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548 Results Found

  • Article
  • Open Access
10 Citations
3,037 Views
15 Pages

Rural–Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study

  • Ambrish A. Pandit,
  • Nilesh N. Patil,
  • Mostafa Mostafa,
  • Mohamed Kamel,
  • Michael T. Halpern and
  • Chenghui Li

23 March 2023

Background: We sought to evaluate rural–urban disparities in patient care experiences (PCEs) among localized prostate cancer (PCa) survivors at intermediate-to-high risk of disease progression. Methods: Using 2007–2015 Surveillance Epidem...

  • Article
  • Open Access
23 Citations
5,630 Views
14 Pages

Continuous Rural-Urban Coding for Cancer Disparity Studies: Is It Appropriate for Statistical Analysis?

  • Lusine Yaghjyan,
  • Christopher R. Cogle,
  • Guangran Deng,
  • Jue Yang,
  • Pauline Jackson,
  • Nancy Hardt,
  • Jaclyn Hall and
  • Liang Mao

Background: The dichotomization or categorization of rural-urban codes, as nominal variables, is a prevailing paradigm in cancer disparity studies. The paradigm represents continuous rural-urban transition as discrete groups, which results in a loss...

  • Article
  • Open Access
2 Citations
1,550 Views
8 Pages

Disparities in HIV Care: A Rural–Urban Analysis of Healthcare Access and Treatment Adherence in Georgia

  • Donrie J. Purcell,
  • Maisha Standifer,
  • Evan Martin,
  • Monica Rivera and
  • Jammie Hopkins

Background: This study examines disparities in HIV-related healthcare access, support, and treatment adherence between rural and urban Black/African American populations in Georgia, USA, emphasizing structural, socioeconomic, and stigma-related barri...

  • Article
  • Open Access
1,077 Views
22 Pages

20 June 2025

Enhancing human well-being is a core priority of the Sustainable Development Goals. Understanding urban–rural well-being disparities is crucial for bridging gaps and improving social harmony. However, most existing studies focus on either urban...

  • Article
  • Open Access
9 Citations
4,973 Views
23 Pages

How Does Digital Infrastructure Mitigate Urban–Rural Disparities?

  • Xinyi Duanmu,
  • Jintong Yu,
  • Xiaoyan Yuan and
  • Xuecheng Zhang

13 February 2025

The development of digital infrastructure plays a crucial role in addressing regional disparities, especially in bridging urban–rural gaps. This paper evaluates the impact of the “Broadband China Strategy” (BCS), which exogenously a...

  • Article
  • Open Access
36 Citations
6,223 Views
12 Pages

Background: China is becoming an aging society, and the proportion of the population aged 60 years and above is increasing. There is a dualistic urban–rural economic structure between urban and rural areas in China, but there are few comparative heal...

  • Article
  • Open Access
1 Citations
1,242 Views
14 Pages

Objective: To examine trends in perinatal smoking across rural and urban areas and investigate whether structural and intermediary health factors explain rural-urban disparities. Methods: This cross-sectional study used data from the Pregnancy Risk A...

  • Article
  • Open Access
8 Citations
3,505 Views
14 Pages

26 February 2023

There exist significant gaps in nutritional status between urban and rural populations in China. The previous literature has shown that more knowledge and usage of nutrition labels are instrumental in improving diet quality and health. The aim of the...

  • Article
  • Open Access
2 Citations
2,614 Views
12 Pages

Urban–Rural Disparities in Case Fatality of Community-Acquired Sepsis in Germany: A Retrospective Cohort Study

  • Claudia T. Matthaeus-Kraemer,
  • Norman Rose,
  • Melissa Spoden,
  • Mathias W. Pletz,
  • Konrad Reinhart and
  • Carolin Fleischmann-Struzek

Background: We aimed to examine urban–rural disparities in sepsis case fatality rates among patients with community-acquired sepsis in Germany. Methods: Retrospective cohort study using de-identified data of the nationwide statutory health insu...

