Rural Health
Resources by State: North Carolina
Bridging the Gap: INVESTing in HPV Vaccination for Rural Youth
Describes the INVEST (INcreasing VaccinE uptake among Southern Teens) human papillomavirus (HPV) vaccine promotion program for rural youth in North Carolina and South Carolina. Discusses program implementation through school nurses and educational materials focused on vaccination and other aspects of adolescent health and wellness.
Author(s): Sayward E. Harrison
Date: 12/2023
Sponsoring organization: St. Jude Children's Research Hospital
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Describes the INVEST (INcreasing VaccinE uptake among Southern Teens) human papillomavirus (HPV) vaccine promotion program for rural youth in North Carolina and South Carolina. Discusses program implementation through school nurses and educational materials focused on vaccination and other aspects of adolescent health and wellness.
Author(s): Sayward E. Harrison
Date: 12/2023
Sponsoring organization: St. Jude Children's Research Hospital
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Rural and Nonrural Racial Variation in Mentally Unhealthy Days: Findings from the Behavioral Risk Factor Surveillance System in North Carolina, 2015–2019
Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
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Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
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Leading State Approaches and Communication Strategies to Support Health Equity
Describes how state and territory leaders have created effective health equity practices and communication strategies. Outlines three themes that emerged through research and roundtable discussions as top health equity priorities for states. Profiles initiatives and policies from nine states and Guam to address health equity and reflect these themes.
Date: 12/2023
Sponsoring organization: National Governors Association
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Describes how state and territory leaders have created effective health equity practices and communication strategies. Outlines three themes that emerged through research and roundtable discussions as top health equity priorities for states. Profiles initiatives and policies from nine states and Guam to address health equity and reflect these themes.
Date: 12/2023
Sponsoring organization: National Governors Association
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Follicular DNA Damage and Pesticide Exposure Among Latinx Children in Rural and Urban Communities
Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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Cumulative Environmental Quality Is Associated with Breast Cancer Incidence Differentially by Summary Stage and Urbanicity
Identifies associations between environmental factors and breast cancer stages in North Carolina using the Environmental Quality Index (EQI). EQI factors include air, water, land, sociodemographic, and built environments. Includes analysis of urbanicity, race, screenings, and tobacco use.
Author(s): Larisa M. Gearhart-Serna, Brittany A. Mills, Hillary Hsu, et al.
Citation: Scientific Reports, 13, 20301
Date: 11/2023
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Identifies associations between environmental factors and breast cancer stages in North Carolina using the Environmental Quality Index (EQI). EQI factors include air, water, land, sociodemographic, and built environments. Includes analysis of urbanicity, race, screenings, and tobacco use.
Author(s): Larisa M. Gearhart-Serna, Brittany A. Mills, Hillary Hsu, et al.
Citation: Scientific Reports, 13, 20301
Date: 11/2023
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Rural Health and Well-Being
A two-part recorded webinar that first discusses social well-being in rural areas and suggested policy and programmatic interventions to improve well-being. Also provides information on the community-based participatory research Health Equity for Rural Mothers and Families Project (HER), which advocates for health equity for pregnant women and new mothers in rural North Carolina.
Additional links: Part 1 Slides, Part 2 Slides
Author(s): Carrie Henning-Smith, Sarah E. (Betsy) Bledsoe
Date: 11/2023
Sponsoring organization: North Central Regional Center for Rural Development
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A two-part recorded webinar that first discusses social well-being in rural areas and suggested policy and programmatic interventions to improve well-being. Also provides information on the community-based participatory research Health Equity for Rural Mothers and Families Project (HER), which advocates for health equity for pregnant women and new mothers in rural North Carolina.
Additional links: Part 1 Slides, Part 2 Slides
Author(s): Carrie Henning-Smith, Sarah E. (Betsy) Bledsoe
Date: 11/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Recent Incarceration, Substance Use, Overdose, and Service Use Among People Who Use Drugs in Rural Communities
Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
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Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
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Closing the Broadband Infrastructure Gap: State Grant Funds and the Digital Divide
Analyzes Pew Trusts data on awarded broadband grants in 17 states between 2014 and 2020 to determine common characteristics of funded projects, criteria for allocation, and communities reached. Includes discussion of implications for Broadband Equity, Access, and Deployment (BEAD) funds and the impact on existing disparities. Offers rural and urban comparisons.
Additional links: Q&A with Pew Trusts, Summary
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 10/2023
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Analyzes Pew Trusts data on awarded broadband grants in 17 states between 2014 and 2020 to determine common characteristics of funded projects, criteria for allocation, and communities reached. Includes discussion of implications for Broadband Equity, Access, and Deployment (BEAD) funds and the impact on existing disparities. Offers rural and urban comparisons.
Additional links: Q&A with Pew Trusts, Summary
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 10/2023
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A Place to Thrive: Creating Opportunities to Age Well in North Carolina
Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions people in rural areas throughout as a disproportionately affected group.
Date: 10/2023
Sponsoring organization: North Carolina Institute of Medicine
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Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions people in rural areas throughout as a disproportionately affected group.
Date: 10/2023
Sponsoring organization: North Carolina Institute of Medicine
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North Carolina State Health Improvement Plan 2023
Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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