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Rural Health
Resources by Topic: Cardiovascular disease

Widening Rural-Urban Cardiometabolic Mortality Gap in the United States, 1999 to 2017
Examines mortality related to cardiometabolic disease in rural and urban populations of the United States. Utilizes the Centers for Disease Control and Prevention's Wide Ranging Online Data for Epidemiologic Research (WONDER) from 1999 to 2017 to provide statistics on heart disease, cerebrovascular disease, and diabetes mortality by race, sex, and rurality.
Author(s): Nilay S. Shah, Mercedes Carnethon, Donald M. Lloyd-Jones, Sadiya S. Khan
Citation: Journal of the American College of Cardiology, 75(25), 3187-3188
Date: 06/2020
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Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality
Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Long-Term Exposure to Particulate Air Pollution and Brachial Artery Flow-Mediated Dilation in the Old Order Amish
Analyzes atmospheric particulate matter (PM) in a homogenous, rural Pennsylvanian population of Amish participants to assess endothelial dysfunction, which is associated with increased cardiovascular risk. Reports air pollution exposure estimates over a 12-month period.
Author(s): Shabnam Salimi, Jeff D. Yanosky, Dina Huang, et al.
Citation: Environmental Health, 19(50)
Date: 05/2020
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Heart Disease and Stroke Prevention Initiatives in Three USAPI Jurisdictions
Summarizes efforts in Guam, Palau, and the Commonwealth of the Northern Mariana Islands to improve cardiovascular health outcomes. Highlights strategies that can be applied to hypertension control programs and chronic disease prevention projects.
Date: 05/2020
Sponsoring organization: Association of State and Territorial Health Officials
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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017
Examines self-reported prevalence of diagnosed hypertension and antihypertensive medication use. Includes data for metropolitan, micropolitan, and noncore (rural) areas. Also discusses geographic trends at the county level, with maps showing county-level hypertension prevalence and medication use. Highlights higher prevalence of hypertension in the Southeast, Appalachia, and the Great Plains.
Author(s): Claudine M. Samanic, Kamil E. Barbour, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(18), 533-539
Date: 05/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Increasing Mortality From Premature Coronary Artery Disease in Women in the Rural United States
Assesses rural and urban differences in premature coronary artery disease (CAD) mortality rates from 1999 to 2017 using the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research (CDC WONDER) database. Includes data breakdowns by sex, age group, race, and urbanization.
Author(s): Matthias Bossard, Yllka Latifi, Matteo Fabbri, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
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Social Determinants of Health and 90‐Day Mortality After Hospitalization for Heart Failure in the REGARDS Study
Uses data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study to examine associations between social determinants of health (SDOH) and risk of 90-day mortality after heart failure (HF) hospitalization among Medicare beneficiaries aged 65 years or older. Some of the SDOH considered include African American race, social isolation, rural residence, living in a high poverty ZIP code or Health Professional Shortage Area (HPSA), and more.
Author(s): Madeline R. Sterling, Joanna Bryan Ringel, Laura C. Pinheiro, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
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Hospital Inpatient Stays Related to Opioid Use Disorder and Endocarditis, 2016
Examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. Includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Audrey J. Weiss, Kevin C. Heslin, Carol Stocks, Pamela L. Owens
Date: 04/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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The High Obesity Program: A Collaboration Between Public Health and Cooperative Extension Services to Address Obesity
Describes the activities of Programs to Reduce Obesity in High Obesity Areas, also known as High Obesity Program (HOP), developed by the Centers for Disease Control and Prevention (CDC) in partnership with land grant universities and local Cooperative Extension Offices. HOP was designed to implement evidence-based strategies to improve physical activity and nutrition in mostly rural communities with high rates of obesity to reduce obesity and prevent or control diabetes, heart disease, and stroke.
Author(s): Sahra Kahin, Ashleigh Murriel, Anu Pejavara, Terrence O'Toole, Ruth Petersen
Citation: Preventing Chronic Disease, 17
Date: 03/2020
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Strengthening Community-Clinical Linkages to Reduce Cardiovascular Disease Risk in Rural NC: Feasibility Phase of the CHANGE Study
Highlights a study evaluating the implementation and effectiveness of a cardiovascular disease prevention program using community health worker (CHW) interventions. Analyzes the CHANGE program in rural North Carolina and discusses the program's design, implementation, and outcomes.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: BMC Public Health, 20, 264
Date: 02/2020
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