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Rural Health
Resources by Topic: Statistics and data

Intergenerational Continuity in Adverse Childhood Experiences and Rural Community Environments
Reports on a study of two-parent families with children in rural Iowa to determine the effect of community environment on intergenerational continuity in adverse childhood experiences (ACEs). Measures of community environment including socioeconomic status, social cohesion, perception of community services, and alcohol vendor density were correlated with ACEs to analyze their significance in helping families break the cycle and reduce or prevent childhood adversity.
Author(s): Thomas J. Schofield, M. Brent Donnellan, Melissa T. Merrick, et al.
Citation: American Journal of Public Health, 108(9), 1148–1152
Date: 09/2018
Type: Document
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Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis: Final Report
Identifies and describes secondary data sources that can be used in research and evaluations related to the opioid crisis. Discusses common approaches used to link or merge data sources. Describes research needs and challenges related to studying the opioid crisis.
Author(s): Rosanna Smart, Courtney Ann Kase, Amanda Meyer, Bradley D. Stein
Date: 09/2018
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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National Food Affordability: A County-Level Analysis
Explores sociodemographic factors contributing to food affordability, with emphasis on differences between rural and urban areas. Features statistics on select food-related characteristics of U.S. counties, with breakdowns by rural or urban location and by Appalachian or Delta counties and other counties.
Author(s): Anne Cafer, Georgianna Mann, Sujith Ramachandran, Michelle Kaiser
Citation: Preventing Chronic Disease, 15
Date: 09/2018
Type: Document
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Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors
Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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America's Eating Habits: Food Away From Home
Examines how eating out and the availability of food options affect U.S. diets. Addresses rural/urban differences, socioeconomic factors, and relevant federal programs. Covers school lunch programs, quick-service restaurants, and full-service restaurants, including maps showing restaurant availability and growth by county.
Author(s): Michelle J. Saksena, Abigail M. Okrent, Tobenna D. Anekwe, et al.
Date: 09/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Any Use and Frequent Use of Opioids among Non-elderly Adults in 2015-2016, by Socioeconomic Characteristics
Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status, race, and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Changing Dynamics of the Drug Overdose Epidemic in the United States from 1979 Through 2016
Features a study on the changes in overdose mortality across the U.S. between 1979-2016. Aims to shed light on the current opioid crisis by placing it within a broader data set incorporating all illicit drug overdose deaths in a longer time frame. Details the specific changes in drug overdose mortality in rural areas.
Author(s): Hawre Jalal, Jeanine M. Buchanich, Mark S. Roberts, et al.
Citation: Science, 361(6408)
Date: 09/2018
Type: Document
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2017 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, affordability, healthy living, and effective treatment.
Date: 09/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion. Provides county-level data, information on health insurance coverage for children, and maps in the additional links.
Additional links: Full Report, Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Press Release, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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