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Chronic Disease in Rural America Resources

Selected recent or important resources focusing on Chronic Disease in Rural America.

Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015
Reports on racial/ethnic health disparities among rural residents. Includes data by race/ethnicity for health-related quality of life, healthcare access and use, chronic health conditions, and health-related behaviors. Based on data from the 2012–2015 Behavioral Risk Factor Surveillance System.
Author(s): Cara V. James, Ramal Moonesinghe, Shondelle M. Wilson-Frederick, et al.
Location: MMWR Surveillance Summaries, 66(23), 1-9
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural HIV/AIDS Prevention and Treatment
Webinar presents the Rural HIV/AIDS Prevention and Treatment Toolkit developed by NORC Walsh Center for Rural Health Analysis. Features examples of successful programs such as the Ursuline Sisters HIV/AIDS Ministry and the North Carolina Rurally Engaging and Assisting Clients who are HIV positive and Homeless (NC REACH) project.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 11/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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QuickStats: Percentage of All Visits by Patients Aged ≥65 Years to Office-Based Physicians Made by Patients with Hypertension, by Sex and Metropolitan Statistical Area (MSA) — National Ambulatory Medical Care Survey, United States, 2012–2015
Bar chart showing the percentage of visits to a physician by patients 65 and older who have a diagnosis of hypertension, with information overall and by gender for those living in metropolitan and nonmetropolitan areas.
Location: MMWR (Morbidity and Mortality Weekly Report), 66(40), 1085
Date: 10/2017
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Pulmonary Health in Rural America: Cause and Impact of Work-Related Lung Diseases
Provides an overview of occupational lung diseases that impact rural areas related to agriculture, mining, healthcare, and other industries. Discusses asthma, lung cancer, Black Lung, and other work-related lung diseases. Includes information on prevention strategies, and highlights a personal protective equipment (PPE) management program at a rural Wisconsin Critical Access Hospital.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 10/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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“Taking the Bull by the Horns”: Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control
Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Location: Journal of Rural Health
Date: 09/2017
Type: Document
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BRCA Genetic Testing and Receipt of Preventive Interventions Among Women Aged 18-64 Years with Employer-Sponsored Health Insurance in Nonmetropolitan and Metropolitan Areas — United States, 2009–2014
Reports on rural and urban rates of genetic testing to identify women at increased risk for breast and ovarian cancer, with data by age group and region. Also examines rural and urban post-test preventive interventions, including mastectomy, MRI, mammography, and genetic counseling.
Author(s): Katherine Kolor, Zhuo Chen, Scott D. Grosse, et al.
Location: MMWR Surveillance Summaries, 66(15), 1-11
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Ursuline Sisters HIV/AIDS Ministry
Video highlighting a faith-based HIV/AIDS program in northeast Ohio that provides support groups, an HIV clinic, children's programs, a food and household item pantry, a housing program, and a peer navigator program.
Date: 09/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Diabetes Mortality in Rural America: 1999-2015
Examines diabetes-related mortality, with a particular focus on the roles of rurality and race, during a 16-year period from 1999-2015.
Author(s): Timothy H. Callaghan, Samuel D. Towne Jr., Jane Bolin, Alva O. Ferdinand
Date: 08/2017
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Diabetes and Forgone Medical Care Due to Cost in the U.S. (2011-2015): Individual-level & Placed-based Disparities
Identifies national trends in diabetes rates and forgone medical care among those with diabetes, along with geographic determinants and other social determinants of health disparities. Assesses rurality as a factor that affects diabetes patients' decision to forgo medical care because of cost.
Author(s): Samuel D. Towne Jr., Jane Bolin, Alva O. Ferdinand, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Rural Cancer: Data, Disparities, and Determination - Insights from the CDC MMWR Rural Health Series
Webinar recording highlighting a recent CDC Morbidity and Mortality Weekly Report article addressing rural disparities in cancer incidence and death rates. Also discusses community-level approaches to reduce the risk of cancer among rural populations.
Additional links: Audio Version, PowerPoint Handout, Webinar Transcript
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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HIV Testing Among Transgender Women and Men — 27 States and Guam, 2014-2015
Reports on HIV testing behaviors among transgender women, transgender men, gay and bisexual men, and heterosexual men and women. Includes metropolitan and nonmetro demographics for each group, and metro and nonmetro data on HIV testing for transgender men and women.
