Rural Health
Resources by Type: Document
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Prenatal Vitamin D Levels and Postpartum Hemorrhage in a Rural Alaska Cohort
Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025
Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Bridging the Gap: A Scoping Review of Family Caregiver Roles in Rural Health Settings
Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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A Scoping Review of Certified Nurse-Midwife and Certified Midwife Care in the United States: Assessing Outcomes Across Six Patient Care Domains
Provides a scoping review focused on certified nurse-midwife (CNM) and certified midwife (CM) care and quality measures. Discusses 66 studies focused on safety, effectiveness, patient satisfaction, and more, with 4 studies focused on rural populations.
Author(s): Emma Virginia Clark, Robyn Schafer, Rachel Lane Walden, et al.
Citation: The Milbank Quarterly: A Multidisciplinary Journal of Population and Health Policy, 104(1), 220-291
Date: 03/2026
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Provides a scoping review focused on certified nurse-midwife (CNM) and certified midwife (CM) care and quality measures. Discusses 66 studies focused on safety, effectiveness, patient satisfaction, and more, with 4 studies focused on rural populations.
Author(s): Emma Virginia Clark, Robyn Schafer, Rachel Lane Walden, et al.
Citation: The Milbank Quarterly: A Multidisciplinary Journal of Population and Health Policy, 104(1), 220-291
Date: 03/2026
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Rural Health Transformation Program: State Focus on Maternal and Child Health
Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha Hasan, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha Hasan, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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