Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Trends and Predictors of Glycemic Control Among Adults With Type 2 Diabetes Covered by Alabama Medicaid, 2011–2019
Analyzes trends and predictors related to achieving optimum targets for glycemic control in adults with type 2 diabetes. Analyzes 2011-2019 Medicaid data from 18,560 patients living in Alabama according to sex, race/ethnicity, reason for Medicaid eligibility, ambulatory/acute care use, comorbidities, and urban, small town, or rural residence.
Author(s): Caroline A. Presley, Yulia Khodneva, Lucia D. Juarez, et al.
Citation: Preventing Chronic Disease, 20
Date: 09/2023
Type: Document
view details
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
view details
Income in the United States: 2022
Reports on income levels for 2021 and 2022, along with the percent change from 2021 to 2022. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Date: 09/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
view details
Poverty in the United States: 2022
Reports on poverty rates for 2021 and 2022, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Date: 09/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
view details
Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
Type: Document
view details
An Empirical Analysis of Financial Hardship Associated with Alzheimer's Disease and Related Dementia: Metro and Nonmetro Patients
Examines financial hardships among those with Alzheimer's Disease and Related Dementia (ADRD). Utilizes National Health and Aging Trends Study data to present ADRD financial hardship according to metro versus nonmetro location, race, and age.
Author(s): Adee Athiyaman
Date: 09/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
view details
Medicare Advantage Enrollment, Plan Availability and Premiums in Rural Areas
Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Author(s): Jeannie Fuglesten Biniek, Gabrielle Clerveau, Anthony Damico, Tricia Neuman
Date: 09/2023
Type: Document
Sponsoring organization: KFF
view details
Biological Differences between Late 19th and Early 20th Century Urban and Rural Residence
Examines biological differences in people related to historical U.S. urbanization trends by comparing residents in rural and urban locations. Analyzes demographic differences of rural and urban communities in the 19th and 20th centuries as well as the relationship of urbanization to height, weight, race, region, ancestry, and age.
Author(s): Scott Alan Carson
Citation: Journal of Biosocial Science, 55(5), 812-852
Date: 09/2023
Type: Document
view details
Racial Disparities in Obesity‐Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020
Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Citation: Journal of the American Heart Association, 12(18)
Date: 09/2023
Type: Document
view details
Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019
Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
view details