Author(s): Marc A. Pitasi, Emeka Oraka, Hollie Clark, Machell Town, Elizabeth A. DiNenno
Location: MMWR (Morbidity and Mortality Weekly Report), 66(33), 883-887
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health Disparities in Appalachia
Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Cecil G. Sheps Center for Health Services Research, PDA, Inc.
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Medical Home Plus
Video featuring the Medical Home Plus project, which works to reduce diabetes, depression, and stroke risk in rural Idaho via a collaborative care model and a medical home model.
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Using Practice Facilitation to Increase Rates of Colorectal Cancer Screening in Community Health Centers, North Carolina, 2012–2013: Feasibility, Facilitators, and Barriers
Pilot study exploring practice facilitation in 3 Federally Qualified Health Centers as a way to promote universal colorectal cancer screening. Features statistics on clinic staffing, number of patients and average age, and number and duration of visits, with breakdowns by rural or urban location.
Author(s): Bryan J. Weiner, Catherine L. Rohweder, Jennifer E. Scott, et al.
Location: Preventing Chronic Disease, 14
Date: 08/2017
Type: Document
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Bringing Change for Rural COPD Patients: Possibilities with the COPD National Action Plan
Highlights the mounting costs of chronic obstructive pulmonary disease (COPD), the substantial impact the disease has on rural communities, and the growing divide between COPD-related rural and urban mortality rates. The recently released COPD National Action Plan (CNAP) is set to bring COPD into the spotlight as a national health concern, and rural America will likely play a major role.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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“Doing Something Exceptional”: Rural Communities and Colorectal Cancer Screening
Discusses the importance of colorectal cancer screening and the challenges of providing this service in rural communities. Highlights colorectal cancer screening programs in rural Kentucky and Idaho.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States
Provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. Includes rural-urban data by gender, age, race/ethnicity, and cancer site. Also discusses cancer risk factor prevalence and evidence-based interventions.
Author(s): S. Jane Henley, Robert N. Anderson, Cheryll C. Thomas, et al.
Location: MMWR Surveillance Summaries, 66(14), 1-13
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of Chronic Disease Self-Management Education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Location: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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Diagnosed HIV Infection among Adults and Adolescents in Metropolitan Statistical Areas - United States and Puerto Rico, 2015
Presents data on HIV infection diagnoses in 2015 and the prevalence of adults and adolescents living with diagnosed HIV infection at year-end 2014 residing in metropolitan and nonmetropolitan areas in the United States and Puerto Rico. Nonmetropolitan data is included at the end of each table, after all the Metropolitan Statistical Areas are listed. Nonmetro data is available on HIV infection diagnoses in adults and adolescents by sex, sex and age, sex and race/ethnicity, sex and transmission category, and race/ethnicity and transmission category. Also includes mortality data by sex for nonmetropolitan areas.
Date: 05/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health, United States, 2016: With Chartbook on Long-term Trends in Health
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes data on rural areas - see index under "Metropolitan/nonmetropolitan data." This year's edition focuses on long-term trends in health, with 114 tables focused on health status and determinants, healthcare utilization, healthcare resources, and expenditures.
Additional links: Metropolitan and Nonmetropolitan Charts and Tables
Date: 05/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015)
Identifies trends in care of and prevalence of diabetes in terms of socioeconomic and demographic characteristics, and explores individual and community factors related to diabetes and diabetics' unmet medical needs. Features statistics on percentages of adults diagnosed with diabetes from 2011-2015 and distribution of diabetes and foregone medical care, with breakdowns including race or ethnicity, income, and levels of rurality.
Author(s): Samuel D. Towne, Jr., Jane Bolin, Alva Ferdinand, et al.
Location: International Journal of Environmental Research and Public Health, 14(5), 464
Date: 05/2017
Type: Document
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Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification — United States, 2015
Provides detailed data on prevalence of arthritis and arthritis-attributable activity limitation for six urban-rural categories. Includes urban-rural data by age, gender, race/ethnicity, education, employment, body mass index, smoking status, physical activity, self-rated health, and functionally disabled status.
Author(s): Michael A. Boring, Jennifer M. Hootman, Yong Liu, et al.
