Rural Health Disparities – Resources
Selected recent or important resources focusing on Rural Health Disparities.
Community-Level Factors and their Associations with Changing Opioid Overdose Fatality Rates in Kentucky, 2019–2021
Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Provision of Stroke Care Services by Community Disadvantage Status in the US, 2009-2022
Results of a study of 5,055 hospitals, examining the association of community socioeconomic disadvantage with likelihood of nearby hospitals adopting stroke center certification from 2009-2022. Features statistics including hospital characteristics during the study period, with breakdown by rural location.
Author(s): Renee Y. Hsia, Nandita Sarkar, Yu-Chu Shen
Citation: JAMA Network Open, 7(7), e2421010
Date: 07/2024
Type: Document
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Results of a study of 5,055 hospitals, examining the association of community socioeconomic disadvantage with likelihood of nearby hospitals adopting stroke center certification from 2009-2022. Features statistics including hospital characteristics during the study period, with breakdown by rural location.
Author(s): Renee Y. Hsia, Nandita Sarkar, Yu-Chu Shen
Citation: JAMA Network Open, 7(7), e2421010
Date: 07/2024
Type: Document
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Traffic Safety Facts, 2022 Data: Rural/Urban Traffic Fatalities
Reports 2022 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2022.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Reports 2022 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, roadway departure and intersection, age group, speeding, alcohol use, seat belt use, and rollover crashes. Includes statistics on ratio of rural to urban fatality rates per 100 million vehicle miles traveled, by state, as of 2022.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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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
Date: 07/2024
Type: Document
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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
Date: 07/2024
Type: Document
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Patterns and Trends in Melanoma Mortality in the United States, 1999–2020
Analyzes melanoma mortality utilizing 1999-2020 data from Centers for Disease Control Wide Ranging Online Data for Epidemiologic Research (CDC WONDER). Provides mortality trends broken down by sex, race/ethnicity, age, state, and rural, suburban, or urban location.
Author(s): Alexander J. Didier, Swamroop V. Nandwani, Dean Watkins, et al.
Citation: BMC Cancer, 24, 790
Date: 07/2024
Type: Document
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Analyzes melanoma mortality utilizing 1999-2020 data from Centers for Disease Control Wide Ranging Online Data for Epidemiologic Research (CDC WONDER). Provides mortality trends broken down by sex, race/ethnicity, age, state, and rural, suburban, or urban location.
Author(s): Alexander J. Didier, Swamroop V. Nandwani, Dean Watkins, et al.
Citation: BMC Cancer, 24, 790
Date: 07/2024
Type: Document
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Talking about Health Disparities in Rural Contexts
Examines the concepts of health equity and health disparities in rural public health contexts. Discusses communication strategies to increase understanding and support for efforts to address health inequities in rural areas.
Author(s): Theresa L. Miller, Julie Sweetland, Luis Hestres, et al.
Date: 06/2024
Type: Document
Sponsoring organizations: FrameWorks Institute, National Network of Public Health Institutes
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Examines the concepts of health equity and health disparities in rural public health contexts. Discusses communication strategies to increase understanding and support for efforts to address health inequities in rural areas.
Author(s): Theresa L. Miller, Julie Sweetland, Luis Hestres, et al.
Date: 06/2024
Type: Document
Sponsoring organizations: FrameWorks Institute, National Network of Public Health Institutes
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Excess Deaths Associated With COVID-19 by Rurality and Demographic Factors in the United States
Details a study on the patterns of excess death associated with COVID-19 by rural and urban location and other demographic factors using CDC WONDER data from March 2020 to February 2023. Breaks down percent of excess deaths by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore counties.
Author(s): Katherine A. Ahrens, Lauren M. Rossen, Carly Milkowski, et al.
Citation: Journal of Rural Health, 40(3), 491-499
Date: 06/2024
Type: Document
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Details a study on the patterns of excess death associated with COVID-19 by rural and urban location and other demographic factors using CDC WONDER data from March 2020 to February 2023. Breaks down percent of excess deaths by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore counties.
Author(s): Katherine A. Ahrens, Lauren M. Rossen, Carly Milkowski, et al.
Citation: Journal of Rural Health, 40(3), 491-499
Date: 06/2024
Type: Document
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Neighborhood Deprivation and Breast Cancer Mortality Among Black and White Women
Compares the association of breast cancer mortality with neighborhood deprivation among Black and White women in Georgia who were diagnosed with breast cancer between 2010 and 2017. Measures deprivation via the Neighborhood Deprivation Index (NDI), utilizing 2011-2015 American Community Survey (ACS) data. Provides additional data breakdowns by level of rurality, neighborhood racial composition, and neighborhood residential mobility.
Author(s): Lauren E. Barber, Maret L. Maliniak, Leah Moubadder, et al.
Citation: JAMA Network Open, 7(6), e2416499
Date: 06/2024
Type: Document
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Compares the association of breast cancer mortality with neighborhood deprivation among Black and White women in Georgia who were diagnosed with breast cancer between 2010 and 2017. Measures deprivation via the Neighborhood Deprivation Index (NDI), utilizing 2011-2015 American Community Survey (ACS) data. Provides additional data breakdowns by level of rurality, neighborhood racial composition, and neighborhood residential mobility.
Author(s): Lauren E. Barber, Maret L. Maliniak, Leah Moubadder, et al.
Citation: JAMA Network Open, 7(6), e2416499
Date: 06/2024
Type: Document
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Health Care Access Barriers Among Metropolitan and Nonmetropolitan Populations of Eight Geographically Diverse States, 2018
Reports on healthcare access and demographic differences in metro and nonmetro populations. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to observe differences in noncore, micropolitan, and metropolitan sociodemographics and access barriers such as insurance, cost, non-financial delays in care, and more.
Author(s): Whitney E. Zahnd, Peiyin Hung, Elizabeth L. Crouch, Radhika Ranganathan, Jan M. Eberth
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Reports on healthcare access and demographic differences in metro and nonmetro populations. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to observe differences in noncore, micropolitan, and metropolitan sociodemographics and access barriers such as insurance, cost, non-financial delays in care, and more.
Author(s): Whitney E. Zahnd, Peiyin Hung, Elizabeth L. Crouch, Radhika Ranganathan, Jan M. Eberth
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Appalachia
- Delta Region
- Health disparities
- Rural-urban differences
- The South
- U.S.-Mexico Border Region
Last Updated: 9/9/2024