  • Article
  • Open Access
2 Citations
3,316 Views
20 Pages

25 July 2023

In the current context of aging and urbanization, the rapid increase in the prevalences of disabilities (PoDs) has become an important consideration in healthy urban planning. Previous studies have focused on the spatial prevalence of total disabilit...

  • Article
  • Open Access
3,059 Views
23 Pages

24 August 2020

Housing wealth among urban residents has been a hotspot issue, but there is a dearth of literature focusing on rural housing wealth. Using housing registration data in Shanghai, this study examines the status and accumulation of rural housing wealth...

  • Article
  • Open Access
11 Citations
4,517 Views
19 Pages

Residential energy consumption (REC) has become increasingly important in constructing an energy-saving and environment-friendly society in China. The main purpose of this study is to provide a more in-depth analysis of the determinants of REC from a...

  • Article
  • Open Access
7 Citations
2,791 Views
16 Pages

Urban and Rural Disparities in a WeChat-Based Smoking Cessation Intervention among Chinese Smokers

  • Ting Luo,
  • Mirandy Li,
  • Donna Williams,
  • Jackson Fritz,
  • Stephen Phillippi,
  • Qingzhao Yu,
  • Stephen Kantrow,
  • Liwei Chen,
  • Yongchun Chen and
  • Tung-Sung Tseng
  • + 1 author

Introduction: Tobacco use, which is directly responsible for 10% of total deaths per year globally, remains consistently high, with approximately 20% of the population reporting regular consumption globally. Moreover, health disparities regarding tob...

  • Article
  • Open Access
17 Citations
7,754 Views
17 Pages

This study investigates the influence of the household registration system on rural–urban disparity in healthcare access (including healthcare quality, blood pressure check, blood test, vision test, dental examination, and breast exam), using data fr...

  • Article
  • Open Access
1 Citations
1,871 Views
14 Pages

10 December 2024

Climate change, driven by greenhouse gas (GHG) emissions, poses a critical global challenge, with household energy use as a significant contributor. In the Republic of Moldova, stark urban–rural disparities in fuel consumption and emissions nec...

  • Article
  • Open Access
3 Citations
2,148 Views
10 Pages

Rural–Urban differences in Use of Rhythm Control Therapies in Patients with Incident Atrial Fibrillation: A Finnish Nationwide Cohort Study

  • Konsta Teppo,
  • Jussi Jaakkola,
  • Fausto Biancari,
  • Olli Halminen,
  • Miika Linna,
  • Jari Haukka,
  • Jukka Putaala,
  • Pirjo Mustonen,
  • Janne Kinnunen and
  • Mika Lehto
  • + 5 authors

Background: Rural–urban disparities have been reported in the access, utilization, and quality of healthcare. We aimed to assess whether use of antiarrhythmic therapies (AATs) in patients with atrial fibrillation (AF) differs between those with...

  • Article
  • Open Access
16 Citations
4,388 Views
16 Pages

Rural-urban disparity in China attracts special international attention in view of the imbalance of economic development between rural and urban areas. However, few studies used patient level data to explore the disparity of health outcomes between r...

  • Article
  • Open Access
26 Citations
4,189 Views
12 Pages

4 June 2021

The nutrition status of children is gaining more attention with a rapid nutrition transition. This study aimed to investigate trends and urban-rural differences in dietary energy and macronutrient composition among Chinese children. A total of 7565 p...

  • Article
  • Open Access
14 Citations
4,514 Views
27 Pages

10 September 2024

This study explores the environmental behavior disparities between urban and rural residents in China due to socioeconomic status differences amidst social governance and institutional reform. Using OLS regression models on the 2021 China General Soc...

  • Article
  • Open Access
22 Citations
3,902 Views
16 Pages

Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China

  • Dan Li,
  • Zhongliang Zhou,
  • Chi Shen,
  • Jian Zhang,
  • Wei Yang and
  • Rashed Nawaz

Background: China’s older rural-to-urban migrant workers (age 50 and above) are growing old, but comparative health research on older rural-to-urban migrants in China is still in its infancy. The aim is to explore the health status of older rur...

