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Rural Health
Resources by Topic: Rural-urban differences

The Impact of State Medicaid Expansion Under the Affordable Care Act on Health Insurance Coverage at the County Level
Compares health insurance coverage in 2013, prior to the Affordable Care Act, and in 2015. Includes data on health insurance coverage for metropolitan and nonmetro counties. Discusses the impact of Medicaid expansion on health insurance coverage.
Author(s): Danielle C. Rhubart
Date: 12/2016
Sponsoring organization: Carsey School of Public Policy
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Vital Signs: Trends in HIV Diagnoses, Risk Behaviors, and Prevention Among Persons Who Inject Drugs — United States
Reports on trends in HIV diagnoses among people who inject drugs. Figure 1 shows data for urban and rural White, African American, and Hispanic people from 2008-2014.
Author(s): Cyprian Wejnert, Kristen L. Hess, H. Irene Hall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(47), 1336-1342
Date: 12/2016
Sponsoring organization: Centers for Disease Control and Prevention
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Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial
Examines results from the Domestic Violence Enhanced Home Visitation Program (DOVE) intervention to determine its effectiveness in reducing perinatal intimate partner violence (IPV) experienced by women in home visiting programs. Includes participants' demographic information, and compares urban and rural locations on study enrollment across time.
Author(s): Phyllis Sharps, Linda Bullock, Jacquelyn Campbell, et al.
Citation: Journal of Women's Health, 25(11), 1129-1138
Date: 11/2016
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Outcomes of a Clinic-Based Educational Intervention for Cardiovascular Disease Prevention by Race, Ethnicity, and Urban/Rural Status
Examines knowledge and awareness about cardiovascular disease issues and the impact of a clinic-based education intervention using pre- and post-surveys of women in Northern California. Addresses differences by rural/urban status, and discusses the implications of the research findings for education outreach efforts.
Author(s): Amparo C. Villablanca, Christina Slee, Liana Lianov, Daniel Tancredi
Citation: Journal of Women's Health, 25(11), 1174-1186
Date: 11/2016
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Kentucky's Primary Care Workforce Shortages 2016-2025 and Recommendations for Increasing the Production of Primary Care Physicians for Kentucky
Presents data and information about the Kentucky primary care workforce, describes trainee pipelines supplying new physicians, and recommends strategies and tactics for improving this workforce. Includes statistics on various types of primary care providers in rural Kentucky, and support for the idea that rural background and rural clinical rotations are factors in primary care career choices by medical school graduates.
Author(s): Kevin A. Pearce, Carol Hustedde, Linda M. Asher, et al.
Date: 11/2016
Sponsoring organization: University of Kentucky College of Medicine
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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals
Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Implementation of the Federal Rural IMPACT Demonstration
Overview of the first year of the White House Rural Council and U.S. Department of Health & Human Services' demonstration project, focused on improving social determinants of health and designed to reduce poverty through coordinated services for children and parents. Discusses key findings and identifies possible lessons for policymakers and stakeholders. Includes appendix with profiles of the 10 demonstration sites.
Author(s): Alana Landey, Pam Winston, Pierre Joseph
Date: 11/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015
Reports on trends in teen birth rates from 2007 through 2015 in urban and rural areas. Also includes 2015 teen birth rates by race and Hispanic origin for rural and urban counties.
Author(s): Brady E. Hamilton, Lauren M. Rossen, Amy M. Branum
Date: 11/2016
Sponsoring organization: National Center for Health Statistics
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Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013
Reports on trends and disparities in incidence and death rates for cancers related to cigarette smoking during 2004–2013. Includes data for urban and rural counties.
Author(s): S. Jane Henley, Cheryll C. Thomas, Saida R. Sharapova, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(44),1212-1218
Date: 11/2016
Sponsoring organization: Centers for Disease Control and Prevention
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Understanding Barriers to Cervical Cancer Screening in Women With Access to Care, Behavioral Risk Factor Surveillance System, 2014
Results of a national study examining nonfinancial barriers to cervical cancer screening among women aged 45-60, of whom a higher proportion of those who were rarely or never screened reported multiple chronic conditions. Features demographic statistics with breakdowns including disease history for eleven chronic conditions and metropolitan or nonmetropolitan residence status.
Author(s): Anatasha Crawford, Vicki Benard, Jessica King, Cheryll C. Thomas
Citation: Preventing Chronic Disease, 13
Date: 11/2016
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