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Rural Health
Resources by Topic: Rural-urban differences

Household Food Security in the United States in 2022
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022. Includes food insecurity statistics for metropolitan and nonmetropolitan areas. Discusses the effects of the COVID-19 pandemic on nutrition programs usage.
Additional links: Recorded Webinar, Report Summary, Statistical Supplement
Author(s): Matthew P. Rabbitt, Laura J. Hales, Michael P. Burke, Alisha Coleman-Jensen
Date: 10/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic
Examines the use of telehealth for prenatal appointments during the first year of the COVID-19 pandemic. Utilizes Pregnancy Risk Assessment Monitoring System (PRAMS) data to analyze 12,073 respondents who gave birth between June and December 2020, with data broken down according to insurance type, race/ethnicity, marital status, age, health conditions, and rurality.
Author(s): Rebecca A. Gourevitch, Amylee Anyoha, Mir M. Ali, Priscilla Novak
Citation: JAMA Network Open, 6(10)
Date: 10/2023
Type: Document
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Emergency Department Visits Related to Mental Health Disorders Among Children and Adolescents: United States, 2018–2021
Reports on emergency department (ED) visits related to mental health disorders among children and adolescents, with a comparison to ED visits by children and adolescents without mental health disorders. Table 4 includes data by hospital characteristics, including location in a metropolitan or nonmetro area.
Author(s): Loredana Santo, Zachary J. Peters, Danielle Davis, Carol J. DeFrances
Date: 10/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Rural–Urban Differences in Overweight and Obesity, Physical Activity, and Food Security Among Children and Adolescents
Examines the relationship among food security, physical activity, and overweight or obesity in rural and urban children. Analyzes 2019-2020 National Survey of Children's Health data of children aged 10-17 according to body mass index (BMI), physical activity, and food security, with data broken down by demographic variables and rural versus urban location.
Author(s): Elizabeth Crouch, Demetrius A. Abshire, Michael D. Wirth, Peiyin Hung, Gabriel A. Benavidez
Citation: Preventing Chronic Disease, 20
Date: 10/2023
Type: Document
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Travel for Medical or Dental Care by Race/Ethnicity and Rurality in the U.S.: Findings from the 2001, 2009 and 2017 National Household Travel Surveys
Analyzes National Household Travel Surveys from 2001, 2009, and 2017 to determine trends in average travel distance and travel burden between rural and urban residents seeking medical or dental care. Includes analysis of race and ethnicity as well as comparisons between travel for medical or dental care and employment.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Kristin Primm, Jane Bolin, Alva O. Ferdinand
Citation: Preventative Medicine Reports, 35(2023), 102297
Date: 10/2023
Type: Document
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Group-Based Trajectory Analysis Identifies Varying Diabetes-Related Cost Trajectories Among Type 2 Diabetes Patients in Texas: An Empirical Study Using Commercial Insurance
Examines diabetes-related costs and intervening factors such as patient demographics, clinical health issues, and rurality. Analyzes 2016-2019 commercial claims data in Texas to observe low, medium, and high diabetes care cost trends. Discusses significant factors that impact different cost trajectories among Type 2 diabetes patients.
Author(s): Gang Han, Matthew Scott Spencer, SangNam Ahn, et al.
Citation: BMC Health Services Research, 23, 1116
Date: 10/2023
Type: Document
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The Equity of Economic Opportunity in Rural America
Offers an overview of employment trends in rural America. Highlights the impact of technology and historical policy decisions on equity. Includes information for rural and urban comparisons as well as race and ethnicity, population movement, and broadband infrastructure data. Discusses policy solutions for improving equity in and for rural places.
Date: 10/2023
Type: Document
Sponsoring organization: Center on Rural Innovation
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Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis
Examines sustainability of National Diabetes Prevention Programs (DPPs) since they began in 2010. Analyzes 440 surveys taken in 2021 by staff members at National DPP delivery organizations to better understand issues such as environmental support, funding stability, partnerships, organizational capacity, program evaluation and adaptation, communications, and strategic planning. Includes sustainability scores of DPPs in rural, suburban, and urban locations.
Author(s): Lillian Madrigal, Regine Haardörfer, Michelle C. Kegler, et al.
Citation: Preventing Chronic Disease, 20
Date: 10/2023
Type: Document
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Three USDA Rural Broadband Programs: Areas and Populations Served
Evaluation of funded and unfunded grants and loans for 3 U.S. Department of Agriculture rural broadband programs between 2009 and 2021. Determines geographic and population distribution trends and characteristics of successfully funded projects.
Author(s): John Pender, Joshua Goldstein, Devika Mahoney-Nair, Hanna Charankevich
Date: 10/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Strategies for Supervising People with Mental Illnesses on Probation Caseloads: Results from a Nationwide Study
Examines how probation agencies screen mental health, determine supervision strategies based on characteristics of the caseload, and supervise their probation cases when the individual has a mental illness. Analyzes survey data related to probation caseloads from 179 respondents, each representing a unique U.S. county, with comparisons between rural and urban counties.
Author(s): Tonya B. Van Deinse, Mariah Cowell Mercier, Allison K. Waters, et al.
Citation: Health & Justice, 11, 41
Date: 10/2023
Type: Document
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