Rural Health
Resources by State: North Carolina
Introducing Public Health Vending Machines in Rural Communities: Protocol for a Study Using a Community-Based Participatory Approach
Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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A Twenty-Year Review: Revisiting the Drinking Water and Wastewater Infrastructure Funding Needs and Gaps in the Appalachian Region
Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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Provides county, state, and metro versus nonmetro data on water and wastewater infrastructure in the Appalachian region. Discusses funding and collaborative possibilities to improve critical infrastructure in Appalachian communities.
Additional links: Executive Summary
Author(s): Ahmed Rachid El-Khattabi, Christy M. Ihlo, Leigh Anne Krometis, Kara Millonzi
Date: 08/2025
Sponsoring organization: Appalachian Regional Commission
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Tobacco Retailer Density and Rurality Across Four US States: California, Connecticut, North Carolina, and Ohio
Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Presents a study on the tobacco retailer density of rural areas. Compares density rates of rural tracts with metropolitan, micropolitan, and small towns. Draws examples from California, Ohio, Connecticut, and North Carolina.
Author(s): Emerson Webb, Peter F. Craigmile, Meghan E. Morean, et al.
Citation: Journal of Rural Health, 41(3), e70073
Date: 08/2025
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Rural Patients' Experiences with Diagnosis and Treatment of Endometrial Cancer
Examines healthcare and treatment quality related to endometrial cancer (EC) in rural patients. Utilizes interview feedback from 22 patients and 1 caregiver in rural North Carolina on perceptions and knowledge of EC symptoms, social network influence, financial and transportation burdens, healthcare experiences, community perceptions, and more.
Author(s): Victoria M. Petermann, Brianna D. Taffe, Blen M. Biru, et al.
Citation: Journal of Rural Health, 41(3), e70065
Date: 08/2025
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Examines healthcare and treatment quality related to endometrial cancer (EC) in rural patients. Utilizes interview feedback from 22 patients and 1 caregiver in rural North Carolina on perceptions and knowledge of EC symptoms, social network influence, financial and transportation burdens, healthcare experiences, community perceptions, and more.
Author(s): Victoria M. Petermann, Brianna D. Taffe, Blen M. Biru, et al.
Citation: Journal of Rural Health, 41(3), e70065
Date: 08/2025
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Examining Geographic Disparities in Access to No-Cost Naloxone in North Carolina: A Cross-Sectional Survey of Naloxone Distribution Programs
Presents a study exploring the geographic distribution of no-cost naloxone in North Carolina. Bases findings on a survey of naloxone distributors in the state and breaks down data by user demographics and distributor type.
Author(s): Grace Marley, Caroline Shubel, Carolyn T. Thorpe, et al.
Citation: Journal of Rural Health, 41(3), e70069
Date: 08/2025
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Presents a study exploring the geographic distribution of no-cost naloxone in North Carolina. Bases findings on a survey of naloxone distributors in the state and breaks down data by user demographics and distributor type.
Author(s): Grace Marley, Caroline Shubel, Carolyn T. Thorpe, et al.
Citation: Journal of Rural Health, 41(3), e70069
Date: 08/2025
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Appalachian Diseases of Despair: Final Report
Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Analyzes the impact of diseases of despair on mortality within Appalachia, focusing on mortality from alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. Includes data through 2023, with demographics and breakdowns by subregion, county economic status, and levels of rurality.
Date: 07/2025
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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North Carolina State Designated Rural Health Centers: SFY 2026
North Carolina map showing Rural Health Center site county coverage and locations of the 18 state designated Rural Health Center sites.
Date: 07/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina map showing Rural Health Center site county coverage and locations of the 18 state designated Rural Health Center sites.
Date: 07/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2025. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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Offers statistics for performance measures or output for fiscal year 2025. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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2022 Cancer Incidence and Mortality in North Carolina
Reports North Carolina cancer incidence and mortality for 2022, including breakdowns by type of cancer and demographic category. Includes county-by-county data.
Date: 06/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports North Carolina cancer incidence and mortality for 2022, including breakdowns by type of cancer and demographic category. Includes county-by-county data.
Date: 06/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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