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Rural Americans more likely to live with chronic pain

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feeds.texastribune.org – By Carlos Nogueras Ramos – 2025-06-23 05:00:00


A University of Texas at Arlington study reveals rural Americans are more prone to chronic pain than urban residents, worsened by limited healthcare access, age, and economic factors. Over a third of rural participants reported increased or chronic pain, compared to fewer urban cases. Around 3 million Texans live in rural areas, where healthcare shortages and physical labor in farming or oil fields contribute to pain prevalence. The study, based on responses from about 10,400 individuals aged 18 to 65+, found pain often intensified over one year in rural populations, with less recovery than urban areas. Researchers caution about opioid risks linked to untreated pain.

Rural Americans more likely to live with chronic pain than urban peers, UT-Arlington study finds” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

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ODESSA — Rural Americans are likelier to develop chronic pain than their urban counterparts, a grim trend exacerbated by limited access to health care, age and economic status.

A study conducted by the University of Texas at Arlington, released last week, found that more than a third of people in rural areas experience increased pain or are nearing a chronic pain diagnosis. Residents in urban areas, meanwhile, aren’t as vulnerable to persistent, years-long pain and are likelier to experience no pain at all.

The peer-reviewed study was published in the Journal of Rural Health.

About 3 million Texans live in the state’s 200 rural counties. More people call rural Texas home than states such as Kansas, Mississippi and New Mexico.

As many as 100,000 rural Texans don’t have a primary care doctor, according to Texas 2036, an Austin-based think tank. Having a primary care doctor can help people identify chronic issues when they arise and make treatment options available.

“Due to health care shortages, limited access, and lower quality services, pain coping and management may be insufficient and less effective in rural areas, exacerbating the burden of pain,” the study’s authors wrote.

John Henderson, president and CEO of the Texas Organization of Rural and Community Hospitals, representing 157 hospitals in the state, was not surprised at the report’s conclusions.

Henderson said rural Texans often work physically demanding jobs where they are more prone to developing ailments, such as farming, ranching and oil field work. And in those areas, access to a healthcare facility or a primary care provider is limited. He said the distance to a hospital can take at least an hour, a drive many won’t make.

“If you’ve got to travel an hour to get the care you need in some of these poor, marginalized communities, they just don’t have a way to do that,” Henderson said.

The study relied on about 10,400 respondents, which the Centers for Disease Control and Prevention gathered in 2019. The respondents were asked to describe different thresholds of pain, from none at all to severe chronic pain. In 2020, the respondents were asked about how their pain progressed. The study sampled individuals from the age of 18 to those older than 65.

The 2025 findings exclude anyone who died, had missing contact information on the original study, was living under the care of a facility, or used someone else to communicate. Researchers used federal definitions of urban and rural, dividing them into four groups: from large metropolitan areas with more than a million residents to rural communities in towns with fewer than 5,000.

Chronic pain lasts at least three months, said Feinuo Sun, an assistant professor of kinesiology and the report’s lead author. Oftentimes, Sun said, it is associated with another disease, or a symptom of it. The study looks at chronic pain as a standalone and self-reported condition.

Between 2019 and 2020, most rural Americans’ pain either worsened or became chronic. More than a third of Americans aged 18-44 experienced an increase in pain. Nearly half of those in the 45 and older age group said the same. Men’s health in southern U.S. states between the ages of 45-64 had deteriorated the most, according to the study. Less than a third of Americans over 45 in rural areas recovered.

Urban residents reported a less pronounced progression of pain, while more of them recovered. People in rural areas “fare worse over one year compared to those in urban areas,” the report found.

The study’s methods were limited, the authors said. For instance, they relied on the pain the respondents reported without accounting for underlying causes, specific locations, or the duration of the pain. The authors also said the transition to severe pain could have been underestimated. The study did not sample as many racial and ethnic minorities, researchers added, noting that this made the findings for those groups less reliable.

Sun said the developing trend of pain in rural America results in people seeking prescribed opioids, or pain-relieving medications, which could lead to addiction and, at worst, death.

“Pain is consequential,” she said.

Disclosure: Texas 2036 and University of Texas – Arlington have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.