Location: MMWR (Morbidity and Mortality Weekly Report), 66(20), 527-532
Date: 05/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Location: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Impact of Comorbidities Among Medicaid Enrollees With Chronic Obstructive Pulmonary Disease, United States, 2009
Results of a study exploring how comorbidities among patients with chronic obstructive pulmonary disease affect disease burden, emergency department use, hospitalizations, and healthcare costs. Uses data from 2009 for 291,978 people aged 18-64 from 28 states. Features statistics with breakdowns including age group, race or ethnicity, sex, and residence in large metropolitan, small metropolitan, or rural areas.
Author(s): Gloria Westney, Marilyn G. Foreman, Junjun Xu, et al.
Location: Preventing Chronic Disease, 14
Date: 04/2017
Type: Document
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Practice Guidelines for Telestroke
Details guidelines for telestroke services to assist providers with the assessment, diagnosis, management, and/or remote consultative support with patients showing signs and symptoms of a stroke using real time videoconferencing technology.
Author(s): Bart M. Demaerschalk, Jill Berg, Opeolu Adeoye, et al.
Date: 03/2017
Type: Document
Sponsoring organization: American Telemedicine Association
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Selected Health Conditions Among Native Hawaiian and Pacific Islander Adults: United States, 2014
Reports on health conditions among the Native Hawaiian and Pacific Islander population, compared to the Asian population with which this group has historically been associated. Includes data on cancer, heart disease, diabetes, lower back pain, arthritis, severe headaches, and asthma. Based on data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey and the 2014 National Health Interview Survey.
Author(s): Adena M. Galinsky, Carla E. Zelaya, Patricia M. Barnes, Catherine Simile
Date: 03/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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Third Annual Report: HCIA Disease-Specific Evaluation
Findings from the third year for 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Provides information on program effectiveness based on Medicare and Medicaid claims data and awardee-collected data. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Additional links: Addendum, June 2017
Date: 02/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Health-Related Behaviors by Urban-Rural County Classification — United States, 2013
Provides data on five self-reported health-related behaviors for residents of rural and urban areas. Behaviors include sufficient sleep, current nonsmoking, nondrinking or moderate drinking, maintaining normal body weight, and meeting aerobic leisure time physical activity recommendations. Includes data for each behavior for metropolitan, micropolitan, and noncore (rural) areas, as well as prevalence of 4-5 health behaviors by sex, age, race/ethnicity, and education level. Based on 2013 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Kevin A. Matthews, Janet B. Croft, Yong Liu, et al.
Location: MMWR Surveillance Summaries, 66(5), 1-8
Date: 02/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Living with HIV in Rural America – Stigma and Other Barriers to Care
A video presentation highlighting the differences in HIV Care Continuum outcomes for persons living with HIV (PLWH) in rural and non-rural areas of the U.S. and territories. Discusses the types of stigma encountered, and identifies ways to lessen the stigma for PLWH accessing treatment in rural areas of the U.S. Audio for webinar starts at the 6 minute mark.
Additional links: Presentation Slides
Author(s): John A. Nelson, Anna M. Kinder, Donna Sweet
Date: 01/2017
Type: Video/Multimedia
Sponsoring organization: National Center for Innovation in HIV Care
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State Data Accompanying MMWR Surveillance Summary 66 (No. SS-1): 1-8: Potentially Excess Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Areas, United States, 2005-2015
Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Location: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999–2014
Investigates the differences in metropolitan and nonmetropolitan regions of the U.S. for the 5 leading causes of death (heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke) by analyzing and comparing mortality data derived from the National Vital Statistics System. Also, discusses the trends in annual age-adjusted death rates for unintentional injury for metropolitan and nonmetropolitan areas of the U.S.
Additional links: Supplemental Maps: Figure 5, Supplemental Tables: Figures 2-5
Author(s): Ernest Moy, Macarena C. Garcia, Brigham Bastian, et al.
Location: MMWR Surveillance Summaries, 66(1), 1-8
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Discusses factors impacting the rural-urban gap, and offers suggestions for reducing these disparities and improving health.
Author(s): Macarena C. Garcia, Mark Faul, Greta Massetti, et al.
Location: MMWR Surveillance Summaries, 66(1), 26-32
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Fact Sheet, Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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HIV Surveillance in Urban and Nonurban Areas through 2016
Presentation slides providing HIV and AIDS statistics for metropolitan and nonmetro areas. Includes data by race/ethnicity and by region.
