Rural Health
Resources by Topic: Rural-urban differences
Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Tobacco Treatment Billing and Tobacco Use Disorder Diagnosis in Healthcare Settings in the United States: An Analysis of South Carolina Medicaid Claims
Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Evaluating Teaching Health Center Planning and Development: Unlocking and Sustaining the Full Potential of the Teaching Health Center Program
Describes Teaching Health Center Planning and Development (THCPD) program outcomes and training sites and compares characteristics of teaching health center (THC) counties to other eligible counties. Features statistics with breakdowns by urban or rural location and counties designated as part or whole Health Professional Shortage Areas for primary care, mental health, and dental health.
Author(s): Emily M. Hawes, Mukesh Adhikari, Jacob Rains, et al.
Citation: Journal of Graduate Medical Education, 17(3), 296-303
Date: 06/2025
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Describes Teaching Health Center Planning and Development (THCPD) program outcomes and training sites and compares characteristics of teaching health center (THC) counties to other eligible counties. Features statistics with breakdowns by urban or rural location and counties designated as part or whole Health Professional Shortage Areas for primary care, mental health, and dental health.
Author(s): Emily M. Hawes, Mukesh Adhikari, Jacob Rains, et al.
Citation: Journal of Graduate Medical Education, 17(3), 296-303
Date: 06/2025
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Firearm Safe Storage Practices among Firearm Owners in Rural and Urban Households
Analyzes associations between rural or urban living and likelihood of storing firearms loaded versus unloaded and locked versus unlocked, utilizing 2021-2023 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Yi-Fang Lu, Victor A. Soupene
Citation: Injury Epidemiology, 12, 33
Date: 06/2025
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Analyzes associations between rural or urban living and likelihood of storing firearms loaded versus unloaded and locked versus unlocked, utilizing 2021-2023 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Yi-Fang Lu, Victor A. Soupene
Citation: Injury Epidemiology, 12, 33
Date: 06/2025
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An Exploratory Study to Understand How Rurality Status and Demographic Characteristics Are Associated With Enrollment, Engagement, and Retention in a Digital Health Intervention Targeting the Appalachian Region
Explores how rural status is associated with enrollment, retention, and engagement in a digital health intervention aimed at reducing sugar-sweetened beverages in Appalachia. Breaks down data by rurality, sex, income, and education, among other measures.
Author(s): Donna‐Jean P. Brock, Lee M. Ritterband, Wen You, et al.
Citation: Journal of Rural Health, 41(2), e70042
Date: 06/2025
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Explores how rural status is associated with enrollment, retention, and engagement in a digital health intervention aimed at reducing sugar-sweetened beverages in Appalachia. Breaks down data by rurality, sex, income, and education, among other measures.
Author(s): Donna‐Jean P. Brock, Lee M. Ritterband, Wen You, et al.
Citation: Journal of Rural Health, 41(2), e70042
Date: 06/2025
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Evolution of the US Nonmetropolitan Mortality Disadvantage by Sex, State, and Year, 1999–2019
Highlights rural and urban disparities in mortality by sex and state from 1999 to 2019. Breaks down data by year, sex, and Census division, among other measures.
Author(s): Eugenio Paglino, Irma T. Elo, Samuel H. Preston, et al.
Citation: Journal of Rural Health, 41(2), e70040
Date: 06/2025
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Highlights rural and urban disparities in mortality by sex and state from 1999 to 2019. Breaks down data by year, sex, and Census division, among other measures.
Author(s): Eugenio Paglino, Irma T. Elo, Samuel H. Preston, et al.
Citation: Journal of Rural Health, 41(2), e70040
Date: 06/2025
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Geographic Disparities in Unpaid Caregiving
Presents a study examining the differences in the perceived health and well-being of unpaid caregivers between rural and urban areas. Breaks down data by caregiver demographic characteristics, such as age, sex, and employment status, among others.
Author(s): Emma Kathryn Boswell, Monique J. Brown, Lorie Donelle, et al.
Citation: Journal of Rural Health, 41(2), e70039
Date: 06/2025
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Presents a study examining the differences in the perceived health and well-being of unpaid caregivers between rural and urban areas. Breaks down data by caregiver demographic characteristics, such as age, sex, and employment status, among others.
Author(s): Emma Kathryn Boswell, Monique J. Brown, Lorie Donelle, et al.
Citation: Journal of Rural Health, 41(2), e70039
Date: 06/2025
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Key Facts About Medicare Beneficiaries in Rural Areas
Presents information and data about rural Medicare beneficiaries, including demographic and health characteristics, access to healthcare, and satisfaction with care. Compares data on beneficiaries living in urban areas, rural areas adjacent to an urban area, and rural areas not adjacent to an urban area.
Author(s): Nancy Ochieng, Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 06/2025
Sponsoring organization: KFF
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Presents information and data about rural Medicare beneficiaries, including demographic and health characteristics, access to healthcare, and satisfaction with care. Compares data on beneficiaries living in urban areas, rural areas adjacent to an urban area, and rural areas not adjacent to an urban area.
Author(s): Nancy Ochieng, Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 06/2025
Sponsoring organization: KFF
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5 Key Facts About Medicaid Coverage for People Living in Rural Areas
Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Affordable Care Act Enrollment in Texas after Rating Area Adjustments
Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s): Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation: The American Journal of Managed Care, 31(6), e147-e152
Date: 06/2025
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Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s): Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation: The American Journal of Managed Care, 31(6), e147-e152
Date: 06/2025
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