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Rural Health
Resources by Topic: White

The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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County-Level Racial Disparities in Prostate Cancer–Specific Mortality from 2005 to 2020
Examines Black-White differences in prostate cancer mortality from 2005 to 2020, utilizing Area Health Resource File (AHRF) and Surveillance, Epidemiology, and End Results (SEER) data. Compares county-level factors associated with change over time, including level of rurality.
Author(s): Samuel L Washington III, Mary Fakunle, Lufan Wang, et al.
Citation: JNCI Cancer Spectrum, 8(6), pkae109
Date: 11/2024
Type: Document
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Disparities in Infectious Disease-Related Health Care Utilization Between Medicaid-Enrolled American Indians and Non-Hispanic Whites—Lessons from the First 16 months of Coronavirus Disease 2019 and a Decade of Flu Seasons
Analyzes mortality and healthcare utilization disparities between American Indian and Alaskan Native (AIAN) and non-Hispanic White populations related to influenza-like-illness (ILI) and coronavirus disease 2019 (COVID-19). Utilizes 2009-2021 New York Medicaid claims data, comparing pre-COVID-19 data to 4 time periods during the COVID-19 pandemic. Includes data breakdowns according to respiratory illness type, health outcomes, race/ethnicity, and rural versus nonrural county.
Author(s): Scarlett Sijia Wang, Randall Akee, Emilia Simeonova, Sherry Glied
Citation: Health Services Research
Date: 10/2024
Type: Document
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Trends in Pancreatic Cancer Mortality in the United States 1999–2020: A CDC Database Population-Based Study
Examines trends in pancreatic cancer mortality by age, sex, race, level of rurality, and geographic region. Utilizes 1999-2020 CDC WONDER data. Compares mortality over time among rural, suburban, and urban populations, with additional data on Black rural, Black urban, White rural, and White urban populations.
Author(s): Alexander J. Didier, Swamroop Nandwani, Alan M. Fahoury, et al.
Citation: Cancer Causes & Control, 2024
Date: 08/2024
Type: Document
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
Type: Document
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The Ecology of Economic Distress and Life Expectancy
Examines the relationship between life expectancy (LE) and county-level indicators such as race, rural status, and economic prosperity. Examines 2000-2019 data for LE, with rural, suburban, and metro comparisons across racial and economic groups, with economic distress calculated according to unemployment, housing, poverty, education, and other social indicators.
Author(s): William Brinson Weeks, Ji E. Chang, José A. Pagán, et al.
Citation: International Journal of Public Health, 69
Date: 07/2024
Type: Document
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Mortality Disparities Among Arrestees by Race, Sentencing Disposition, and Place
Analyzes mortality disparities among justice-involved individuals in South Dakota. Examines the mortality rates of 182,472 unique arrestees from 2000-2016 according to race, sentence category, cause of death, and location, broken down by urban, rural non-Indian country, and rural Indian country.
Author(s): George Zuo, Beau Kilmer, Nancy Nicosia
Citation: JAMA Health Forum, 5(7)
Date: 07/2024
Type: Document
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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Illinois County Cancer Statistics Review Incidence, 2017-2021
Provides cancer incidence rates from 2017-2021 for individual counties in Illinois, utilizing data from the Illinois Department of Public Health and Illinois State Cancer Registry. Includes data and statistics broken down by sex, race, ethnicity, and cancer site.
Author(s): Stephen Roy, Kyle Garner, Lori Koch, Jane Fornoff
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Department of Public Health
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