Date: 2017
Type: Presentation Slides
Sponsoring organization: Centers for Disease Control and Prevention
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American Indian/Alaska Natives & Cardiovascular Diseases
Reports on the incidence of heart disease, stroke, and high blood pressure in the American Indian and Alaska Native populations. Also provides data on smoking, physical inactivity, and diabetes.
Date: 2017
Type: Document
Sponsoring organization: American Heart Association
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Improving Rural Health: Making an Impact in Five Years
Issue brief exploring state health agencies' efforts to address mortality from heart disease, cancer, unintentional injury, chronic lower respiratory disease and stroke among rural Americans. Includes a list of rural health resources for state health agencies and emphasizes the importance of partnerships in improving public health. Describes case studies of programs that target rural and underserved populations in Colorado, Minnesota, Ohio, and Wisconsin.
Date: 2017
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Wake Up! HIV is at Your Door: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis
Results of interviews with African American pastors in rural Alabama who participated in an HIV prevention study. Includes suggestions for the roll the church can play in changing the prevalence and remaining stigma of the disease in the rural South.
Author(s): Tiffiany M. Aholou, Eric Cooks, Ashley Murray, et al.
Location: Journal of Religion and Health, 55(6), 1968-1979
Date: 12/2016
Type: Document
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Vital Signs: Trends in HIV Diagnoses, Risk Behaviors, and Prevention Among Persons Who Inject Drugs — United States
Reports on trends in HIV diagnoses among people who inject drugs. Figure 1 shows data for urban and rural whites, African Americans, and Hispanics from 2008-2014.
Author(s): Cyprian Wejnert, Kristen L. Hess, H. Irene Hall, et al.
Location: MMWR (Morbidity and Mortality Weekly Report), 65(47), 1336-1342
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women
Results of a survey and assessment of overweight African American women in the South about their motivation for weight loss and exercise as it connects to ethnicity and rurality. Includes a discussion of racial identity, rural influence, and chronic disease diagnosis.
Author(s): K. Bryant Smalley, Jacob C. Warren, Sydney McClendon, Wilburn Peacock, Marisol Caro
Location: Clinical Medicine Insights: Women's Health, 9(Suppl 1), 95-101
Date: 11/2016
Type: Document
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Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013
Reports on trends and disparities in incidence and death rates for cancers related to cigarette smoking during 2004–2013. Includes data for urban and rural counties.
Author(s): S. Jane Henley, Cheryll C. Thomas, Saida R. Sharapova, et al.
Location: MMWR (Morbidity and Mortality Weekly Report), 65(44),1212-1218
Date: 11/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Chronic Disease Disparities by County Economic Status and Metropolitan Classification, Behavioral Risk Factor Surveillance System, 2013
Examines health disparities in the U.S. using county economic data for unemployment, poverty, and per capita market income to compare the relationship of economic status of metropolitan and nonmetropolitan counties with the prevalence of hypertension, arthritis and self-rated health.
Author(s): Kate M. Shaw, Kristina A. Theis, Shannon Self-Brown, et al.
Location: Preventing Chronic Disease, 13, E119
Date: 09/2016
Type: Document
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Polypharmacy and Health-Related Quality of Life Among US Adults With Arthritis, Medical Expenditure Panel Survey, 2010-2012
Results of a study of 6,132 adults with arthritis, to determine the relationship between treatment with prescription drugs from 6 or more drug classes and health-related quality of life. Features demographic statistics with breakdown between urban and rural areas of residence.
Author(s): Abdulkarim M. Meraya, Nilanjana Dwibedi, Usha Sambamoorthi
Location: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Intersection of Living in a Rural Versus Urban Area and Race/Ethnicity in Explaining Access to Health Care in the United States
Examines healthcare access for Hispanic, African American, and white rural and urban residents. Reports on access to a usual source of health care, health care needs met, cholesterol screening, cervical screening, and dental visits.
Author(s): Julia T. Caldwell, Chandra L. Ford, Steven P. Wallace, May C. Wang, Lois M. Takahashi
Location: American Journal of Public Health, 106(8), 1463-9
Date: 08/2016
Type: Document
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Trinity Hospital Twin City's Fit for Life
Video featuring the Trinity Hospital Twin City’s Fit for Life wellness program in rural Ohio. Highlights Dr. Timothy McKnight’s unique curriculum which teaches participants that a change in mindset is the key to long-term physical health.
