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Rural Health
Resources by Topic: Diabetes

Group-Based Trajectory Analysis Identifies Varying Diabetes-Related Cost Trajectories Among Type 2 Diabetes Patients in Texas: An Empirical Study Using Commercial Insurance
Examines diabetes-related costs and intervening factors such as patient demographics, clinical health issues, and rurality. Analyzes 2016-2019 commercial claims data in Texas to observe low, medium, and high diabetes care cost trends. Discusses significant factors that impact different cost trajectories among Type 2 diabetes patients.
Author(s): Gang Han, Matthew Scott Spencer, SangNam Ahn, et al.
Citation: BMC Health Services Research, 23, 1116
Date: 10/2023
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Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis
Examines sustainability of National Diabetes Prevention Programs (DPPs) since they began in 2010. Analyzes 440 surveys taken in 2021 by staff members at National DPP delivery organizations to better understand issues such as environmental support, funding stability, partnerships, organizational capacity, program evaluation and adaptation, communications, and strategic planning. Includes sustainability scores of DPPs in rural, suburban, and urban locations.
Author(s): Lillian Madrigal, Regine Haardörfer, Michelle C. Kegler, et al.
Citation: Preventing Chronic Disease, 20
Date: 10/2023
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Challenges to Care of Patients with Diabetes in Rural, Underserved Areas
Discusses the provision of diabetes care to patients in rural areas. Includes information on demographics, barriers to care, and Federally Qualified Health Centers (FQHCs).
Author(s): Richard J. Santen
Date: 10/2023
Sponsoring organization: University of Virginia School of Medicine
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Changes in Healthcare Utilization Among Medicare Beneficiaries With Diabetes 2 Years Into the COVID-19 Pandemic
Examines changes in healthcare service use by people with diabetes over the course of the COVID-19 pandemic, utilizing 2018-2021 Medicare fee-for-service (FFS) beneficiary data. Includes rural versus urban comparisons of month-by-month and year-by-year changes in usage of telehealth and inpatient services.
Author(s): Xilin Zhou, Linda J. Andes, Deborah B. Rolka, Giuseppina Imperatore
Citation: AJPM Focus, 2(3), 100117
Date: 09/2023
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Factors Associated with Higher Hemoglobin A1c and Type 2 Diabetes-related Costs: Secondary Data Analysis of Adults 18 to 64 in Texas with Commercial Insurance
Examines factors associated with hemoglobin A1c values and diabetes-related costs in Texas residents with type 2 diabetes. Analyzes 2018-2019 data from 34,992 individuals with type 2 diabetes according to age, sex, comorbidities, health indicators, and metro versus nonmetro location.
Author(s): Marcia G. Ory, Gang Han, Sagar N. Jani, et al.
Citation: PLoS One, 18(9)
Date: 09/2023
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Trends and Predictors of Glycemic Control Among Adults With Type 2 Diabetes Covered by Alabama Medicaid, 2011–2019
Analyzes trends and predictors related to achieving optimum targets for glycemic control in adults with type 2 diabetes. Analyzes 2011-2019 Medicaid data from 18,560 patients living in Alabama according to sex, race/ethnicity, reason for Medicaid eligibility, ambulatory/acute care use, comorbidities, and urban, small town, or rural residence.
Author(s): Caroline A. Presley, Yulia Khodneva, Lucia D. Juarez, et al.
Citation: Preventing Chronic Disease, 20
Date: 09/2023
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The State of Our Health: A Statewide Health Assessment of Pennsylvania, August 2023 Update
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Respecting Tribal Voices in the Development of a Gestational Diabetes Risk Reduction Preconception Counseling Program for American Indian/Alaska Native Adolescent Females: A Qualitative Study
Investigates the relationship among obesity, pregnancy, and gestational diabetes mellitus (GDM) and the impact on American Indians and Alaska Natives (AI/AN) adolescents. Provides feedback from AI/AN girls at-risk for GDM and their mothers regarding culturally relevant preconception counseling interventions.
Author(s): Kelly R. Moore, Sarah A. Stotz, Martha Ann Terry, et al.
Citation: BMC Pregnancy and Childbirth, 23, 552
Date: 08/2023
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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
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