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Rural Health
Resources by Topic: Rural-urban differences

Hunger Among Adults Age 50-59 in 2021: An Annual Report
Reports on the extent, distribution, and trends of food insecurity among U.S. residents ages 50-59. Features state-level estimates and data breakdowns on food insecurity by income, race/ethnicity, metropolitan versus nonmetropolitan location, gender, and more.
Author(s): Craig Gundersen, James Ziliak
Date: 04/2023
Type: Document
Sponsoring organization: Feeding America
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The State of Senior Hunger in America in 2021: An Annual Report
Discusses food insecurity rates among Americans age 60 or older. Includes demographics and characteristics of seniors lacking sufficient access to food, and provides trends and state-level information on food insecurity. Features data breakdowns by metropolitan and nonmetropolitan settings.
Author(s): James Ziliak, Craig Gundersen
Date: 04/2023
Type: Document
Sponsoring organization: Feeding America
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
Type: Document
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
Type: Document
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A Match Made in Rural: Interpreting Match Rates and Exploring Best Practices
Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
Type: Document
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
Type: Document
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Analysis of Hospital Operating Margins and Provision of Safety Net Services
Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, neighborhood disadvantage, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
Type: Document
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Adults Living in Families Experiencing Food Insecurity in the Past 30 Days: United States, 2021
Examines characteristics of adults 18 and older living in families experiencing food insecurity. Includes data for those living in metropolitan and nonmetro areas.
Author(s): Julie D. Weeks, Laryssa Mykyta, Jennifer H. Madans
Date: 04/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, rural-urban commuting area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
Type: Document
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Engaging Primary Care in Value-Based Payment: New Findings from the 2022 Commonwealth Fund Survey of Primary Care Physicians
Describes the results of the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians regarding fee-for-service and value-based payment models. Highlights trends between smaller, rural practices and larger, urban ones and discusses implications on quality of care.
Author(s): Celli Horstman, Corinne Lewis
Date: 04/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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