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Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Health Impacts of Gambling in Illinois
Examines the relationship of health status and gambling behaviors in Illinois residents. Includes data on types of gambling, losses in income due to gambling, demographics of gambling, and metro versus nometro comparisons on gambling behaviors and health status.
Author(s): Adee Athiyaman
Date: 06/2025
Sponsoring organization: Illinois Institute for Rural Affairs
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Traffic Safety Facts, 2023 Data: Rural/Urban Traffic Fatalities
Reports 2023 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2023.
Date: 06/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Pedestrians
National data on fatal and nonfatal traffic crashes involving pedestrians. Features statistics from 2014-2023 with breakdowns by sex, age group, blood alcohol concentrations of drivers and pedestrians, state, and rural or urban location.
Date: 06/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Speeding
Contains information on speeding-related and non-speeding-related fatal and non-fatal motor vehicle traffic crashes. Features statistics on rates of injury and death, sex and age group of speeding drivers, previous 5-year driving records of speeding drivers, alcohol involvement, time of day and weekday or weekend, roadway surface condition, and roadway function class, with breakdowns including interstate rural and non-interstate rural.
Date: 06/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Worker Displacement in Appalachia: Using Detailed Industry and Firm Data to Link the Displaced Worker Supplement to Appalachia
Examines worker displacement and its impact in the Appalachian region of the United States. Includes a literature review as well as demographic, employment, and county-level characteristics and experiences of displaced workers. Provides comparisons of metro versus nonmetro areas and discusses health and well-being impacts of displacement.
Author(s): Erin Kenney, Teresa M. Lynch
Date: 06/2025
Sponsoring organization: Appalachian Regional Commission
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The Appalachian Region: A Data Overview from the 2019-2023 American Community Survey Chartbook
State- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 06/2025
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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2023 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2023. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2023 and 2025 payment adjustments, and payment adjustment trends from 2021 through 2023.
Date: 06/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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The Impact of High Hospital Fixed-Cost Ratios on Rural Populations
Explores how rurality relates to hospital cost structures as categorized by Urban Influence Codes (UICs). Describes the characteristics of hospitals at different fixed-to-total-cost ratio levels, the demographics associated with hospitals at different ratio levels, and the share of nonmetropolitan hospitals that have Critical Access Hospital (CAH) or Low-Volume Hospital (LVH) designations. Discusses how findings could be used to refine hospital payment policies.
Author(s): Abigail Barker, Eliot Jost, Timothy McBride, Keith Mueller
Date: 06/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural-Suburban-Urban Differences in Caregiving in the Northeast U.S. Region
Analyzes characteristics of caregiving experiences in the Northeast according to rural, suburban, or urban geography. Focuses on percentage of people who have provided caregiving, as well as their income, weekly care expenses, use of social safety net programs, desire to participate in the workforce, and demographic profile.
Author(s): Elena Pojman, Florence Becot
Date: 06/2025
Sponsoring organizations: North Central Regional Center for Rural Development, Northeast Regional Center for Rural Development, PennState
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Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, July-December 2024
Provides data on households that rely on wireless telephones rather than landlines. Includes data on the percent of adults who live in wireless-only households and have their own wireless telephone, as well as data on phoneless adults. Provides data for nonmetropolitan compared to metropolitan areas. Discusses the need for surveys to include adequate representation of wireless-only households and households with landlines.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 06/2025
Sponsoring organization: National Center for Health Statistics
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