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Rural Health
Resources by Topic: Rural-urban differences

Assessing the Impact of Medicaid Telehealth Policy Change on Equitable Access to Telehealth Services in North Carolina
Describes the evolution of North Carolina's Medicaid telehealth coverage and reimbursement policies in response to the COVID-19 pandemic. Discusses the impact of these policies on access to care. Compares data on telehealth claims by volume and as a percentage of total claims by race and rural-urban residence between March 2020 and December 2022.
Author(s): Shannon Dowler, Sam Thompson, Michelle Savuto, Jacqueline Marks-Smith, Jared Augenstein
Date: 09/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Public Transit Stop Density Is Associated With Walking for Exercise Among a National Sample of Older Adults
Examines the relationship between density of neighborhood public transit stops and walking for exercise among older adults. Analyzes 2018 neighborhood data and self-reported exercise along with sociodemographic characteristics, economic status, and disability status. Includes discussion about built environment and metro versus nonmetro comparisons.
Author(s): Erica Twardzik, Jason R. Falvey, Philippa J. Clarke, Vicki A. Freedman, Jennifer A. Schrack
Citation: BMC Geriatrics, 23, 596
Date: 09/2023
Type: Document
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Evaluation of Technology Modernization for SNAP Benefit Redemption Through Online Transactions: Final Evaluation Report
Examines operations of the online purchasing pilot (OPP) that allowed Supplemental Nutrition Assistance Program (SNAP) retailers to redeem benefits online. Analyzes data from the pilot launch in April 2019 and through the COVID-19 pandemic, with a focus on online purchasing differences between urban and rural populations, frequency of use, and delivery options of participants.
Additional links: Summary
Author(s): Michele Mendelson, Ayesha Enver, Shannon Hitchcock, et al.
Date: 09/2023
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Long COVID in Adults: United States, 2022
Provides 2022 National Health Interview Survey data on adults with long COVID according to sex, age, race/ethnicity, family income, and large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan location.
Author(s): Dzifa Adjaye-Gbewonyo, Anjel Vahratian, Cria G. Perrine, Jeanne Bertolli
Date: 09/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Guideline-Discordant Inhaler Regimens after COPD Hospitalization: Associations with Rurality, Drive Time to Care, and Fragmented Care – a United States Cohort Study
Examines the factors related to guideline-discordant inhaler regimens following chronic obstructive pulmonary disease (COPD) hospitalization. Analyzes 33,785 patient inhaler prescriptions between 2017-2020 according to rurality, drive time to pulmonary specialty care, and fragmented care.
Author(s): Arianne K. Baldomero, Ken M. Kunisaki, Chris H. Wendt, et al.
Citation: The Lancet Regional Health - Americas, 26
Date: 09/2023
Type: Document
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Report on Indicators of School Crime and Safety: 2022
Presents information on issues such as crime, safety, use of illegal substances, and bullying in schools utilizing multiple national datasets. Includes statistics on school shootings, non-fatal violent crime, school reports on crime and discipline problems, and more. Provides statistics on percentage of schools offering mental health services as well as prevalence of bullying broken down by city, suburban, town, and rural.
Author(s): Véronique Irwin, Ke Wang, Jiashan Cui, Alexandra Thompson
Date: 09/2023
Type: Document
Sponsoring organization: National Center for Education Statistics
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Assessing the Association Between Food Environment and Dietary Inflammation by Community Type: A Cross-Sectional REGARDS Study
Analyzes the correlation between community type and food environments. Examines 2003-2007 data from 20,322 individuals according to higher density urban, lower density urban, suburban/small town, and rural. Discusses the association between community type and their respective dietary inflammation score (DIS) as well as potential interventions for these locations.
Author(s): Yasemin Algur, Pasquale E. Rummo, Tara P. McAlexander, et al.
Citation: International Journal of Health Geographics, 22, 24
Date: 09/2023
Type: Document
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Medicare Switching: Patterns Of Enrollment Growth In Medicare Advantage, 2006–22
Analyzes enrollment in Medicare Advantage (MA) and traditional Medicare between 2006 and 2022 to identify trends in switching services. Discusses characteristics of those who switched including sex, race and ethnicity, age, rurality, and more.
Author(s): Lanlan Xu, W. Pete Welch, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Citation: Health Affairs, 42(9)
Date: 09/2023
Type: Document
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Indexed Age-Adjusted Mortality Rates by Geography for Oklahomans Age 25 to 64 (2016-2020)
Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Type: Chart/Graph
Sponsoring organization: Oklahoma State University Center for Rural Health
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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