  • Article
  • Open Access
47 Citations
6,858 Views
11 Pages

6 September 2016

China is an urban and rural social model country. In the past three decades, the developing speed of rural areas has been much slower than urban areas, which may lead to the differences in dietary patterns. This study aimed to investigate the dispari...

  • Brief Report
  • Open Access
831 Views
7 Pages

1 September 2025

Background: Intrahepatic cholangiocarcinoma (ICC) is an aggressive malignancy with very poor survival. Prior research suggests rural–urban disparities on a regional scale. We aimed to elucidate these disparities in treatment and disease-specifi...

  • Review
  • Open Access
1,002 Views
23 Pages

6 November 2025

Early childhood education (ECE) fundamentally shapes children’s developmental trajectories, significantly influencing lifelong cognitive, socio-emotional, and physical outcomes. Despite considerable policy efforts aimed at enhancing educational...

  • Review
  • Open Access
1 Citations
2,885 Views
14 Pages

14 August 2025

Background: The COVID-19 pandemic magnified long-standing health disparities in the United States, particularly among rural, disadvantaged populations. These communities experience greater barriers to healthcare access, a higher prevalence of chronic...

  • Article
  • Open Access
22 Citations
4,422 Views
16 Pages

15 February 2020

Financial development is one of the main sources of economic growth, whether financial deepening can lower the income inequality between urban and rural areas has been the focus of policy makers and researchers. Using data from 31 provinces in China,...

  • Article
  • Open Access
5 Citations
3,539 Views
11 Pages

Urban–Rural Disparity in Socioeconomic Status, Green Space and Cerebrovascular Disease Mortality

  • Wen-Yu Lin,
  • Ping-Yi Lin,
  • Chih-Da Wu,
  • Wen-Miin Liang and
  • Hsien-Wen Kuo

With rapid urbanization in Taiwan, the green space has become a key factor in modifiable cardiovascular disease (CVD) risks. We investigated the relationships between socioeconomic status (SES), green space, and cerebrovascular disease (CBD) at the t...

  • Article
  • Open Access
7 Citations
3,424 Views
12 Pages

Research on the Impact of Sustainable Urbanization on Urban Rural Income Disparity in China

  • Xiejun Cheng,
  • Min Zhang,
  • Jiayi Xu,
  • Jingrong Xu and
  • Decai Tang

16 March 2023

There is a large gap between China’s urban and rural income. The urban rural income disparity (URID) is particularly prominent. This paper deeply studies the interaction between sustainable urbanization (SU) and the URID in China by taking the...

  • Article
  • Open Access
1,865 Views
14 Pages

Nutritional Status and Quality of Life: Urban–Rural Disparities and the Impact of Obesity

  • Ane Caroline Casaes,
  • Camilla Almeida Menezes,
  • Ronald Alves dos Santos,
  • Bruna Oliveira Lopes Souza,
  • Brenda Rodrigues Brito Cunha Silva,
  • Yuri Tabajara,
  • Michael Nascimento Macedo,
  • Kelvin Edson Marques de Jesus,
  • Thainá Rodrigues de Souza Fialho and
  • Ricardo Riccio Oliveira
  • + 3 authors

The shift in dietary habits has reshaped the population’s health profile, leading to a rise in overweight individuals and a subsequent decline in health-related quality of life (HRQoL). This study evaluated the correlations between demographic,...

  • Article
  • Open Access
17 Citations
3,870 Views
20 Pages

Rural–Urban Disparities in Realized Spatial Access to General Practitioners, Orthopedic Surgeons, and Physiotherapists among People with Osteoarthritis in Alberta, Canada

  • Xiaoxiao Liu,
  • Judy E. Seidel,
  • Terrence McDonald,
  • Alka B. Patel,
  • Nigel Waters,
  • Stefania Bertazzon,
  • Rizwan Shahid and
  • Deborah A. Marshall

Rural Canadians have high health care needs due to high prevalence of osteoarthritis (OA) but lack access to care. Examining realized access to three types of providers (general practitioners (GPs), orthopedic surgeons (Ortho), and physiotherapists (...

