Rural Health
Resources by Topic: Rural-urban differences
Systemic Overuse of Health Care in a Commercially Insured US Population, 2010-2015
Examines geographic variation in systemic overuse of health care, using commercial insurance claims data from 375 metropolitan areas and 47 rural regions. Features statistics with breakdowns by overuse indicators, and U.S. maps showing regional variations in overuse.
Author(s): Allison H. Oakes, Hsien-Yen Chang, Jodi B. Segal
Citation: BMC Health Services Research, 19, 280
Date: 2019
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Examines geographic variation in systemic overuse of health care, using commercial insurance claims data from 375 metropolitan areas and 47 rural regions. Features statistics with breakdowns by overuse indicators, and U.S. maps showing regional variations in overuse.
Author(s): Allison H. Oakes, Hsien-Yen Chang, Jodi B. Segal
Citation: BMC Health Services Research, 19, 280
Date: 2019
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2018 National Survey of Health Attitudes: Description and Top-Line Summary Data
Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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The Poverty-Reducing Effect of Five Key Government Programs in Rural and Urban America
Examines rural and urban residents' income from five social programs: Social Security, disability benefits, federal and state cash assistance, the Earned Income Tax Credit (EITC), and the Supplemental Nutrition Assistance Program (SNAP). Looks at the role of these programs in reducing poverty and reports how much poverty would increase in rural and urban areas without each program.
Author(s): Jessica Carson Marybeth Mattingly
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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Examines rural and urban residents' income from five social programs: Social Security, disability benefits, federal and state cash assistance, the Earned Income Tax Credit (EITC), and the Supplemental Nutrition Assistance Program (SNAP). Looks at the role of these programs in reducing poverty and reports how much poverty would increase in rural and urban areas without each program.
Author(s): Jessica Carson Marybeth Mattingly
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Behavioral and Subjective Health Changes in US and Mexico Border Residing Participants in Two Promotora-Led Chronic Disease Prevention Interventions
Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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America's Child Care Deserts in 2018
Assesses child care availability in all 50 states and the District of Columbia, with discussion on how limited or complete lack of access disproportionately impacts rural and other populations. Includes discussion on child care deserts and provides a list of policy recommendations to increase access to low-cost and high-quality child care.
Author(s): Rasheed Malik, Katie Hamm, Leila Schochet, et al.
Date: 12/2018
Sponsoring organization: Center for American Progress
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Assesses child care availability in all 50 states and the District of Columbia, with discussion on how limited or complete lack of access disproportionately impacts rural and other populations. Includes discussion on child care deserts and provides a list of policy recommendations to increase access to low-cost and high-quality child care.
Author(s): Rasheed Malik, Katie Hamm, Leila Schochet, et al.
Date: 12/2018
Sponsoring organization: Center for American Progress
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Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment
Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance use treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
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Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance use treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
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Trend Differences in Men and Women in Rural and Urban U.S. Settings
Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
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Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
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