Date: 08/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Home-Based Cardiac Care for Rural Veterans
Video describing the Home-Based Cardiac Rehabilitation Program from the Department of Veterans Affairs. Focuses on individualized care for rural veterans through cardiac telehealth. This program allows for one-on-one care for patients who cannot come for traditional clinic rehab appointments due to geographic isolation, transportation challenges, or other impediments.
Date: 08/2016
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics
Examines impact of cardiology outreach clinics in 96 predominantly rural Iowa cities in 2014. Includes map showing clinic sites and a table of mean one-way travel times with breakdowns by urban area, large rural city, small rural town, isolated rural town, and all rural census tracts.
Author(s): Thomas S. Gruca, Tae-Hyung Pyo, Gregory C. Nelson
Location: Journal of the American Heart Association, 5(7)
Date: 06/2016
Type: Document
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Health without Borders
Video featuring the Health without Borders (HwoB) program, which uses promotoras to provide immunizations door-to-door. This approach is popular in Mexico and provides a familiar experience for the immigrants that HwoB serves in Luna County, New Mexico.
Date: 06/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Vivir Mejor! (Live Better!)
Video highlighting the Vivir Mejor! (Live Better!) program, a comprehensive, culturally competent diabetes education program for Hispanic/Latino populations in rural Arizona. Features program staff and patients sharing how the program impacted the health of people in the region.
Date: 06/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Connection Between Depression and Inability to Fill Prescriptions in Rural FQHC Patients with Chronic Disease
Examines rates of depression among 438 patients with hypertension or diabetes at Federally Qualified Health Centers (FQHCs) in the rural South. Also explores whether inability to afford prescription medicines within the previous 12 months is a predictor of depression in these patients. Includes statistics with breakdowns by race or ethnicity, gender, education, employment status, income, chronic condition, and history of mental illness.
Author(s): K. Bryant Smalley, Jacob C. Warren, K. Nikki Barefoot
Location: Rural Mental Health, 40(2), 113-123
Date: 04/2016
Type: Document
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Emergency Department Visits for Children and Young Adults With Diabetes, 2012
Reports on diabetes-related emergency department visits, which may be related to undetected or poorly controlled diabetes, among children and young adults aged 0-29 years. Includes data by location of patient residence, for urban and rural locations.
Author(s): Aitalohi Amaize, Kamila B. Mistry
Date: 04/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Peer Support for People with Chronic Conditions in Rural Areas: A Scoping Review
Results of a project to discover and explore articles published from 2000 to 2014 on community-based initiatives for adults with chronic conditions in rural settings, including 7 programs in the United States, 2 in Australia, and 1 in Canada.
Author(s): Heidi M. Lauckner, Susan L. Hutchinson
Location: Rural and Remote Health, 16
Date: 03/2016
Type: Document
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Explaining the Link Between Access-to-care Factors and Health Care Resource Utilization among Individuals with COPD
Estimates with national data the relationship between access to healthcare and healthcare utilization that includes primary care physicians, hospitals, Rural Health Centers (RHCs), and Federally Qualified Health Centers (FQHCs) for patients with chronic obstructive pulmonary disease (COPD).
Author(s): Minchul Kim, Jinma Ren, William Tillis, et al.
Location: International Journal of Chronic Obstructive Pulmonary Disease, 11, 357-67
Date: 02/2016
Type: Document
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Identifying High-Risk Neighborhoods Using Electronic Medical Records: A Population-Based Approach for Targeting Diabetes Prevention and Treatment Interventions
Reports findings from a study examining how electronic medical records (EMRs) can be used to address chronic health conditions, specifically diabetes. Discusses how EMRs can be used to identify at-risk neighborhoods for community-based interventions. The study focused on two urban counties and one rural county in Minnesota.
Author(s): Rose Gabert, Blake Thomson, Emmanuela Gakidou, Gregory Roth
Location: PLOS ONE, 11(7)
Date: 2016
Type: Document
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Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) on how to submit claims for chronic care management services according to the RHC All-Inclusive Rate and the FQHC Prospective Payment System, effective January 1, 2016.
Date: 11/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Diagnoses and Prevalence of HIV Infection Among Hispanics or Latinos - United States, 2008-2013
Reports on changes in diagnoses of HIV infection in Hispanic and Latino adults and adolescents between 2008 and 2013. Table 1 includes year-by-year data by location of residence for urban, suburban, and rural areas.
