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Rural Health
Resources by Topic: Rural-urban differences

Adverse Childhood Experiences of Urban and Rural Preschool Children in Poverty
Examines the interaction of race and geographic location on adverse childhood experiences (ACEs) for preschool children living in poverty in Arkansas. Data was collected using the Family Map Inventory–Early Childhood (FMI-EC) tool of structured interviews and observation items for assessing family and home environment characteristics linked with children's well-being.
Author(s): Leanne Whiteside-Mansell, Lorraine McKelvey, Jennifer Saccente, James P. Selig
Citation: International Journal of Environmental Research and Public Health, 16(14), 2623
Date: 07/2019
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Urban/Rural Residence Effect on Emergency Department Visits Arising From Food-induced Anaphylaxis
Examines urban/rural differences by age and race/ethnicity in emergency department (ED) pediatric visit rates for food-induced anaphylaxis using 2009-2014 data from New York and Florida.
Author(s): Rie Sakai-Bizmark, Scott M.I. Friedlander, Karin Oshima, Eliza J. Webber, Laurie A. Mena, et al
Citation: Allergology International, 68(3), 316–320
Date: 07/2019
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Prognostic Factors for Rural Endometrial Cancer Patients in a Population-Based Cohort
Examines rural-urban differences in prognostication of endometrial cancer and mortality rates among 2,994 endometrial cancer patients in Utah between 1997 and 2012. Analyzes healthcare data from the Utah Population Database, which includes EMR data from the University of Utah Healthcare and Intermountain Healthcare, two of the largest healthcare providers in the state.
Author(s): Brenna E. Blackburn, Sean Soissan, Kerry Rowe, et al.
Citation: BMC Public Health, 19, 921
Date: 07/2019
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Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Wisconsin Divided Ten Ways: A Review of Rural-Urban Classification Systems
Provides a high-level overview of core classification systems, and systems that are county-based, census tract-based, ZIP code-based, and municipal-based. Includes county-level maps with shadings indicating levels of population density, based on various definitions of the terms urban and rural.
Additional links: Appendix A - Wisconsin County Classifications, Appendix B - Wisconsin Census Tract Classifications, Appendix C - Wisconsin ZIP Code Classification, Appendix D - Municipal Classifications
Date: 07/2019
Sponsoring organization: Wisconsin Office of Rural Health
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U.S. Employment-to-Population Ratios, Metro and Nonmetro Areas, 2008-17
Line chart comparing metropolitan and nonmetropolitan employment-to-population ratios by year.
Date: 07/2019
Sponsoring organization: USDA Economic Research Service
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Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop
Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 07/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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A Multilayered Analysis of Telehealth: How This Emerging Venue of Care is Affecting the Healthcare Landscape
White paper exploring ways in which telehealth is affecting the healthcare landscape. Features statistics including non-hospital-based, discharge-related, and provider-to-provider telehealth claim lines as a percentage of all medical claim lines from 2014-2018, with breakdowns by rural or urban location.
Date: 07/2019
Sponsoring organization: FAIR Health
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Micropolitan America
Infographic showing a variety of charts about micropolitan statistical areas. Includes a map of micropolitan areas. Provides data on the micropolitan population compared to the U.S. population as a whole, covering age and sex, race/ethnicity, population change, industry, and occupation.
Date: 07/2019
Sponsoring organization: U.S. Census Bureau
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