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Rural Health
Resources by Topic: Rural-urban differences

Rural-Urban Differences in PACE Organization and Enrollee Characteristics
Compares differences between rural and urban Programs of All-Inclusive Care for the Elderly (PACE) and their enrollees. Presents data on enrollment, eligibility, length of time in PACE, age, and sex.
Author(s): Carrie Henning-Smith, Mariana Tuttle, Ingrid Jacobson, Madeleine Pick, Julia Interrante
Date: 01/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Disparities in Allergy and Asthma Prevalence among Schoolteachers
Examines prevalence of allergic and respiratory symptoms among 398 schoolteachers in Massachusetts. Includes comparisons between teachers in rural, suburban, and urban schools for health behaviors and factors associated with adverse breathing symptoms, including headache, sleep apnea, food allergy, nighttime awakening, sore throat, and more.
Author(s): Hana B. Ruran, Briana L. Mallouh, Lisa M. Bartnikas, Wanda Phipatanakul, Abhinav Kaushik
Citation: The Journal of Allergy and Clinical Immunology, 155(1), 223-227
Date: 01/2025
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Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
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What Cancers Explain the Growing Rural-Urban Gap in Human Papillomavirus-Associated Cancer Incidence?
Presents a study comparing rates of Human-Papillomavirus (HPV) related cancers in rural and urban populations. Breaks down data by sex and rurality and tracks rates in 5 year increments from 2000 to 2019.
Author(s): Jason Semprini, Whitney Zahnd, Heather M. Brandt
Citation: Journal of Rural Health, 41(1), e12915
Date: 01/2025
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Medicare Advantage Enrollment Update 2024
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Author(s): Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults
Examines social risks associated with nonadherence to US Preventive Services Task Force cancer screening guidelines, utilizing 2022 Behavioral Risk Factor Surveillance System data. See Table 2 for demographic data breakdowns on prevalence and risk ratios of screening nonadherence by type of test, including rural-urban dwelling.
Author(s): Ami E. Sedani, Scarlett L. Gomez, Wayne R. Lawrence, et al.
Citation: JAMA Network Open, 8(1), e2449556
Date: 01/2025
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A Comparison of Rural and Urban Differences in Geographic Proximity to Outpatient Stroke Rehabilitation Services in Tennessee
Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
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Health Differences Between Rural and Non-Rural Texas Counties Based on 2023 County Health Rankings
Examines rural versus nonrural counties in Texas by health outcomes and factors. Utilizes 2023 County Health Rankings data to explore county-level health disparities and includes maps showing health insurance, poverty, length and quality of life, socioeconomic factors, physical environment, health behavior, and clinical care ratings by county.
Author(s): Elizabeth Ekren, Shadi Maleki, Cristian Curran, Cassidy Watkins, Melinda M. Villagran
Citation: BMC Health Services Research, 25, 2
Date: 01/2025
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Proximity to Cancer Rehabilitation and Exercise Oncology by Geography, Race, and Socioeconomic Status
Examines the proximity to cancer rehabilitation and exercise oncology (CR/EO) programs and the health impacts of access. Utilizes 2020 American Community Survey (ACS) and Centers for Disease Control and Prevention (CDC) data to analyze 2,133 CR/EO programs, with breakdowns according to CR/EO distance, density, rural versus urban location, race/ethnicity, social deprivation index, U.S. region, and cancer incidence and mortality. Includes U.S. maps showing location of CR/EO programs and areas with or without proximity to programs.
Author(s): Kathryn H. Schmitz, Kathryn Demanelis, Mary E. Crisafio, et al.
Citation: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(1)
Date: 01/2025
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Annual Disability Statistics Compendium 2025

Presents statistics on Americans with disabilities across key social and economic indicators derived from American Community Survey (ACS) data, including employment, educational attainment, health and healthcare, and more. Section 10 presents data on people with disabilities in rural areas, and compares the prevalence of disability, demographic characteristics, employment status, income, and insurance coverage status across metropolitan, micropolitan, and noncore areas.


Additional links: Annual Report on People with Disabilities in America 2025
Date: 2025
Sponsoring organizations: Center for Research on Disability, Institute on Disability, University of New Hampshire, National Institute on Disability, Independent Living, and Rehabilitation Research
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