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TribFest 2025 is presented by JPMorganChase.

This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/06/23/rural-america-texas-chronic-pain-ut-arlington/.

The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.

The post Rural Americans more likely to live with chronic pain appeared first on feeds.texastribune.org



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

This article presents a factual, data-driven report on chronic pain disparities between rural and urban Texans without adopting an ideological stance. It relies on scientific studies, expert commentary, and reputable sources, emphasizing healthcare access challenges without attributing blame or pushing a policy agenda. The language remains neutral, focusing on describing conditions and statistics rather than promoting particular political viewpoints or solutions. While it touches on socioeconomic and healthcare issues that can be politicized, the coverage itself maintains a balanced tone, consistent with centrist, objective journalism.

News from the South - Texas News Feed

Texas directs universities to ID undocumented students

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feeds.texastribune.org – By Sneha Dey – 2025-06-23 17:46:00


Texas is requiring public colleges to identify undocumented students so they can be charged out-of-state tuition, following a recent court ruling that struck down the Texas Dream Act. The ruling means these students lose eligibility for in-state tuition. However, schools face challenges because students don’t have to disclose immigration status when applying, and institutions lack clear guidance on identification processes. Privacy laws protect student data from federal immigration authorities, complicating enforcement. Advocates warn this leaves many students uncertain about paying higher tuition or continuing their education, as schools scramble to comply without clear procedures.

Texas directs public universities to identify undocumented students” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs Texans — and engages with them — about public policy, politics, government and statewide issues.

Sign up for The Brief, The Texas Tribune’s daily newsletter that keeps readers up to speed on the most essential Texas news.


Texas is asking public colleges and universities to identify which of their students are living in the country illegally so they can start paying out-of-state tuition, as required by a court ruling earlier this month.

In a letter to college presidents last week, Texas Higher Education Coordinating Board Commissioner Wynn Rosser said undocumented students who have been paying in-state tuition will need to see tuition adjustments for the fall semester. A spokesperson for the agency said it has no plans to provide further guidance on how schools can go about identifying undocumented students.

“The real lack of legal clarity just leaves institutions again having to come up with their own process,” said Kasey Corpus, the southern policy and advocacy manager of Young Invincibles, a group that advocates for policies that benefit young adults in the state.

Undocumented students who have been living in Texas for some time lost their eligibility for in-state tuition soon after the U.S. Department of Justice sued the state over the Texas Dream Act, a 2001 state law that allowed those students to qualify for the lower tuition rates at public universities. The state quickly asked the court to side with the feds and find that the law was unconstitutional. U.S. District Judge Reed O’Connor did just that, blocking the law.

It’s unclear if any Texas university already knows which of its students are undocumented. Students do not have to provide proof of citizenship or disclose their Social Security number to apply for college. And colleges rarely track the citizenship status of students who are not here on a visa, said Melanie Gottlieb, the executive director of the American Association of Collegiate Registrars and Admissions Officers.

“There is not a simple way for an institution to determine if a person is undocumented,” said Gottlieb. “It’s a challenging question.”

The Texas Tribune asked several schools in the state earlier this month whether they collect this information. The University of Houston System said its applicants do not have to share their immigration status. Other schools — including Texas A&M University, Lone Star College, the University of Texas at Dallas and UT-Rio Grande Valley — did not respond to the question. Some said they were still trying to understand the ruling and what it means for their students.

The state already maintains some higher education databases that likely include undocumented students attending Texas schools. The Texas Dream Act required students who are not U.S. citizens or permanent residents applying for in-state tuition to sign an affidavit saying they would seek lawful permanent residency as soon as they become eligible. Undocumented students have often applied for state financial aid since they do not qualify for federal financial aid.

Gottlieb said getting information from students about their immigration status will likely change the landscape of applying to college. It’s unclear what documentation schools might ask students to provide as proof of immigration status and who will have access to that information. The coordinating board did not respond to a request for comment about how this information will be protected.

Federal privacy law prohibits schools from sharing students’ data, including their immigration status, with federal immigration authorities, said Miriam Feldblum, the executive director of the Presidents’ Alliance on Higher Education and Immigration. Those privacy protections cannot be waived on the basis of a students’ undocumented status alone.

