Rural Health
Resources by State: North Carolina
Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Geographic Access to Health Care for Rural Medicare Beneficiaries in Five States: An Update
Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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North Carolina Community Health Center Association - COVID-19 Resources
Provides information and resources for health centers in North Carolina related to COVID-19, including clinical guidance, reimbursement and billing, telehealth, and human resources.
Date: 04/2021
Type: Website
Sponsoring organization: North Carolina Community Health Center Association
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Provides information and resources for health centers in North Carolina related to COVID-19, including clinical guidance, reimbursement and billing, telehealth, and human resources.
Date: 04/2021
Type: Website
Sponsoring organization: North Carolina Community Health Center Association
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Measuring Neighborhood Deprivation for Childhood Health and Development: Scale Implications in Rural and Urban Context
Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
Type: Document
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Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
Type: Document
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
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Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
Type: Document
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Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
Type: Document
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Pesticide Exposure and Incident Thyroid Cancer Among Male Pesticide Applicators in Agricultural Health Study
Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Rural Community Engagement for Health Disparities Research: The Unique Role of Historically Black Colleges and Universities (HBCUs)
Explores the potential of Historically Black Colleges and Universities (HCBUs) to help reduce health disparities in rural communities of color. Highlights the Research with Care project, a collaboration between the North Carolina Central University and rural Halifax County, N.C. and discusses the expounding health disparities faced by people of color in rural areas, including COVID-19.
Author(s): Lorraine C. Taylor, Charity S. Watkins, Hannah Chesterton, et al.
Citation: International Journal of Environmental Research and Public Health, 18(1), 64
Date: 01/2021
Type: Document
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Explores the potential of Historically Black Colleges and Universities (HCBUs) to help reduce health disparities in rural communities of color. Highlights the Research with Care project, a collaboration between the North Carolina Central University and rural Halifax County, N.C. and discusses the expounding health disparities faced by people of color in rural areas, including COVID-19.
Author(s): Lorraine C. Taylor, Charity S. Watkins, Hannah Chesterton, et al.
Citation: International Journal of Environmental Research and Public Health, 18(1), 64
Date: 01/2021
Type: Document
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Community Health Center Addresses Vaccine Hesitancy through Social Media
Shares examples of graphics and videos developed by Roanoke Chowan Community Health Center to answer common questions about the COVID-19 vaccines and encourage patients to get vaccinated.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Shares examples of graphics and videos developed by Roanoke Chowan Community Health Center to answer common questions about the COVID-19 vaccines and encourage patients to get vaccinated.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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