Rural Health
Resources by Topic: Rural-urban differences
Unpacking the Primary Care Clinician Index: Understanding How Changes in Population and Workforce Supply Affect Access to Primary Care in North Carolina
Analyzes the primary care clinician supply between 2017 and 2024 to identify how it has changed with regard to physician, population, and geographic characteristics including rurality. Discusses how the studied characteristics indicate access to care. Discusses the role of the nurse practitioner workforce in increasing access to care.
Author(s): Evan Galloway, Brianna Lombardi, Erin Fraher
Citation: North Carolina Medical Journal, 86(3)
Date: 10/2025
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Analyzes the primary care clinician supply between 2017 and 2024 to identify how it has changed with regard to physician, population, and geographic characteristics including rurality. Discusses how the studied characteristics indicate access to care. Discusses the role of the nurse practitioner workforce in increasing access to care.
Author(s): Evan Galloway, Brianna Lombardi, Erin Fraher
Citation: North Carolina Medical Journal, 86(3)
Date: 10/2025
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An Assessment of Nurse Practitioner Low-Value Care Use in Primary Care
Analyzes how patient demographics and geography are associated with the prevalence of nurse practitioner-delivered low-value lumbar X-ray, aURI antibiotic, and ECG services, utilizing 2021 Merative MarketScan Commercial and Medicare database data for Arizona, Nevada, and New Mexico. Includes metro versus nonmetro comparison data.
Author(s): Sara B. Nugent, Roberta P. Lavin, Jongwon Lee, Brady P. Horn, Barbara I. Holmes Damron
Citation: The American Journal of Managed Care, 31(1), 553-557
Date: 10/2025
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Analyzes how patient demographics and geography are associated with the prevalence of nurse practitioner-delivered low-value lumbar X-ray, aURI antibiotic, and ECG services, utilizing 2021 Merative MarketScan Commercial and Medicare database data for Arizona, Nevada, and New Mexico. Includes metro versus nonmetro comparison data.
Author(s): Sara B. Nugent, Roberta P. Lavin, Jongwon Lee, Brady P. Horn, Barbara I. Holmes Damron
Citation: The American Journal of Managed Care, 31(1), 553-557
Date: 10/2025
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New Mexico Health Care Workforce Committee: 2025 Annual Report
Reports on New Mexico's healthcare workforce, including county-level data and comparisons to national benchmarks. Discusses rural and frontier area shortages, health workforce migration trends, potential solutions for workforce issues, and updates on previous recommendations. See Appendix C for healthcare professions gap analyses by county.
Date: 10/2025
Sponsoring organization: University of New Mexico - Health Sciences Center
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Reports on New Mexico's healthcare workforce, including county-level data and comparisons to national benchmarks. Discusses rural and frontier area shortages, health workforce migration trends, potential solutions for workforce issues, and updates on previous recommendations. See Appendix C for healthcare professions gap analyses by county.
Date: 10/2025
Sponsoring organization: University of New Mexico - Health Sciences Center
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Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
Examines neighborhood socioeconomic status (NSES) variables by census tract and their relationship to public health. Provides data on poverty, use of public assistance, employment characteristics, transportation insecurity, education, and more, by higher density urban, lower density urban, suburban/small town, and rural location.
Author(s): S. S. A. De Silva, Melissa A. Meeker, Tara P. McAlexander, et al.
Citation: Journal of Urban Health, 102, 1094-1103
Date: 10/2025
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Examines neighborhood socioeconomic status (NSES) variables by census tract and their relationship to public health. Provides data on poverty, use of public assistance, employment characteristics, transportation insecurity, education, and more, by higher density urban, lower density urban, suburban/small town, and rural location.
Author(s): S. S. A. De Silva, Melissa A. Meeker, Tara P. McAlexander, et al.
