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Rural Health
Resources by Topic: Rural-urban differences

Residing in Economically Distressed Rural Appalachia is Independently Associated with Excess Body Weight in College Students
Results of a study comparing body weights and obesity risks of college students aged 18-25 years, 55 of whom who were lifelong residents of rural Eastern Appalachian Kentucky and 54 from urban central Kentucky. Features statistics including age, education, sex, insurance status, household income, and health behaviors, with breakdowns by rural or urban status.
Author(s): Demetrius Abshire, Terry Lennie, Gia Mudd-Martin, Debra Moser
Citation: Rural and Remote Health, 17(1), 3984
Date: 03/2017
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Who Experiences Very Low Food Security?
Bar chart showing characteristics of households experiencing very low food security, which may include cutting back on or skipping meals or going a whole day without eating. Includes data comparing city, suburban, and nonmetropolitan areas. Based on 2015 Current Population Survey data.
Date: 03/2017
Sponsoring organization: USDA Economic Research Service
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Women's Health Care: The Experiences and Behaviors of Rural and Urban Lesbians in the USA
Results of a national study of 895 urban and rural lesbians, highlighting healthcare disparities in terms of access to preventive care, screening, and treatment. Features demographic statistics with breakdowns by urban and rural location.
Author(s): K. Nikki Barefoot, Jacob C. Warren, K. Bryant Smalley
Citation: Rural and Remote Health, 17(1), 3875
Date: 03/2017
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Aiming for Fewer Hospital U-turns: The Medicare Hospital Readmission Reduction Program
Describes the Medicare Hospital Readmission Reduction Program (HRRP), analyzes the impact of the program on Medicare beneficiaries and healthcare facilities, and highlights identified issues regarding its implementation. Tables and charts display differences in penalties incurred by urban and rural facilities, and include estimates for FY 2017.
Author(s): Cristina Boccuti, Giselle Casillas
Date: 03/2017
Sponsoring organization: KFF
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Disparities in Supports for Student Wellness Promotion Efforts among Secondary Schools in Minnesota
Examines student wellness promotion in rural, urban, and suburban secondary schools in Minnesota using National Center for Education Statistics Common Core and 2012 Minnesota School Health Profiles survey data on 309 schools. Discusses school characteristics, prevalence of dietary and weight management issues among secondary students, and disparities between rural and urban populations.
Author(s): Nicole Larson, Michael O'Connell, Cynthia S. Davey, et al.
Citation: Journal of School Health, 87(2), 90-97
Date: 02/2017
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Geographic Access to Mammography Facilities and Frequency of Mammography Screening
Explores a study on the role location plays in mammography utilization. Draws data from the Wisconsin Women's Health Study and uses Rural Urban Commuting Area (RUCA) codes to determine the distance women would have to travel to a mammography facility.
Author(s): Patricia I. Jewett, Ronald E. Gangnon, Elena Elkin, et al.
Citation: Annals of Epidemiology, 28(2), 65-71
Date: 02/2017
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Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine
Focuses on rural versus urban African-American cocaine users in Arkansas and their views of different types of HIV testing sites. Compares the acceptability of testing at local health departments, clinics, community health centers, and more.
Author(s): D. Keith Branham, Tyrone F. Borders, Katharine E. Stewart, Geoffrey M. Curran, Brenda M. Booth
Citation: AIDS and Behavior, 21(2), 576-586
Date: 02/2017
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Disparities in Access to Trauma Care in the United States: A Population-Based Analysis
Describes the geographic, demographic, and socioeconomic disparities in access to trauma care in the U.S., including a rural and urban analysis of disparities. Covers data detailing demographic characteristics stratified by trauma center access by income, poverty, insurance status, education, race/ethnicity, rurality, and more.
Author(s): Brendan Carr, Ariel Bowman, Catherine Wolff, et al.
Citation: Injury, 48(2), 332-338
Date: 02/2017
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Non-Emergency Medical Transportation Needs of Middle-Aged and Older Adults: A Rural-Urban Comparison in Delaware, USA
A comparison of transportation patterns and costs for middle-aged and older adult Medicaid patients for medical care in rural versus urban Delaware. These patients were eligible for Non-Emergency Medical Transportation (NEMT) services. Discusses transportation barriers to care for rural residents, including cost, availability, and accessibility and suggests solutions for connecting residents to needed services.
Author(s): Matthew Lee Smith, Thomas R. Prohaska, Kara E. MacLeod, et al.
Citation: International Journal of Environmental Research and Public Health, 14(2)
Date: 02/2017
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A Rural-Urban Comparison of Hospitals Participating in the Medicare Electronic Health Record Incentive Program
Examines the history and progression of electronic health record (EHR) usage in rural hospitals across the U.S. Seeks to explain why rural hospitals, including Critical Access Hospitals (CAHs), tend to lag behind their urban counterparts in EHR adoption, and makes policy recommendations for improving the meaningful use of EHRs in rural hospitals.
Author(s): Jan Eberth, Sharita R. Thomas
Date: 02/2017
Sponsoring organization: National Rural Health Association
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