North Carolina Resources

Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
view details

Determining Trends and Factors Associated with Self-Reported Physical Activity among Adolescents in Rural North Carolina
Uses data from a school-based wellness intervention to evaluate demographic, environmental, and school-level factors that may impact self-reported physical activity (PA) in 7th grade students in rural, eastern North Carolina during the 2018–2019 school year. Includes statistics on self-reported days of 60 min. PA per week with breakdowns by sex, race, and weight category.
Author(s): Sina Kazemzadeh, Chloe E. Opper, Xiangming, Suzanne Lazorick
Citation: International Journal of Environmental Research and Public Health, 19(18), 11417
Date: 09/2022
view details

County-Level Sociodemographic Factors Associated with COVID-19 Incidence and Mortality in North and South Carolina
Explores associations of county-level characteristics with COVID-19 outcomes within North Carolina and South Carolina during the first 7 months of the pandemic. Features statistics including incidence and mortality rates, with breakdowns by rural and nonrural areas.
Author(s): Nicole Kniep, Thelma Achidi, Christy Flynn, et al.
Citation: North Carolina Medical Journal, 83(5), 366-374
Date: 09/2022
view details

Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
view details

Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Sponsoring organization: Rural Health Information Hub
view details

Temporal Changes in Treatment Patterns for Rural and Urban Patients With Early-Stage Non-Small Cell Lung Cancer
Examines treatment modalities in rural and urban populations in North Carolina for patients who have Stage I non-small cell lung cancer (NSCLC). Identifies the treatment patterns of 5,504 patients such as surgery, radiation, or no treatment. Provides patient demographics broken down by age, sex, race, insurance, comorbidity index, history of lung disease, and urban, suburban, or rural location.
Author(s): Joshua Herb, Tzy-Mey Kuo, Vaibhav Kumar, et al.
Citation: North Carolina Medical Journal, 83(4), 294-303
Date: 07/2022
view details

Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details

A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion, 36(6), 948-958
Date: 07/2022
view details

Evaluation of a Family Connects Dissemination to Four High-Poverty Rural Counties
Results from the Family Connects postpartum home visiting program, conducted in 4 high-poverty rural eastern North Carolina counties from September 2014 through December 2015. Features statistics on Family Connects' impact on infant and parental health and well-being, with breakdowns by intervention group and comparison group.
Author(s): W. Benjamin Goodman, Kenneth A, Dodge, Yu Bai, Robert A. Murphy, Karen O'Donnell
Citation: Maternal and Child Health Journal, 26(5), 1067-1076
Date: 05/2022
view details

After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Sponsoring organization: American Communities Project
view details