Citation: Journal of Urban Health, 102, 1094-1103
Date: 10/2025
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Benzodiazepine Use Among Older Adults: Any Use and Concurrent Use With Opioids
Statistical brief examining rates of prescription benzodiazepine use by demographic group, insurance type, and health status, using 2021-2022 Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Figure 6 for metro-nonmetro comparison data on benzodiazepine use and concurrent benzodiazepine-opioid use.
Author(s): Salam Abdus, G. Edward Miller
Date: 10/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Statistical brief examining rates of prescription benzodiazepine use by demographic group, insurance type, and health status, using 2021-2022 Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Figure 6 for metro-nonmetro comparison data on benzodiazepine use and concurrent benzodiazepine-opioid use.
Author(s): Salam Abdus, G. Edward Miller
Date: 10/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Cardiovascular Disease Burden in Arizona - 2022
Reports on cardiovascular disease (CVD) morbidity, mortality, and characteristics in Arizona, utilizing 2022 Arizona Behavioral Risk Factor Surveillance System (BRFSS) data. Includes demographic data breakdowns, including rural versus urban comparisons.
Author(s): Amanda Swanson
Date: 10/2025
Sponsoring organization: Arizona Department of Health Services
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Reports on cardiovascular disease (CVD) morbidity, mortality, and characteristics in Arizona, utilizing 2022 Arizona Behavioral Risk Factor Surveillance System (BRFSS) data. Includes demographic data breakdowns, including rural versus urban comparisons.
Author(s): Amanda Swanson
Date: 10/2025
Sponsoring organization: Arizona Department of Health Services
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Time to Build: How Do We Develop More (Affordable) Housing in Rural America?
Provides discussion on housing policy, statistics on rural housing supply, and potential solutions to provide more rural housing options, such as utilizing public lands, manufactured homes, and more. Includes county-level data on housing unit changes and metro versus nonmetro trends in new single family homes.
Additional links: Housing Unit Change, 2013-2023 Infographic
Date: 10/2025
Sponsoring organization: Housing Assistance Council
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Provides discussion on housing policy, statistics on rural housing supply, and potential solutions to provide more rural housing options, such as utilizing public lands, manufactured homes, and more. Includes county-level data on housing unit changes and metro versus nonmetro trends in new single family homes.
Additional links: Housing Unit Change, 2013-2023 Infographic
Date: 10/2025
Sponsoring organization: Housing Assistance Council
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Traffic Safety Facts, 2023 Data: Summary of Motor Vehicle Traffic Crashes
Contains information on fatal and non-fatal motor vehicle traffic crashes. Features statistics with breakdowns by urban or rural areas and a state-level map showing fatality rates per 100 million vehicle miles traveled, as of 2023.
Date: 10/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Contains information on fatal and non-fatal motor vehicle traffic crashes. Features statistics with breakdowns by urban or rural areas and a state-level map showing fatality rates per 100 million vehicle miles traveled, as of 2023.
Date: 10/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Urban-Rural Disparities in Diagnosis, Treatment, and Prognosis of Primary Bone Cancer: An Observational Study
Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Examines associations between rural or urban residence and primary bone cancer diagnosis, treatment, and prognosis, utilizing NCI SEER data of patients diagnosed between 2000 and 2019. Provides data on rural-urban differences in overall survival, cancer-specific survival, receipt of treatment methods including local surgery, radiotherapy, and chemotherapy, and stage at diagnosis.
Author(s): Chenbo Ouyang, Xuanwen Liu, Chunyu Chen, Changping Chen
Citation: Medicine, 104(43), e45548
Date: 10/2025
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Trends in Pancreatic Cancer Mortality among US Adults, 1999–2023
Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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Analyzes trends in pancreatic cancer mortality by demographic group, utilizing 1999-2023 CDC WONDER data. Includes data comparisons between metropolitan and nonmetropolitan areas, among other factors.
Author(s): Tianxing Wu, Zhongliu Bian, Nan Qin, Jingtao Chen
Citation: BMC Gastroenterology, 25, 768
Date: 10/2025
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