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Rural Health
Resources by State: North Carolina

Farmers' Market Use Is Associated with Fruit and Vegetable Consumption in Diverse Southern Rural Communities
Examines the socio-demographic characteristics of farmers market participants, the barriers and facilitators to farmers market shopping in southern rural communities, and the associations between farmers market use with fruit and vegetable consumption and body mass index (BMI). Seeks to assess the potential for using farmers markets to increase access to and the consumption of fruits and vegetables in rural areas.
Author(s): Stephanie B. Jilcott Pitts, Alison Gustafson, Qiang Wu, et al.
Citation: Nutrition Journal, 13(1)
Date: 2014
Type: Document
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Odors from Sewage Sludge and Livestock: Associations with Self-Reported Health
Results of a June 2010 survey of adults in two North Carolina counties where liquid or cake treated sewage sludge had been applied to agricultural land within the previous six months, identifying associations between environmental odors and acute respiratory, gastrointestinal, and dermatological symptoms. Includes statistics with breakdowns such as age, sex, race, education-level, smoking status, type and intensity of odor, and type of symptom.
Author(s): Steve Wing, Amy Lowman, Alex Keil, Stephen W. Marshall
Citation: Public Health Reports, 129(6), 505-515
Date: 2014
Type: Document
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Effects of Distance to Care and Rural or Urban Residence on Receipt of Radiation Therapy among North Carolina Medicare Enrollees with Breast Cancer
Discusses the effect of distance on quality of care for Medicare-insured patients with breast cancer living in rural and urban areas of North Carolina.
Author(s): Stephanie B. Wheeler, Tzy-Mey Kuo, Danielle Durham, et al.
Citation: North Carolina Medical Journal, 75(4), 239-246
Date: 2014
Type: Document
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Associations Between County and Municipality Zoning Ordinances and Access to Fruit And Vegetable Outlets in Rural North Carolina, 2012
Examines associations between healthy food zoning scores derived from information on local zoning ordinances, county demographics, and residents' access to fruit and vegetable outlets in 15 rural northeastern North Carolina counties. Includes data for all 15 counties by race/ethnicity, poverty, percent of population living in a food desert, obesity rates, and percent rural population.
Author(s): Mariel Leah Mayo, Stephanie B. Jilcott Pitts, Jamie F. Chriqui
Citation: Preventing Chronic Disease, 10
Date: 12/2013
Type: Document
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Helping Primary Care Practices Attain Patient-Centered Medical Home (PCMH) Recognition Through Collaboration With a University
Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
Type: Document
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Testing to Prevent Colon Cancer: Results from a Rural Community Intervention
Examines the use of a discrete choice experiment (DCE) to learn about how vulnerable individuals, with public or no insurance and low-incomes, in rural North Carolina value different aspects of colorectal cancer (CRC) screenings. Includes statistics on DCE participants, such as race/ethnicity, education, income, employment, insurance, assistance needed with written materials, and agreement on CRC screening attributes.
Author(s): John M. Westfall, Linda Zittleman, Christin Sutter, et al.
Citation: Annals of Family Medicine, 11(6), 500-507
Date: 11/2013
Type: Document
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Addressing Rural Health Disparities Through Policy Change in the Stroke Belt
Examines the feasibility and acceptability of 24 Common Community Measures for Obesity Prevention (COCOMO) strategies based on local culture, infrastructure, funding, and community support by surveying and interviewing residents from rural Lenoir County, North Carolina.
Author(s): Stephanie B. Jilcott Pitts, Tosha W. Smith, Linden Maya Thayer, et al.
Citation: Journal of Public Health Management and Practice, 19(6), 503-510
Date: 11/2013
Type: Document
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Case Studies of Regional Extension Centers Serving Rural Practices: North Carolina
Presents a case study focusing on the North Carolina Health Information Technology (HIT) Regional Extension Center (REC) and its experience working with rural physician practices in the state.
Author(s): Michelle Casey, Ira Moscovice, Alex McEllistrem-Evenson
Date: 11/2013
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Pesticide Exposure and Self-Reported Incident Depression Among Wives in the Agricultural Health Study
Examines pesticide exposure data among farmers' wives living in rural Iowa and North Carolina. Determines if associations between pesticide exposure and depression exist.
Author(s): John D. Beard, Jane A. Hoppin, Marie Richards, et al.
Citation: Environmental Research, 126, 31-42
Date: 10/2013
Type: Document
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Relationships of Race and Socioeconomic Status to Postpartum Depressive Symptoms in Rural African American and Non-Hispanic White Women
Highlights a study of postpartum depression (PPD) in rural women from eastern North Carolina and the potential role of race in the severity of symptoms. Focuses specifically on the experiences of rural African American and non-Hispanic White women. Controls for subjective socioeconomic status.
Author(s): Christyn L. Dolbier, Taylor E. Rush, Latoya S. Sahadeo, Michele L. Shaffer, John Thorp
Citation: Maternal and Child Health Journal, 17(7), 1277-1287
Date: 09/2013
Type: Document
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