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Rural Health
Resources by Topic: Rural-urban differences

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in Adults: United States, 2021–2022
Describes the adult population with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) by demographic and geographic characteristics, including metropolitan or nonmetro place of residence.
Author(s): Anjel Vahratian, Jin-Mann S. Lin, Jeanne Bertolli, Elizabeth R. Unger
Date: 12/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, gender, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, gender, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Includes data on the share of enrollees who used these services overall and by age, gender, race and ethnicity, urban or rural status, Medicaid or CHIP eligibility category, and the enrollees' primary language.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Investigation of Predictors of Severity Of Diabetes Complications among Hospitalized Patients with Diabetes in Florida, 2016–2019
Examines risk factors for severe diabetes complications in adult hospitalizations in Florida by considering individual socioeconomic as well as area-level predictors. Utilizes 2016-2019 hospital discharge data to analyze predictors of complications and formulate a Neighborhood Deprivation Index for rural and urban ZIP code tabulation areas (ZCTAs) in Florida.
Author(s): Jennifer Lord, Keshia Reid, Chris Duclos, Alan Mai, Agricola Odoi
Citation: BMC Public Health, 23, 2424
Date: 12/2023
Type: Document
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America's Health Rankings Annual Report 2023
Provides a national and state-by-state overview of population health by analyzing 49 measures to describe and rank health outcomes in the U.S. and 38 additional measures used to track current and emerging health issues at state and national levels. Analyzes and presents data on disparities by geography and demographic characteristics throughout, including data on American Indian/Alaska Native populations and metropolitan status.
Additional links: Executive Brief
Date: 12/2023
Type: Document
Sponsoring organization: United Health Foundation
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The Need for Better Definitions and Data on "Rural" in Health Services Research
Blog post discussing the various definitions of rural used by the federal government. Describes how the different definitions of rural can complicate understanding health disparities between and within rural areas. Offers policy recommendations for standardizing rural definitions, data collection, and research methodologies to improve health equity.
Author(s): Kayla Alvis
Date: 12/2023
Type: Document
Sponsoring organization: AcademyHealth
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Support for Healthy Eating and Active Living in Rural Communities: Insights from a National Survey of Local Governments
Analyzes local government policies that support wellness, healthy eating, and physical activity in metro versus nonmetro areas. Utilizes Community Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL) data to compare government structures, master plans, built environment policies, transit options, supportive food access policies, and more.
Author(s): Adee Athiyaman
Date: 12/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Hospitals' Electronic Access to Information Needed to Treat COVID-19
Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
Type: Document
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
Type: Document
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