  • Feature Paper
  • Review
  • Open Access
41 Citations
9,054 Views
11 Pages

Pediatric Traumatic Brain Injury in the United States: Rural-Urban Disparities and Considerations

  • John K. Yue,
  • Pavan S. Upadhyayula,
  • Lauro N. Avalos and
  • Tene A. Cage

28 February 2020

Introduction: Traumatic brain injury (TBI) remains a primary cause of pediatric morbidity. The improved characterization of healthcare disparities for pediatric TBI in United States (U.S.) rural communities is needed to advance care. Methods: The Pub...

  • Article
  • Open Access
21 Citations
6,182 Views
14 Pages

15 November 2023

This study aims to investigate the influence of digital financial inclusion on China’s urban–rural income disparity. A comparative analysis on income differences between western and eastern regions in China was conducted in this paper. Th...

  • Article
  • Open Access
837 Views
26 Pages

7 November 2025

After the powerful socioeconomic shock of the fall of the communist regime in the early 90s, the ten countries in Central and Eastern Europe (CEE) analyzed in this study became growing Member States of the European Union (EU). However, they faced the...

  • Article
  • Open Access
21 Citations
4,750 Views
14 Pages

Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural–urban disparity. Secondary analyses of Tanzania Demographic a...

  • Article
  • Open Access
17 Citations
3,726 Views
12 Pages

18 September 2020

Although a disparity has been noted in the prevalence and outcome of chronic disease between rural and urban areas, studies about diabetes-related complications are lacking. The purpose of this study was to examine the association between urbanizatio...

  • Article
  • Open Access
8 Citations
3,001 Views
12 Pages

Disparities in Breast Cancer Mortality Rates in Israel among Urban and Rural Women

  • Ronit Pinchas-Mizrachi,
  • Judith Jacobson Liptz,
  • Beth G. Zalcman and
  • Anat Romem

Breast cancer is a leading cause of death. There are a number of risk factors for breast cancer mortality including parity, age, ethnicity, genetic history, and place of residence. This study examined the disparities in breast cancer-related mortalit...

  • Article
  • Open Access
7 Citations
5,739 Views
10 Pages

Urban–Rural Disparities in Food Insecurity and Weight Status among Children in the United States

  • Jayna M. Dave,
  • Tzuan A. Chen,
  • Alexandra N. Castro,
  • Mamie A. White,
  • Elizabeth A. Onugha,
  • Sloane Zimmerman and
  • Debbe Thompson

4 July 2024

Place of residence (urban versus rural) is a contextual determinant of health that has received less attention in the food insecurity literature. The purpose of this study was to assess the urban–rural disparity in the prevalence of food insecu...

  • Article
  • Open Access
746 Views
18 Pages

14 July 2025

The future of marine sustainability depends on public understanding and trust in the policy recommendations that emerge from scientific research. For common pool marine resource decisions made by the people who depend on these resources for their foo...

  • Article
  • Open Access
4 Citations
1,720 Views
19 Pages

4 June 2025

Exploring the spatiotemporal evolution of urban and rural settlements in African countries could provide critical insights into the patterns of urbanization, regional disparities, and sustainable development in the context of rapid socio-economic and...

  • Article
  • Open Access
11 Citations
3,264 Views
10 Pages

Objectives: Exploring determinants underlying disparities in full vaccination coverage (FVC) can contribute to improved immunization interventions. FVC and its risk factors in Zhejiang province have been studied, yet the determinants explaining the r...

