Rural Health
Resources by State: North Carolina
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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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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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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Reimagining Rural Maternal and Child Health
Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Evaluation of the 2021–2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes
Examines the impact of the Fresh Start produce prescription (FSPRx) intervention in rural North Carolina among a medically underinsured population with type 2 diabetes. Utilizes program, survey, and interview data from FSPRx participants to analyze feasibility and acceptability of the program, with pre- and post-intervention data breakdowns according to dietary patterns, food literacy, health outcomes, and more.
Author(s): Lauren R. Sastre, Brandon Stroud, Raven Breinholt, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Examines the impact of the Fresh Start produce prescription (FSPRx) intervention in rural North Carolina among a medically underinsured population with type 2 diabetes. Utilizes program, survey, and interview data from FSPRx participants to analyze feasibility and acceptability of the program, with pre- and post-intervention data breakdowns according to dietary patterns, food literacy, health outcomes, and more.
Author(s): Lauren R. Sastre, Brandon Stroud, Raven Breinholt, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Community Voices from North Carolina's Healthy Opportunities Pilots Program: Implications for Designing and Evaluating Programs to Address Upstream Drivers of Health
Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Putting the Roadmap to a Comprehensive State Graduate Medical Education Strategy into Practice: State Perspectives
Explores ways in which Missouri, North Carolina, and Wisconsin are planning and implementing aspects of their state graduate medical education strategies. Offers insights for other states investigating ways to sustain a rural healthcare workforce and considering a "grow-your-own" approach to expanded residency training.
Author(s): Lori Rodefeld, Raquel Davis, Erin P. Fraher, et al.
Date: 07/2026
Sponsoring organization: Milbank Memorial Fund
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Explores ways in which Missouri, North Carolina, and Wisconsin are planning and implementing aspects of their state graduate medical education strategies. Offers insights for other states investigating ways to sustain a rural healthcare workforce and considering a "grow-your-own" approach to expanded residency training.
Author(s): Lori Rodefeld, Raquel Davis, Erin P. Fraher, et al.
Date: 07/2026
Sponsoring organization: Milbank Memorial Fund
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North Carolina SFY 2026 Safety Net Sites
County-level map showing locations of various healthcare facilities, including Rural Health Clinics, Critical Access Hospitals, small rural hospitals, and Federally Qualified Health Centers.
Date: 07/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing locations of various healthcare facilities, including Rural Health Clinics, Critical Access Hospitals, small rural hospitals, and Federally Qualified Health Centers.
Date: 07/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Sex Differences in Rural Prehospital ST-Segment Elevation Myocardial Infarction Care
Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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