Before schools take away a student’s in-state tuition eligibility over their immigration status, the student should also get a chance to appeal in a due process hearing with school officials and explain their circumstances, Feldblum said. For example, their immigration status may have changed without the school’s knowledge, she said.

As schools scramble to figure out what compliance looks like, thousands of students are still wondering what the directive will mean for them.

“That just leaves a lot of students in limbo,” Corpus said. “How are they going to come up with a way to find scholarships or grants or come up with that money to make up the difference if they are going to be held to those rule changes? Or for some students, they might be thinking, Am I going to have to totally just switch schools or drop out?”

Jessica Priest contributed to this report.

The Texas Tribune partners with Open Campus on higher education coverage.

Disclosure: Lone Star College, Texas A&M University, University of Texas – Dallas and University of Houston have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.


Big news: 20 more speakers join the TribFest lineup! New additions include Margaret Spellings, former U.S. secretary of education and CEO of the Bipartisan Policy Center; Michael Curry, former presiding bishop and primate of The Episcopal Church; Beto O’Rourke, former U.S. Representative, D-El Paso; Joe Lonsdale, entrepreneur, founder and managing partner at 8VC; and Katie Phang, journalist and trial lawyer.

Get tickets.

TribFest 2025 is presented by JPMorganChase.

This article originally appeared in The Texas Tribune at https://www.texastribune.org/2025/06/23/texas-undocumented-students-in-state-tuition/.

The Texas Tribune is a member-supported, nonpartisan newsroom informing and engaging Texans on state politics and policy. Learn more at texastribune.org.

The post Texas directs universities to ID undocumented students appeared first on feeds.texastribune.org



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

This article presents a factual and balanced report on the recent Texas policy requiring public colleges to identify undocumented students for tuition adjustments. It quotes multiple perspectives, including state officials enforcing a court ruling, advocates concerned about the impact on students, and education experts discussing privacy and procedural challenges. The language remains neutral, focusing on the legal and administrative aspects without advocating for a particular ideological stance. While it highlights the concerns of affected students, it does so through reporting rather than editorializing, maintaining an overall centrist tone.

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News from the South - Texas News Feed

ACLU, student group to sue Texas over expansive 'parental rights' bill

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www.kxan.com – Cora Neas – 2025-06-23 13:41:00

SUMMARY: The ACLU is preparing to sue Texas over Senate Bill 12, recently signed by Gov. Greg Abbott, which takes effect in September. The law focuses on expanding “parental rights” in public and charter schools but includes controversial provisions banning references to race, gender identity, or sexual orientation in school activities, prohibiting social gender transition support, and banning LGBTQ+ student clubs. The ACLU and coalition members argue SB 12 discriminates against students, harms inclusivity, and restricts discussions on diversity and identity. The law also mandates parental consent for medical treatments and establishes grievance policies and increased parental oversight in school operations.

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The post ACLU, student group to sue Texas over expansive 'parental rights' bill appeared first on www.kxan.com

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News from the South - Texas News Feed

U.S. bombs Iran | FOX 7 Austin

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www.youtube.com – FOX 7 Austin – 2025-06-23 10:39:15

SUMMARY: U.S. B2 bombers conducted a major airstrike on Iran’s nuclear facilities over the weekend, dropping bunker buster bombs and Tomahawk missiles. President Trump warned Iran against retaliation while affirming the strike’s impact on Iran’s underground sites. Israeli Prime Minister Netanyahu praised the U.S. action as historic and vital for the alliance. In the U.S., Republican leaders largely supported the attack as necessary to counter Iran’s nuclear threat, while Democrats expressed concern over potential Iranian retaliation risking American lives. Protests erupted nationwide opposing the strike, warning of war and calling the attack illegal. Iran vows to respond on its own terms.

The U.S. attacks came after a week of open conflict between Israel and Iran, sparked by Israel’s sudden barrage of attacks against Iran’s nuclear and military structure.

FOX 7 Austin brings you breaking news, weather, and local stories out of Central #Texas as well as fun segments from Good Day Austin, the best from our video vault archives, and exclusive shows like the Good Day Austin Round-Up and CrimeWatch.

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