Rural Health
Resources by Topic: Diabetes
Relationships Between Diabetes, Vitamin D Status, Depression, and Hispanic Ethnicity: A Project FRONTIER Study
Examines associations between vitamin D status, diabetes, depression, and Hispanic ethnicity within a population of 299 adults in rural West Texas. Discusses how factors including nutrition and ethnicity influence chronic disease outcomes and healthcare delivery in aging rural populations.
Author(s): Riley McCready, Claudia Morris, Philip Antwi-Adjei, et al.
Citation: Nutrition & Diabetes, 16, 1
Date: 01/2026
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Examines associations between vitamin D status, diabetes, depression, and Hispanic ethnicity within a population of 299 adults in rural West Texas. Discusses how factors including nutrition and ethnicity influence chronic disease outcomes and healthcare delivery in aging rural populations.
Author(s): Riley McCready, Claudia Morris, Philip Antwi-Adjei, et al.
Citation: Nutrition & Diabetes, 16, 1
Date: 01/2026
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How USPS Network Changes Threaten Prescription Drug Access for Vulnerable Populations
Discusses the impact of mail processing changes on mail-order medication and asthma and diabetes management for rural communities. Highlights the "triple burden" of limited pharmacy access, high use of mail-order prescriptions, and proximity to postal service restructuring. Includes rural and urban comparisons, Medicare data, and county-level analysis.
Author(s): Elena Patel, Joshua Feng, Matthew Higgins
Date: 12/2025
Sponsoring organization: The Brookings Institution
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Discusses the impact of mail processing changes on mail-order medication and asthma and diabetes management for rural communities. Highlights the "triple burden" of limited pharmacy access, high use of mail-order prescriptions, and proximity to postal service restructuring. Includes rural and urban comparisons, Medicare data, and county-level analysis.
Author(s): Elena Patel, Joshua Feng, Matthew Higgins
Date: 12/2025
Sponsoring organization: The Brookings Institution
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Building a Healthier Texas: Innovations in Diabetes Prevention Across Texas
Webinar discussing how access to healthy food and nutrition education support diabetes prevention in Texas, featuring perspectives and program examples presented by members of Texas healthcare and food access organizations. Includes discussion of food access in rural and border communities and nutrition support and education opportunities related to the Rural Health Transformation Program (RHTP). See video description for transcript.
Author(s): Ankit Sanghavi, Janet Walker, Rachel Koay, Jasmynn Lahner, Karl Serrao
Date: 11/2025
Sponsoring organizations: Feeding Texas, Texas Association of Community Health Plans (TACHP), Texas Health Institute
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Webinar discussing how access to healthy food and nutrition education support diabetes prevention in Texas, featuring perspectives and program examples presented by members of Texas healthcare and food access organizations. Includes discussion of food access in rural and border communities and nutrition support and education opportunities related to the Rural Health Transformation Program (RHTP). See video description for transcript.
Author(s): Ankit Sanghavi, Janet Walker, Rachel Koay, Jasmynn Lahner, Karl Serrao
Date: 11/2025
Sponsoring organizations: Feeding Texas, Texas Association of Community Health Plans (TACHP), Texas Health Institute
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Differences in GLP-1 RA Medication Adherence Across Place-Based Variables in Patients with Diabetes Living in Wisconsin
Analyzes adherence to GLP-1 RA medications for diabetes treatment among Wisconsin adults by geographic and demographic group, utilizing 2020-2022 Wisconsin Health Information Organization data. Compares adherence by rural or urban status, among other factors.
Author(s): Kara L. Gavin, Rabia Amjad, Vaia Makris, Joan M. Neuner
Citation: Journal of Managed Care & Specialty Pharmacy, 31(12), 1311-1319
Date: 11/2025
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Analyzes adherence to GLP-1 RA medications for diabetes treatment among Wisconsin adults by geographic and demographic group, utilizing 2020-2022 Wisconsin Health Information Organization data. Compares adherence by rural or urban status, among other factors.
Author(s): Kara L. Gavin, Rabia Amjad, Vaia Makris, Joan M. Neuner
Citation: Journal of Managed Care & Specialty Pharmacy, 31(12), 1311-1319
Date: 11/2025
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Chronic Health Conditions and Health Care Affordability Issues among U.S. Rural and Urban Adults
Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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Referrals and Utilization of Diabetes Self-Management Education and Support (DSMES) among Patients with Type 1 and Type 2 Diabetes at a Regional Medical Center in Kentucky
Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Rural/Urban Disparities in the Availability of Diabetes Prevention Programs in US Hospitals
Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Fast Facts: Rates of Chronic Conditions Consistently Higher Among Adults in Rural Areas
Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Diabetes in Pennsylvania: Prevention and Maintenance Programs
Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Combined Prevalence of Chronic Conditions or Obesity for Adults in 2022
Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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