Rural Health Disparities – Resources

A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities
Examines the cultural tailoring strategies used in behavioral health trials among racial and ethnic minorities, rural populations, people with low socioeconomic status, individuals with disabilities, people with low health literacy, and lesbian, gay, bisexual, and transgender (LGBT) communities to improve quality of healthcare and reduce health disparities.
Author(s): Marisa Torres-Ruiz, Kaitlynn Robinson-Ector, Dionna Attinson, et al.
Citation: International Journal of Environmental Research and Public Health, 15(9), 1859
Date: 09/2018
Type: Document
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The Rise of the Current Mortality Pattern of the United States, 1890–1930
Uses nationwide data to examine patterns and rural/urban differences in mortality from 1890-1930, with a focus on the 1918 influenza pandemic and the shift in leading causes of death from infectious disease to degenerative disease. Includes death rates per 100,000 people, with data broken down by rurality and disease type, including infectious disease, influenza, influenza and pneumonia, and degenerative disease.
Author(s): Hiroshi Maeda
Citation: American Journal of Epidemiology, 187(4), 639-646
Date: 04/2018
Type: Document
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Achieving Rural Health Equity and Well-Being: Proceedings of a Workshop
Proceedings of a workshop designed to explore impacts of economic issues, immigration, and racial inequities in healthcare in rural communities and to learn about asset-based approaches to addressing these challenges. Features statistics including average life expectancy at birth from 1969-2009 with breakdowns by metropolitan and nonmetropolitan areas, U.S. maps showing levels of poverty and employment, and a chart showing numbers of rural hospital closures from 2005-2017.
Additional links: Read Online
Date: 03/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015
Examines rural-urban chronic obstructive pulmonary disease (COPD) disparities. Compares age-adjusted COPD prevalence, Medicare hospitalizations for COPD, and mortality for rural, micropolitan, and metropolitan residents. Also includes state-level data on the percentage rural residents and age-adjusted estimates of selected COPD measures.
Author(s): Janet B. Croft, Anne G. Wheaton, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(7), 205-211
Date: 02/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Differences Between Rural and Urban Areas in Mortality Rates for the Leading Causes of Infant Death: United States, 2013–2015
Examines mortality rates for the five leading causes of infant, neonatal, and postneonatal death for rural, small and medium urban, and large urban counties, based on location of the mother's residence. Causes examined are congenital malformations, low birthweight, sudden infant death syndrome, maternal complications, and unintentional injuries.
Additional links: Questions for the Author, NCHStats blog
Author(s): Danielle M. Ely, Donna L. Hoyert
Date: 02/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Exploring Strategies to Improve Health and Equity in Rural Communities
Identifies the strengths and assets of rural communities, key partners, change agents, and opportunities to leverage assets to improve rural health and equity through a national forum of over 400 national and regional cross-sector stakeholders. Findings were organized into 4 categories: individual assets, organizational assets, community assets, and cultural assets. Includes discussion on challenges and opportunities for action for each asset category.
Additional links: Leveraging Culture and History to Improve Health and Equity in Rural Communities, Recommendations for Philanthropies and Government Agencies to Improve Health and Equity in Rural Communities, Supporting Change Agents Across Sectors to Improve Health and Equity in Rural Communities
Author(s): Michael Meit
Date: 02/2018
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Assessment of Dietary Patterns, Physical Activity and Obesity from a National Survey: Rural-Urban Health Disparities in Older Adults
Examines the association between rural-urban status, physical activity, consumption of fruits and vegetables, and obesity prevalence in older adults by analyzing data derived from respondents aged 65 and above from the 2012 Behavioral Risk Factor Surveillance System (BRFSS).
Author(s): Steven A. Cohen, Mary L. Greaney, Natalie J. Sabik
Citation: PLoS One, 13(12)
Date: 2018
Type: Document
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Mortality Rates Have Increased for Working-age Rural Adults Since 2000
Line chart showing the change in mortality rates for nonmetropolitan and metropolitan residents, comparing 3-year averages for 1999-2001 and 2013-2015. Data is presented by age group.
Date: 12/2017
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015
Reports on racial/ethnic health disparities among rural residents. Includes data by race/ethnicity for health-related quality of life, healthcare access and use, chronic health conditions, and health-related behaviors. Based on data from the 2012–2015 Behavioral Risk Factor Surveillance System.
Author(s): Cara V. James, Ramal Moonesinghe, Shondelle M. Wilson-Frederick, et al.
Citation: MMWR Surveillance Summaries, 66(23), 1-9
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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QuickStats: Infant Mortality Rate, by Urbanization Level — National Vital Statistics System, United States, 2007 and 2015
Bar chart comparing infant mortality rates in rural counties, small and medium urban counties, and large urban counties in 2007 and 2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(41), 1122
Date: 10/2017
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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