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Rural Health
Resources by Topic: Rural-urban differences

Differences in Select Measures of Health Care Access, Utilization, and Financial Burden by Urbanicity, 2017
Examines healthcare access, utilization, and financial burden among adults aged 18-64 living in large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (rural) areas. Includes both unadjusted data and data adjusted to focus on the effects of urbanicity by accounting for potential sociodemographic or health characteristics that might impact access.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 12/2019
Sponsoring organization: National Center for Health Statistics
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A Health Equity Approach to Obesity Efforts: Proceedings of a Workshop
Proceedings of a workshop focused on health equity in demographic groups with a higher risk of obesity and how to address those issues in obesity treatment and prevention efforts. Covers disparities in obesity prevalence, including for rural areas and American Indian/Alaska Natives, social determinants of health, community and public health approaches for preventing and treating obesity, and effective healthcare interventions.
Additional links: Read Online: Full Proceedings, Read Online: Summary, June 2019
Author(s): Roundtable on Obesity Solutions
Date: 12/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Declines In Pediatric Mortality Fall Short For Rural US Children
Examines pediatric mortality rates from 1999-2017 and related factors of race/ethnicity and rurality. Provides data according to age, race/ethnicity, cause-specific mortality, and rural versus urban county.
Author(s): Janice Probst, Whitney Zahnd, Charity Breneman
Citation: Health Affairs, 38, 12
Date: 11/2019
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Area Deprivation as a Risk Factor for Methicillin-Resistant Staphylococcus Aureus Infection in Pediatric Cystic Fibrosis
Examines the prevalence of Methicillin-Resistant Staphylococcus Aureus Infection (MRSA) in children with cystic fibrosis, studying the relationship between MRSA rates and socio-environmental conditions. Analyzes statistical data of patients in Alabama, comparing rurality and area deprivation to rates of MRSA. Discusses the rates of infection in rural and underserved areas as a consideration for prevention and treatment strategies.
Author(s): Gabriela R. Oates, William T. Harris, Steven M. Rowe, et al.
Citation: The Pediatric Infectious Disease Journal, 38(11), e285-e289
Date: 11/2019
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Oral Health Status of Low-Income Children in Pennsylvania: A Rural-Urban Comparison
Describes research examining the oral health component of the Medical Assistance (MA) program for Pennsylvania children, additional oral health programs and services, the supply and distribution of Pennsylvania dentists, and the overall oral healthcare delivery system for low-income children in rural Pennsylvania. Features statistics including the number of general dentists and specialists who were active MA providers as of 2017, with breakdowns by urban or rural location, and a county-level map showing low-income Dental Health Professional Shortage Areas by rural status as of 2018.
Additional links: Executive Summary
Author(s): Lisa Davis, Kelly Braun, Myron R. Schwartz
Date: 11/2019
Sponsoring organization: Center for Rural Pennsylvania
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Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics
Highlights a cross-sectional study on loneliness in adults in the U.S. Aims to evaluate rates of loneliness by age group, sex, and urban or non-urban location, as well as by several other measures. Bases conclusions on the results of a national survey of 20,096 adults.
Author(s): Liana DesHarnais Bruce, Joshua S. Wu, Stuart L. Lustig, Daniel W. Russell, Douglas A. Nemecek
Citation: American Journal of Health Promotion, 33(8), 1123-1133
Date: 11/2019
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
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Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Examines hospital transfer rates for rural and urban residents before and after childbirth and the relationship of transfer status and severe maternal morbidity and mortality.
Author(s): Katy Kozhimannil, Julia D. Interrante, Alexandria Kristensen-Cabrera, Carrie Henning-Smith, Regan Theiler
Date: 11/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Employment Has Grown Faster in Metropolitan Than Nonmetro Counties Since the Great Recession
Line chart showing metropolitan and nonmetro employment growth from 2007 through 2019.
Date: 11/2019
Sponsoring organization: USDA Economic Research Service
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Lung Cancer Incidence in Nonmetropolitan and Metropolitan Counties — United States, 2007–2016
Reports on lung cancer incidence rates in metropolitan and nonmetropolitan counties, with data by sex and by age at diagnosis. Includes data for 2007 and 2016, as well as the change in rate from 2007 to 2016. Discusses strategies to reduce exposure to lung cancer risk factors and how those strategies might be targeted to decrease disparities.
Author(s): Mary Elizabeth O'Neil, S. Jane Henley, Elizabeth A. Rohan, Taylor D. Ellington, M. Shayne Gallaway
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(44), 993-998
Date: 11/2019
Sponsoring organization: Centers for Disease Control and Prevention
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