Author(s): Kristen Mahle Gray, Eduardo E Valverde, Tian Tang, Azfar-e-Alam Siddiqi, H. Irene Hall
Location: MMWR (Morbidity and Mortality Weekly Report), 64(39), 1097-103
Date: 10/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Challenges of Rural Cancer Care in the United States
Highlights the impact of rurality affecting the care of rural cancer patients and healthcare providers treating cancer patients. Topics discussed include the availability of cancer specialists, limited transportation services, lower socioeconomic status, health insurance coverage, less access to clinic trials, and the shortage of palliative and end-of-life staff and services.
Author(s): Mary Charlton, Jennifer Schlichting, Catherine Chioreso, et al.
Location: Oncology Journal, Practice & Policy, 29(9), 633-640
Date: 09/2015
Type: Document
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Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers
Explores the association of access, for example one or more facilities, to Federally Qualified Health Centers (FQHCs) and cancer mortality-to-incidence ratios in every county in the United States using 2006-2010 data from the National Cancer Institute State Cancer Profile. Study specifically looks at breast, cervical, prostate, and colorectal cancer. Data is broken down by cancer type, rural versus urban, Health Professional Shortage Area designation, and race.
Author(s): Swann Arp Adams, Seul Ki Choi, Leepao Khang, et al.
Location: Journal of Community Health, 40(4), 633-641
Date: 08/2015
Type: Document
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Offering Chronic Disease Self-Management Education in Rural Areas
Identifies challenges rural areas face in implementing evidence-based chronic disease self-management education (CDSME). Recommends strategies and resources rural communities can use to implement CDSME programs. Includes examples of successful programs.
Date: 07/2015
Type: Document
Sponsoring organization: National Council on Aging
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Differences in Stroke Mortality Among Adults Aged 45 and Over: United States, 2010-2013
Provides data on stroke mortality among adults aged 45 and over by age, race/ethnicity, income, urban-rural residence, and residence inside or outside the Stroke Belt. Figure 4 shows stroke rates for metropolitan and non-metro counties.
Author(s): Deborah D. Ingram, Jessica A. Montresor-Lopez
Date: 07/2015
Type: Document
Sponsoring organization: National Center for Health Statistics
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Potentially Preventable Pediatric Hospital Inpatient Stays for Asthma and Diabetes, 2003-2012
Reports on potentially preventable hospitalizations for asthma and diabetes with short-term complications among children aged 0-17 years. Figure 4 includes data by location of residence for rural and urban areas.
Author(s): Kathryn Fingar, Raynard Washington
Date: 06/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Assessing Shifts in Outpatient Visits to Physicians of Other Specialties in Rural Areas with Shortages of Cardiologists and Gastroenterologists: A Preliminary Analysis
Examines "service shifting" in rural communities, a practice by which local physicians in medical shortage areas may adapt their services to meet needs that would normally be addressed by non-primary care specialists. Includes statistics with breakdowns by level of availability of cardiologists and gastroenterologists, and number of outpatient visits, using Medicare data from 2011.
Author(s): Donald E. Pathman, G. Mark Holmes, Samuel Berchuck, James W. Terry, Jr.
Date: 04/2015
Type: Document
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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Addressing Chronic Disease through Community Health Workers: A Policy and Systems-Level Approach
A guideline for the integration of community health workers (CHWs) into community based chronic disease prevention programs using suggested resources. Includes examples from a variety of CHW programs, some of which serve rural communities.
Date: 04/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Community-Wide Cardiovascular Disease Prevention Programs and Health Outcomes in a Rural County, 1970-2010.
Describes key elements and outcomes of programs targeting hypertension, cholesterol, and smoking, as implemented in Franklin County, Maine over a 40 year period. Includes statistics with breakdowns by demographics, risk factor reductions, hospitalization rates, and mortality rates, with comparisons between Franklin County and other Maine counties.
Author(s): N. Burgess Record, Daniel K. Onion, Roderick E. Prior, et al.
Location: The Journal of the American Medical Association, 313(2), 147-155.
Date: 01/2015
Type: Document
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Addressing HIV/AIDS in Rural Communities
Thematic issue of the Psychology and AIDS Exchange Newsletter features seven articles focusing on HIV and AIDS in rural communities. Includes an examination of rural HIV prevalence, healthcare service delivery, HIV prevention efforts, barriers to treatment, and opportunities to improve care in rural communities.