  • Article
  • Open Access
1 Citations
2,325 Views
10 Pages

Access to Care and Healthcare Quality Metrics for Patients with Advanced Genitourinary Cancers in Urban versus Rural Areas

  • Haoran Li,
  • Kamal Kant Sahu,
  • Shruti Adidam Kumar,
  • Nishita Tripathi,
  • Nicolas Sayegh,
  • Blake Nordblad,
  • Beverly Chigarira,
  • Sumati Gupta,
  • Benjamin L. Maughan and
  • Umang Swami
  • + 1 author

27 October 2023

Compared to the urban population, patients in rural areas face healthcare disparities and experience inferior healthcare-related outcomes. To compare the healthcare quality metrics and outcomes between patients with advanced genitourinary cancers fro...

  • Article
  • Open Access
12 Citations
5,560 Views
16 Pages

Hysterectomy, the driving force for symptomatic uterine fibroids since 1895, has decreased over the years, but it is still the number one choice for many women. Since 1995, uterine artery embolization (UAE) has been proven by many researchers to be a...

  • Article
  • Open Access
1 Citations
801 Views
22 Pages

Geospatial Analysis of Emergency Healthcare Accessibility: Bridging Urban–Rural Disparities in Romania

  • Cristian Cazacu,
  • Liliana Dumitrache,
  • Alina Mareci,
  • Alexandra Cioclu and
  • Angelo-Andi Petre

25 November 2025

Romania faces significant disparities in access to emergency healthcare. This study employs a national geospatial analysis and network-based GIS modelling to assess current spatial accessibility to emergency care services and to develop a scenario-ba...

  • Brief Report
  • Open Access
2 Citations
1,604 Views
9 Pages

Background: Adherence to iron supplementation is influenced by systemic barriers, including poor healthcare infrastructure, shortage of healthcare providers, and limited access to antenatal care (ANC) services. These challenges are more pronounced in...

  • Article
  • Open Access
20 Citations
5,095 Views
17 Pages

The disparity of rural and urban hospital utilization has aroused much concern. With the improvement of their living standards, patients in rural areas have an emerging need for traveling across borders for better medical treatment in China. This pap...

  • Article
  • Open Access
2 Citations
1,185 Views
21 Pages

28 August 2025

Objective: Although information technology’s impact on social inequality has attracted widespread attention, existing research remains divided on whether technology generates “digital dividends” or exacerbates the “digital div...

  • Article
  • Open Access
9 Citations
3,566 Views
20 Pages

9 September 2023

Our paper aims to analyze the tendencies of population dynamics in the area of the Romanian Carpathians, as well as the factors and spatial processes that can explain the disparities, discontinuities and tensions of demographic evolution. Starting fr...

  • Systematic Review
  • Open Access
348 Views
17 Pages

Cardiovascular Disease Burden in Rural Central Asia: A Systematic Review of Epidemiological Trends and Mortality Patterns

  • Akerke Kassymkhan,
  • Alma-Gul Ryskulova,
  • Zhanara Buribayeva,
  • Bakytgul Nurmukhambetova,
  • Kenzhebek Bizhanov,
  • Daria Nabok,
  • Nargiza Nassyrova,
  • Magripa Bapayeva and
  • Erkin Mirrakhimov

Background/Objectives: Cardiovascular diseases (CVDs) remain a leading cause of mortality worldwide, with a particularly high burden in Central Asian countries. Despite ongoing urbanization, rural populations constitute a significant demographic in t...

  • Article
  • Open Access
22 Citations
4,245 Views
18 Pages

How to effectively reduce the disparity between urban and rural medical healthcare has become a major global concern. In China, the government has issued a series of reform measures to address the gap between urban and rural medical care. To explore...

  • Article
  • Open Access
11 Citations
3,887 Views
13 Pages

(1) The objective of this socio-epidemiologic cross-sectional study was to investigate caries burdens in Ghanaian children aged 3 to 13 years. The main focus was the analysis of urban–rural disparities and associating socio-demographic and beha...

  • Article
  • Open Access
21 Citations
3,265 Views
22 Pages

8 July 2022

Household consumption has become an important field of carbon dioxide emissions. Urban–rural disparity in the household carbon emissions (HCEs) of residents and their influencing factors are relevant to HCE reduction. Taking Fujian as the study...

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