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Rural Health
Resources by Topic: Rural-urban differences

Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Inpatient Care Experiences Are Better in Critical Access Hospitals than in Other Hospitals
Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Traffic Safety Facts, 2023 Data: Alcohol-Impaired Driving
National data on traffic crashes involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Passenger Vehicles
National data on traffic crashes involving passenger vehicles. Features statistics from 2020-2023 with breakdowns by vehicle type, time of day, fatalities, state, and rural or urban locations.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Older Population
National data on traffic crashes involving drivers age 65 and older. Features statistics from 2014-2023 with breakdowns by sex, age group, blood alcohol concentrations, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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National Highway Traffic Safety Administration Quick Facts 2023
Provides statistics on motor vehicle crashes in 2021-2023, with breakdowns including fatalities, injuries, vehicle type, alcohol-impaired-driving, seat belt use, children, older population, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Compared With Urban Counties, Rural Counties Had a Lower Share of Working-Age Populations and a Higher Share of Residents Older Than 60 in 2023
Chart showing percentages of working-age populations and share of residents older than 60 in 2023, with breakdowns by urban and rural areas.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Rural Dependency Ratios Higher Than Urban Ratios in 2023, Indicating a Greater Need in Rural Areas for Caregiving for Children and Older Adults
Bar graph showing dependency ratios comparing the number of youth or older people for every 100 working-age people in 2023. Features breakdowns by 5 levels of population density.
Author(s): Richelle L. Winkler
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories in 2024
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in 2024. Includes data for rural versus urban roads, among other measures. Compares 2023 fatality data to 2024 rates by month for a number of indicators, including rural areas.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Public Transit Supports for Food Access: 2021 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS HEAL)
Examines public transit availability and planning, presence of demand responsive transportation (DRT), and DRT services to food retail destinations in 1,956 municipalities. Provides data on demographic disparities in public transit access and planning, including rural-urban disparities. Discusses health impacts of access to healthy food and the importance of planning for adequate public transit.
Author(s): Brianna L. Smarsh, Young Shin Park, Seung Hee Lee, Diane M. Harris, Heidi M. Blanck
Citation: Preventing Chronic Disease, 22, 240458
Date: 05/2025
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