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Rural Health
Resources by Topic: Rural-urban differences

Kansas Infant Mortality and Stillbirth Report, 2023
Reports on infant mortality rates and the number of deaths across Kansas. Includes data and statistics, with information broken down by county and rural/urban classification.
Date: 03/2025
Sponsoring organization: Kansas Department of Health and Environment
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Vulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies
Discusses the importance of improving pharmacy access in rural and low-income areas. Utilizes data from the National Council for Prescription Drug Programs (NCPDP) dataQ to examine travel time to nearest pharmacy according to urbanicity. Defines a pharmacy vulnerability index according to this measure and reports on residents in the the contiguous U.S. living in or at risk of living in a pharmacy desert, with comparisons for small rural, large rural, suburban, and urban.
Author(s): Walter S. Mathis, Lucas A. Berenbrok, Peter A. Kahn, et al.
Citation: JAMA Network Open, 8(3)
Date: 03/2025
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Non-Health Care Costs Associated with Neonatal Intensive Care Unit Visitation
Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Lung Cancer Disparities in Rural, Persistent Poverty Counties: A Secondary Data Analysis
Examines lung cancer incidence and mortality according to county-level smoking rates, rurality, and poverty. Analyzes county types, such as urban and non-persistent poverty, urban and persistent poverty, rural and non-persistent poverty, and rural and persistent poverty as correlated with lung cancer disparities.
Author(s): Veronica Bernacchi, Kelly Hirko, Eric Adjei Boakye, et al.
Citation: BMC Public Health, 25, 878
Date: 03/2025
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Improving HPV Vaccine Coverage in Tennessee: Addressing Barriers and Expanding Access for Mid-Adults
Examines barriers to achieving optimal human papillomavirus (HPV) vaccination uptake in the rural South. Analyzes HPV vaccination rates in Tennessee according to insurance status and rural versus urban location. Discusses cancer prevention and interventions to improve education, awareness, access, and vaccination uptake among rural and uninsured populations.
Author(s): Donald J. Alcendor, Patricia Matthews-Juarez, Mohammad Tabatabai, et al.
Citation: Pathogens, 14(4), 311
Date: 03/2025
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Time to Work Together: Our Roles in Keeping and Attracting Residents
Provides data, information, and Minnesota maps related to migration patterns, county-level demographics and recreation categories, population changes, and more, with breakdowns according to entirely rural, town/rural mix, and urban/town/rural mix.
Author(s): Kelly Asche
Date: 03/2025
Sponsoring organization: Center for Rural Policy and Development
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Legal-Involved Veterans Are Less Likely to Receive Guideline-Concordant Colorectal Cancer Screening
Examines rates of screening for colorectal cancer (CRC) for veterans who are legal-involved. Provides Veterans Health Administration (VHA) electronic health record data on CRC for veterans who are and who are not legal-involved, with further breakdowns by demographic variables, such as rurality.
Author(s): Kenneth J. Nieser, Alex H. S. Harris, Ingrid A. Binswanger, Sean C. Clark, Andrea K. Finlay
Citation: BMC Health Services Research, 25, 333
Date: 03/2025
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Beliefs of US Chiefs of Police about Substance Use Disorder, Fentanyl Exposure, Overdose Response, and Use of Discretion: Results from a National Survey
Examines police chief perceptions regarding substance use. Focuses on issues such as discretion when making arrests, overdose response, risks of fentanyl exposure, de-escalation practices, harmful drugs in their communities, and buprenorphine obtained via illicit means. Analyzes survey data from 276 police chiefs regarding their knowledge and attitudes on addiction and policing, with breakdowns according to their region, urbanicity, and experience.
Author(s): Amelia Bailey, Barbara Andraka-Christou, Saba Rouhani, et al.
Citation: Health & Justice, 13, 13
Date: 03/2025
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Rural–Urban Differences in Substance Use During Pregnancy
Examines perinatal substance use in rural and urban populations. Utilizes 2015-2019 National Survey on Drug Use and Health (NSDUH) data to analyze 3,499 pregnant women according to rural, small urban, and large urban location, as well as by demographic variables, health status, and type of substance use.
Author(s): Emma Kathryn Boswell, Olivia M. Hinds, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 41(2)
Date: 03/2025
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