Date: 01/2015
Type: Document
Sponsoring organization: American Psychological Association
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Qualitative Evaluation of the Relevance and Acceptability of a Web-Based HIV Prevention Game for Rural Adolescents
Study of the use of online gaming to increase the education and awareness of HIV and its prevention in rural African American youth in the South. Includes data from focus groups, sample game design, and rates of change in behavior/awareness as available.
Author(s): Comfort Enah, Kendra Piper, Linda Moneyham
Location: Journal of Pediatric Nursing, 30(2), 321-328
Date: 2015
Type: Document
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Review Strategies to Recruit and Retain Rural Patient Participating Self-Management Behavioral Trials
Discusses effective methods to encourage rural patients with cardiovascular disease to participate in self-management behavioral intervention trials designed to improve health outcomes and reduce healthcare costs.
Author(s): Lufei Young, Susan Barnason, Van Do
Location: Online Journal of Rural Research & Policy, 10(2)
Date: 2015
Type: Document
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 2
Provides a rural focus for the Healthy People 2020 priorities with an overview for each of the top health priorities ranked 11 through 20 identified by rural stakeholders. (Volume 1 discussed the top 10 priorities.) Topics include: cancer, health education, oral health, immunizations and infectious disease, public health, sexual health and family planning, injury and violence prevention, and social determinants of health. Includes reviews of the relevant literature and model programs appropriate for rural communities. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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QuickStats: Age-Adjusted Death Rates from Chronic Obstructive Pulmonary Disease (COPD) Among Persons Aged ≥55 Years, by Sex and Urbanization of County of Residence - United States, 2009-2011
Chart showing death rates from Chronic Obstructive Pulmonary Disease for metropolitan and non-metropolitan areas by gender among adults over 55.
Location: MMWR (Morbidity and Mortality Weekly Report), 63(44), 1016
Date: 11/2014
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Rural-Urban Disparities in Heart Disease
Policy brief reporting on rural disparities in heart disease and the associated risk factors of obesity and physical inactivity. Includes heart disease-related death rates and information on obesity prevalence by sex, region, and rural/urban status from 2008-2010. Based on data from The 2014 Update of the Rural-Urban Chartbook.
Author(s): Alana Knudson, Michael Meit, Shena Popat
Date: 10/2014
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Qualitative Exploration of Rural Focus Group Members’ Participation in the Chronic Disease Self-Management Program, USA
Explores the benefits of a self-managed approach to chronic illness as perceived by rural residents. Also discusses research in support of self-managed care for chronic illness in rural areas.
Author(s): Idethia Harvey, Megan Janke
Location: Rural and Remote Health, 14, 2886
Date: 10/2014
Type: Document
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Looks at the impact telemedicine has on cost, quality, and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease (COPD).
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith
Location: Telemedicine Journal and E-Health, 20(9), 769-800
Date: 09/2014
Type: Document
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HIV/AIDS in Rural America: Disproportionate Impact on Minority and Multicultural Populations
Overview of the impact of AIDS and HIV in rural areas. Summarizes the epidemiology of AIDS/HIV, including its impact on rural minority groups. Discusses the challenges rural areas face in preventing AIDS. Includes policy recommendations.
Date: 04/2014
Type: Document
Sponsoring organization: National Rural Health Association
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Urban-Rural Differences in Coronary Heart Disease Mortality in the United States: 1999-2009
Describes the trends and magnitude of variations in death rates, with statistical breakdowns by age group, sex, race, geographical region, urbanization level, and year. Examines possible contributing factors for the disparities, including physical activity levels, access to health care, socioeconomic status, and education level.
Author(s): Ambar Kulshreshtha, Abhinav Goyal, Kaustubh Dabhadkar, Emir Veledar, Viola Vaccarino
Location: Public Health Reports, 129(1)
Date: 01/2014
Type: Document
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Trends in Pediatric and Adult Hospital Stays for Asthma, 2000-2010
Provides data on inpatient hospital stays for asthma in community hospitals. Table 1 includes information on 2010 stays for children and adults based on the location of patients' residence, for metropolitan, micropolitan, and non-metro areas.
Author(s): Marguerite L. Barrett , Lauren M. Wier, Raynard Washington
Date: 01/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rates of Black Lung Disease in Relationship to Black Lung Treatment Centers
Investigates the rates of black lung disease among active miners in relationship to the location of Black Lung Clinics.
