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Rural Health
Resources by State: North Carolina

Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Sugar-Sweetened Beverage Intake Among Adults, by Residence in Metropolitan and Nonmetropolitan Counties in 12 States and the District of Columbia, 2017
Results of a study measuring the sugar-sweetened beverage intake of 68,896 adults, using information from the Behavioral Risk Factor Surveillance System. Features demographic statistics with breakdowns by frequency of intake, state, and metropolitan or nonmetropolitan location.
Author(s): Omoye Imoisili, Sohyun Park, Elizabeth A. Lundeen, et al.
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
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Health and Occupational Injury Experienced by Latinx Child Farmworkers in North Carolina, USA
Highlights a study on occupational injuries among Latinx child farmworkers in North Carolina. Presents children by age, sex, and migrant worker classification, among other measures.
Author(s): Thomas A. Arcury, Taylor J. Arnold, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 17(1), 248
Date: 12/2019
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Understanding Rural Health Departments: Do They Have Unique Accreditation Needs?
Discusses how governance, organizational size, and other factors impact rural local health departments' ability to pursue voluntary accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Sponsoring organization: Rural Health Information Hub
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It's Possible: Voluntary Accreditation for Rural Public Health Departments
Provides an overview of the public health department accreditation process. Discusses service differences between rural and urban public health departments. Offers advice for rural departments pursuing accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Sponsoring organization: Rural Health Information Hub
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Office-Based Spirometry: Key to Diagnosing Rural COPD Patients
Describes the use of spirometry in the diagnosis of chronic obstructive pulmonary disease (COPD). Provides an overview of required equipment, staffing needs, and interpretation for rural offices interested in offering spirometry. Features a West Virginia Federally Qualified Health Center (FQHC) pulmonary rehabilitation program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Sponsoring organization: Rural Health Information Hub
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Food and Beverage Options at Highway Rest Areas in North Carolina: A Mixed-Methods Audit and Geospatial Approach
Results of a 2018 study to determine the accessibility and healthfulness of food and beverages available at 24 rural and 6 urban North Carolina rest areas. Features statistics on characteristics of the rest areas, including distance from limited-service restaurants or convenience stores.
Author(s): Jared T. McGuirt, Grace Huebner, Rachel Ward, Stephanie B. Jilcott Pitts
Citation: Preventing Chronic Disease, 16
Date: 10/2019
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Overall and Cause-specific Mortality in a Cohort of Farmers and Their Spouses
Highlights a study examining the overall mortality rates of farmers and their families that participated in the Agricultural Health Survey in Iowa and North Carolina. Details participants by age, sex, education and smoking status, among other factors. Compares mortality rates to the general population.
Author(s): Srishti Shrestha, Christine G. Parks, Alexander P. Keil, et al.
Citation: Occupational and Environmental Medicine, 76(9), 632-643
Date: 09/2019
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