Rural Health
Resources by Topic: State-by-state data
Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation
Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Potentially Excess Deaths from the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Growth and Distribution of Child Psychiatrists in the United States: 2007-2016
Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6), e20191576
Date: 11/2019
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Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6), e20191576
Date: 11/2019
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America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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The Older Population in Rural America: 2012-2016
Describes the rural older population, those 65 years and older, compared to urban older adults. Includes rural-urban data on population size for the nation, by region, and by state. Also covers demographic, social, and economic characteristics, age distribution, and sex ratio by age. Some data is available by level of rurality for mostly urban, mostly rural, and completely rural counties.
Author(s): Amy Symens Smith, Edward Trevelyan
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Describes the rural older population, those 65 years and older, compared to urban older adults. Includes rural-urban data on population size for the nation, by region, and by state. Also covers demographic, social, and economic characteristics, age distribution, and sex ratio by age. Some data is available by level of rurality for mostly urban, mostly rural, and completely rural counties.
Author(s): Amy Symens Smith, Edward Trevelyan
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Household Food Security in the United States in 2018
Reports on household food security, food expenditures, and the use of federal food and nutrition assistance programs in 2018. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Report Summary, Statistical Supplement
Author(s): Alisha Coleman-Jensen, Matthew P. Rabbitt, Christian A. Gregory, Anita Singh
Date: 09/2019
Sponsoring organization: USDA Economic Research Service
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Reports on household food security, food expenditures, and the use of federal food and nutrition assistance programs in 2018. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Report Summary, Statistical Supplement
Author(s): Alisha Coleman-Jensen, Matthew P. Rabbitt, Christian A. Gregory, Anita Singh
Date: 09/2019
Sponsoring organization: USDA Economic Research Service
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Sponsoring organization: Pew Charitable Trusts
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Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Sponsoring organization: Pew Charitable Trusts
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State-by-State Health Insurance Coverage among Women of Reproductive Age in 2017
Presents an interactive map with corresponding reports for each state highlighting the rates of insurance coverage for women of reproductive age. Breaks down data by age, race, marital status, metro and nonmetro, and compares state rates to U.S. rates. Offers national estimates and explanation of methodology in the National Update and Methods Appendix.
Additional links: National Update and Methods Appendix
Date: 07/2019
Sponsoring organization: Urban Institute
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Presents an interactive map with corresponding reports for each state highlighting the rates of insurance coverage for women of reproductive age. Breaks down data by age, race, marital status, metro and nonmetro, and compares state rates to U.S. rates. Offers national estimates and explanation of methodology in the National Update and Methods Appendix.
Additional links: National Update and Methods Appendix
Date: 07/2019
Sponsoring organization: Urban Institute
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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