Rural Health
Resources by Topic: Diabetes
Evaluating the Feasibility and Preliminary Effectiveness of a Tailored Diabetes Education Program for Rural Residents
Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Impact of Food Literacy Education on Rural, Uninsured Patients With Diabetes
Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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Identification and Characteristics of Under-Resourced and High-Need Rural Counties
Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Geographic and Sociodemographic Patterns in Prevalence of Diagnosed Diabetes, US, 2021–2024
Analyzes the prevalence of diagnosed diabetes in rural and urban populations using 2021-2024 NHIS data. Includes rural-urban data comparisons by sociodemographic group, including sex, age, body mass index, race and ethnicity, income level, food security status, and more.
Author(s): Nicholas Yell, Michelle Asiedu-Danso, Cassie L. Odahowski, Elizabeth Crouch, Gabriel A. Benavidez
Citation: Preventing Chronic Disease, 23
Date: 04/2026
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Analyzes the prevalence of diagnosed diabetes in rural and urban populations using 2021-2024 NHIS data. Includes rural-urban data comparisons by sociodemographic group, including sex, age, body mass index, race and ethnicity, income level, food security status, and more.
Author(s): Nicholas Yell, Michelle Asiedu-Danso, Cassie L. Odahowski, Elizabeth Crouch, Gabriel A. Benavidez
Citation: Preventing Chronic Disease, 23
Date: 04/2026
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Rural Community Engagement and Cultural Considerations in the Design and Deployment of Remote Health Monitoring Systems: A Scoping Review
Presents a literature review exploring whether remote health monitoring systems (RHMS) are designed with rural communities in mind as a solution for healthcare access issues. Details RHMS literature by study design, healthcare focus, and issue being monitored, among other measures.
Author(s): Kelly Reed, Victoria M. Petermann, Rhys D. Nicholas, et al.
Citation: Journal of Rural Health, 42(2), e70141
Date: 04/2026
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Presents a literature review exploring whether remote health monitoring systems (RHMS) are designed with rural communities in mind as a solution for healthcare access issues. Details RHMS literature by study design, healthcare focus, and issue being monitored, among other measures.
Author(s): Kelly Reed, Victoria M. Petermann, Rhys D. Nicholas, et al.
Citation: Journal of Rural Health, 42(2), e70141
Date: 04/2026
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Rural-Urban Trends in Pediatric Emergency Department Visits for Ambulatory Care Sensitive Conditions from 2016-2019
Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults
Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes the national incidence and prevalence of diabetes between 2021-2023 using data from the National Health Interview Survey (NHIS). Presents data on diabetes-related mortality between 2018-2023 from the CDC WONDER platform. Compares the incidence, prevalence, and mortality data across large metro, small metro, and non-metro counties. Highlights areas of the country with significantly higher and lower diabetes-related mortality rates.
Author(s): Gabriel A. Benavidez, Michelle Asiedu-Danso, Cassie Odahowski, Peiyin Hung, Elizabeth Crouch
Date: 03/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Long-Term Mortality Trends in Patients with Concurrent Hernia and Diabetes in the United States
Analyzes demographic variations in long-term mortality trends among patients with both hernia and diabetes mellitus as contributing causes of death, using 1999-2023 CDC WONDER data. Includes data comparisons by metropolitan or nonmetropolitan area, among other factors.
Author(s): Xiaoyang Shi, Xiao Yu, Yu-Jun Xiong, Tian Lv, Xiaoyong Si
Citation: Frontiers in Endocrinology, 17, 1723074
Date: 02/2026
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Analyzes demographic variations in long-term mortality trends among patients with both hernia and diabetes mellitus as contributing causes of death, using 1999-2023 CDC WONDER data. Includes data comparisons by metropolitan or nonmetropolitan area, among other factors.
Author(s): Xiaoyang Shi, Xiao Yu, Yu-Jun Xiong, Tian Lv, Xiaoyong Si
Citation: Frontiers in Endocrinology, 17, 1723074
Date: 02/2026
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Rural–Urban Disparities in Diabetes Quality of Care with Accountable Care Organization Participation
Examines the relationship among diabetes quality of care, accountable care organization (ACO) participation, and rural versus urban health disparities. Utilizes 2011-2018 Wisconsin Collaborative for Healthcare Quality all-patient all-payer data to analyze diabetes care management across ACO versus non-ACO participation and rural versus urban location.
Author(s): Mariétou H. Ouayogodé, Xiyuan Hu
Citation: Journal of Rural Health, 42(1), e70121
Date: 02/2026
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Examines the relationship among diabetes quality of care, accountable care organization (ACO) participation, and rural versus urban health disparities. Utilizes 2011-2018 Wisconsin Collaborative for Healthcare Quality all-patient all-payer data to analyze diabetes care management across ACO versus non-ACO participation and rural versus urban location.
Author(s): Mariétou H. Ouayogodé, Xiyuan Hu
Citation: Journal of Rural Health, 42(1), e70121
Date: 02/2026
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