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Rural Health
Resources by Topic: Rural-urban differences

The Relationship Between the Population Experiencing Homelessness and Living in Shelters and Poverty
Presents as paper exploring the U.S. Census data related to poverty for the housed and unhoused population. Discusses how these groups compare to one another. Breaks down data by rural, urban, and national rates.
Author(s): Brian Glassman
Date: 07/2025
Sponsoring organization: U.S. Census Bureau
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Appalachian Diseases of Despair: Final Report
Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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2024 Forces of Change Survey
Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
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Midwesterners' Beliefs about Genetic Testing: Variability Across Ethnic Groups and Metro Vs. Nonmetro Residents
Examines perceptions about genetic testing among Midwesterners. Provides metro versus nonmetro types of and reasons for genetic testing. Includes demographic breakdowns about beliefs surrounding genetic testing confidentiality and ethics.
Author(s): Adee Athiyaman
Date: 07/2025
Sponsoring organization: Illinois Institute for Rural Affairs
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Illinoisans' Perceptions about Physicians' Pay
Examines perceptions of health worker pay and payments to healthcare businesses in metro versus nonmetro Illinois populations.
Author(s): Adee Athiyaman
Date: 07/2025
Sponsoring organization: Illinois Institute for Rural Affairs
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Obstetric Care Access Declined in Rural and Urban Hospitals Across US States, 2010–22
Examines the number and proportion of hospitals located in rural and urban counties in each state that lost hospital-based obstetric services between 2010 and 2022. Describes the proportion of hospitals without obstetric services for any reason by 2022.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Citation: Health Affairs, 44(7), 806-811
Date: 07/2025
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Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Palliative Care Specialist Use Among Medicare Decedents Who Had Poor-Prognosis Cancers
Examines demographic variation in specialty palliative care (PC) use, utilizing data of all Medicare fee-for-service beneficiaries who died from poor-prognosis cancers between 2018 and 2023. See Figure 3 for data on associations between rural or urban populations, among other factors, and PC use.
Author(s): Isaac S. Chua, Haiden A. Huskamp, Ateev Mehrotra, Andrew D. Wilcock
Citation: JAMA Network Open, 8(7), e2522886
Date: 07/2025
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Financial Performance of Rural and Urban Nursing Homes: A Comparative Analysis
Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
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Caregiving in the US 2025
A national profile of family caregivers, describing demographics, living situations, wellness, and more as well as caregiving related policies. Discusses rural throughout.
Additional links: Executive Summary, Full Report, Infographic
Date: 07/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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