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Rural Health
Resources by Topic: Diabetes

Culturally Adapting an Evidence-Based Intervention to Promote a Healthy Diet and Lifestyle for Yup'ik Alaska Native Communities
Highlights a study on a culturally competent educational program on healthy foods and physical activity for Yup'ik Alaska Native communities. Discusses the structure and efficacy of the project. Details some of its limitations and access-based barriers.
Author(s): Scarlett E. Hopkins, Eliza Orr, Bert B. Boyer, and Beti Thompson
Citation: International Journal of Circumpolar Health, 82(1)
Date: 2023
Type: Document
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Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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Practicing Tribal Sovereignty Through a Tribal Health Policy: Implementation of the Healthy Diné Nation Act on the Navajo Nation
Examines the Healthy Diné Nation Act (HDNA) which was passed by the Navajo Nation in 2014 to support health and wellness in tribal communities. Analyzes the process, implementation, and evaluation of the HDNA to understand its impact on public health policy. Includes historical information about the Navajo nation as well as diabetes data and HDNA funding amounts for specific Navajo chapters.
Author(s): Regina Eddie, Caleigh Curley, Del Yazzie, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes
Analyzes the implementation of Advanced Comprehensive Diabetes Care (ACDC) to address type 2 diabetes (T2D) in rural patients. Examines 230 patients receiving ACDC through Veterans Health Administration (VHA) Home Telehealth (HT) infrastructure. Discusses the potential of telehealth to deliver specialty care to hard-to-reach populations.
Author(s): Elizabeth A. Kobe, Allison A. Lewinski, Amy S. Jeffreys, et al.
Citation: Journal of General Internal Medicine, 37(12), 3080-3088
Date: 09/2022
Type: Document
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Urban–Rural Disparities in Diabetes-Related Mortality in the USA 1999–2019
Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
Type: Document
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Assessment of Disparities in Diabetes Mortality in Adults in US Rural vs Nonrural Counties, 1999-2018
Explores disparities in diabetes mortality based on county urbanization, comparing data from 1999-2000 through 2017-2018. Includes statistics with breakdowns by sex, age group, region, four 2-year periods, and 3 levels of population density.
Author(s): Sagar B. Dugani, Christina M. Wood-Wentz, Michelle M. Mielke, Kent R. Bailey, Adrian Vella
Citation: JAMA Network Open, 5(9), e2232318
Date: 09/2022
Type: Document
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Urban and Rural Differences in New Onset Type 2 Diabetes: Comparisons Across National and Regional Samples in the Diabetes Lead Network
Examines the likelihood of new onset type 2 diabetes (T2D) by community type. Utilizes 3 longitudinal study samples about diabetes in the United States to track new onset T2D by U.S. region as well as higher density urban, lower density urban, suburban/small town, and rural community type. Includes further demographic breakdowns by age, sex, race/ethnicity, socio-economic factors, and smoking behaviors.
Author(s): Tara P. McAlexander, Gargya Malla, Jalal Uddin, et al.
Citation: SSM - Population Health, 19, 101161
Date: 09/2022
Type: Document
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Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
Type: Document
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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Rural Health in Connecticut A Comprehensive Review of Social Determinants, Community Resources, Health Outcomes, and Wellbeing
Documents the nature of public health for Connecticut's rural populations with a focus on trends, to understand how these populations are changing. Features chapters on social determinants of health, healthcare systems, health risks and behaviors, and health outcomes.
Author(s): Kelly Davila, Camille Seaberry
Date: 06/2022
Type: Document
Sponsoring organization: DataHaven
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