 2024
Reports cancer data and trends for the state of Florida. Highlights rural-urban disparities in cancer incidence and mortality, and discusses the importance of increasing access to screening and treatment in rural and underserved communities.
Date: 2024
Type: Document
Sponsoring organization: Florida Cancer Council & Research Advisory Council (CCRAB)
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2022 National Profile of Local Health Departments
Provides a study of local health department infrastructure and practice. Discusses topics including leadership, workforce, emergency preparedness and response, public health policy, information technology, financing, and more. Includes analysis by degree of urbanization throughout.
Author(s): Margaret Cunningham, Krishna Patel, Timothy C. McCall, et al.
Date: 2024
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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2024 Status of Women and Girls in Minnesota
Report examining economic opportunity, safety, health and wellness, and leadership equality among women and girls in Minnesota based on data from the American Community Survey, Minnesota Student Survey, and other sources. Highlights disparities in healthcare access, food security, and environmental health for rural populations.
Additional links: Executive Summary
Date: 2024
Type: Document
Sponsoring organizations: Center on Women, Gender and Public Policy, University of Minnesota, Women's Foundation of Minnesota
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California State of Public Health Report, 2024
Reports on various measures of health across the lifespan for California residents in addition to behavioral health and climate change health impacts. Includes data for rural and urban California suicide rate disparities.
Date: 2024
Type: Document
Sponsoring organization: California Department of Public Health
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Modeling Early Detection and Geographic Variation in Health System Capacity for Alzheimer's Disease–Modifying Therapies
Examines the impact of disease-modifying therapies (DMTs) to slow the progression of early-stage Alzheimer's disease (AD) and the availability of DMTs across the U.S. Discusses wait times for DMTs in rural versus urban areas and provides U.S. maps showing demographic and healthcare workforce supply data by county.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Chen, Jessie Wang, Federico Girosi
Date: 2024
Type: Document
Sponsoring organization: RAND Corporation
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Effects of Rurality and Distance to Care on Perinatal Outcomes over a 1-Year Period During the COVID-19 Pandemic
Examines how rurality and/or distance to care impacts perinatal outcomes such as pre-eclampsia, preterm labor, neonatal intensive care, birth weight, and more. Analyzes outcomes from 2,497 patients during the COVID-19 pandemic period of May 1, 2020 to April 30, 2021, with results broken down by distance to care and metropolitan, micropolitan, or rural location.
Author(s): Pratyusha V. Bujimalla, Kimberly A. Kenne, Haley A. Steffen, et al.
Citation: Journal of Rural Health, 40(3), 520-530
Date: 2024
Type: Document
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The Role of Comorbidities, Medications, and Social Determinants of Health in Understanding Urban-Rural Outcome Differences among Patients with Heart Failure
Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health, 40(2), 386-393
Date: 2024
Type: Document
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Rural-Urban Differences in Social and Emotional Protective Factors and Their Association with Child Health and Flourishing
Examines differences in childhood protective factors in rural and urban communities that correlate with childhood health and wellness. Utilizes 2018-2021 data from the National Survey of Children's Health to analyze protective factors such as caregiver emotional and social support, caregiver mental and physical health, family resilience and connectedness, neighborhood and school safety, and more. Includes rural versus urban comparisons with data further broken down by race/ethnicity, sex, age, health status, and marriage status of caregiver.
Author(s): Rose Y. Hardy, Samantha J. Boch, Mattina A. Davenport, Laura J. Chavez, Kelly J. Kelleher
Citation: Journal of Rural Health, 40(2), 314-325
Date: 2024
Type: Document
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Rural/Urban Differences in Receipt of Governmental Rental Assistance: Relationship to Health and Disability
Examines the relationship of housing to health and disability. Utilizes 2021 National Health Interview Survey data to analyze home ownership and rental assistance by rural versus urban location, with further breakdowns by age, gender, race/ethnicity, sexual orientation, marital status, education and employment status, self-rated health, region, and disability status.
Author(s): Carrie Henning-Smith, Alexis Swendener, Katie Rydberg, Megan Lahr, Hawking Yam
Citation: Journal of Rural Health, 40(2), 394-400
Date: 2024
Type: Document
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The Breast-Imaging Operations, Practices and Systems Inventory: A Framework to Examine Mammography Facility Effects on Screening in Rural Communities
Examines how mammogram facility resources, policies, and practices in metro versus nonmetro Appalachia are related to breast cancer burden and outcomes. Analyzes survey data from 192 sites to observe catchment area mammography services such as levels of staffing and available technology, practices and policies that promote screening, and quality review processes.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Fabian T. Camacho, et al.
Citation: Journal of Rural Health, 40(2), 282-291
Date: 2024
Type: Document
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