Rural Health
Resources by State: North Carolina
School Nurses' Perceptions of Mental Health Responsibilities Within School Nursing Practice: A Q Methodology Study
Examines the perspectives of school nurses on addressing mental health needs of students in rural schools. Analyzes feedback from 70 school nurses working in eastern North Carolina on issues such as nursing responsibilities, mental health, suicide risk, crisis response, and more.
Author(s): Travis E. Lewis, Deby E. Tyndall, Mitzi C. Pestaner
Citation: Journal of School Health, 96(10), e70242
Date: 10/2026
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Examines the perspectives of school nurses on addressing mental health needs of students in rural schools. Analyzes feedback from 70 school nurses working in eastern North Carolina on issues such as nursing responsibilities, mental health, suicide risk, crisis response, and more.
Author(s): Travis E. Lewis, Deby E. Tyndall, Mitzi C. Pestaner
Citation: Journal of School Health, 96(10), e70242
Date: 10/2026
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Building a Robust Primary Care Workforce: Diffusing Lessons Across States
Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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A Community-Focused Rural Academic Health Department Model in North Carolina: Elevating Community Engagement, Rural Public Health Practice and Research
Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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North Carolina RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in North Carolina. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports on the first year of the Rural Health Transformation Program (RHTP) in North Carolina. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Factors Associated With COVID-19 Vaccine Hesitancy and Preferred Sources of Health Information Among Medically Underserved Populations in North Carolina
Results of a study of vaccine hesitancy in North Carolina, using data from 918 participants in 40 rural counties with high Primary Care Health Professional Shortage Area scores, who completed a survey in the summer of 2021. Features demographics and other statistics.
Author(s): Celeste R. Gracey, Godwin Y. Dogbey, David R. Tillman, Amy N. Hinkelman
Citation: North Carolina Medical Journal
Date: 08/2026
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Results of a study of vaccine hesitancy in North Carolina, using data from 918 participants in 40 rural counties with high Primary Care Health Professional Shortage Area scores, who completed a survey in the summer of 2021. Features demographics and other statistics.
Author(s): Celeste R. Gracey, Godwin Y. Dogbey, David R. Tillman, Amy N. Hinkelman
Citation: North Carolina Medical Journal
Date: 08/2026
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Monitoring the Workforce Outcomes of North Carolina Medical School Graduates: Retention In-State and in High Need Geographic Areas and Specialties
Summarizes workforce outcomes for physicians who graduate from North Carolina medical schools, including whether they practice in North Carolina, in rural areas, in high-need specialties, and in North Carolina safety net settings 5 years after graduation. Features statistics on 2020 North Carolina medical school graduates, with breakdowns by practice specialty and rural location.
Author(s): Evan Galloway, Erin Fraher, Nathan Tarr, Hugh H. Tilson Jr.
Date: 08/2026
Sponsoring organizations: North Carolina Area Health Education Center Program, The Cecil G. Sheps Center for Health Services Research
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Summarizes workforce outcomes for physicians who graduate from North Carolina medical schools, including whether they practice in North Carolina, in rural areas, in high-need specialties, and in North Carolina safety net settings 5 years after graduation. Features statistics on 2020 North Carolina medical school graduates, with breakdowns by practice specialty and rural location.
Author(s): Evan Galloway, Erin Fraher, Nathan Tarr, Hugh H. Tilson Jr.
Date: 08/2026
Sponsoring organizations: North Carolina Area Health Education Center Program, The Cecil G. Sheps Center for Health Services Research
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Evaluating the Impact of the Ripe for Revival Mobile Market with Vouchers on Food and Nutrition Security, Fruit and Vegetable Intake, and Blood Pressure in Rural Eastern North Carolina: A Quasi-Experimental Trial Design Study Protocol
Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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The Appalachian Region: A Data Overview from the 2020-2024 American Community Survey Chartbook
Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Southward Expansion of Ixodes scapularis (Blacklegged) Tick Pathogens — Western North Carolina, November 2024–August 2025
Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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