Additional links: Policy Brief
Author(s): Michael Hendryx, Cynthia Persily, Jamison Conley, Evan Fedorko
Date: 08/2013
Type: Document
Sponsoring organization: West Virginia Rural Health Research Center
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Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-Access Healthcare System
Results of a study on the use of raltegravir, the first HIV integrase inhibitor, by Veterans Affairs (VA) patients with a rural-urban comparison. Includes a discussion of barriers to new forms of HIV treatment for rural residents, such as geographic distance, transportation, and limited access to specialists in the field.
Author(s): Michael Ohl, Brian Lund, Pamela S. Belperio, et al.
Location: AIDS and Behavior, 17(1), 250-259
Date: 01/2013
Type: Document
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Childhood Asthma in Rural-Urban Areas
Examines how asthma may be related to rural areas adjacent or non-adjacent to larger population centers, to variation in measures of air quality, to varying levels of agricultural and animal production, and to other characteristics such as obesity, race/ethnicity, or health insurance.
Additional links: Policy Brief
Author(s): Michael Hendryx, Matthew Gurka, Melissa Ahern, Heidi Putman
Date: 05/2012
Type: Document
Sponsoring organization: West Virginia Rural Health Research Center
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Geographic Isolation Shows Higher Risk for Chronic Obstructive Pulmonary-Disease Related Mortality: A Cohort Study
Reports that veterans with chronic obstructive pulmonary disease (COPD) living in isolated rural areas of the United States are at a 42% greater risk for COPD exacerbation-related mortality than those living in urban areas.
Author(s): Thad E. Abrams, Mary Vaughan-Sarrazin, Vince S. Fan, Peter J. Kaboli
Date: 2012
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Center: Central Region
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AIDSVu
Interactive map for accessing data on HIV and AIDS from the Centers for Disease Control and Prevention’s national HIV surveillance database. Includes county-level data on prevalence and new diagnoses by age, race, gender, and transmission category. Also includes testing and treatment center locations.
Type: Website
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National Environmental Public Health Tracking Network
Provides access to national, state, and county-level data on environmental health topics, including air quality, heat stress, exposure to pesticides, and other factors. Also includes data on health concerns impacted by the environment, including asthma, COPD, cancer, and heart disease.
Additional links: Data Query Tool, Info by Location (County)
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, and Transitional Care Management.
Type: Website
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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County Diabetes Data
Provides access to state, national, and county-level data and trends for diabetes, obesity, and leisure-time physical inactivity.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Quick Maps of Heart Disease, Stroke, and Socio-economic Conditions
A collection of maps showing county-level data on heart disease and stroke hospitalization and mortality by race/ethnicity, as well as Medicare cost of care per capita and selected social determinants of health.
Type: Map/Mapping System
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Tobacco Control and Prevention Toolkit
Resources and best practices to help rural communities develop tobacco control and prevention programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural HIV/AIDS Prevention and Treatment Toolkit
Provides information, strategies, and resources to help rural communities implement HIV/AIDS prevention and treatment programs. Identifies program models and examples that span the HIV/AIDS care continuum. Discusses program implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural Diabetes Prevention and Management Toolkit
Resources and best practices to help rural communities develop and implement diabetes prevention and management programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Mapping Medicare Disparities
County-by-county interactive map providing information on geographic disparities in chronic disease among Medicare beneficiaries. Indicates disparities in health outcome, utilization, and spending among racial and ethnic minorities and geographic location.
Type: Map/Mapping System
Sponsoring organization: Centers for Medicare and Medicaid Services
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Exploring Rural and Urban Mortality Differences
Offers a variety of data tables and online tools that display indicators of mortality rates by age, rurality, region, and sex to help researchers examine the impact of rurality on mortality.
Type: Website
Sponsoring organization: Rural Health Reform Policy Research Center
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CDC WONDER
Provides access to wide range of public health data, including mortality data for metropolitan and non-metropolitan areas. Also offers access to birth and fertility rates by county.
Type: Database
Sponsoring organization: Centers for Disease Control and Prevention
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U.S. County Profiles
County-level profiles that provide data by gender on life expectancy, chronic disease, obesity, physical activity, and smoking.
Type: Website
Sponsoring organization: Institute for Health Metrics and Evaluation
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U.S. Health Map
Interactive map that provides county-level data by gender on life expectancy, mortality rates, and risk factors, including diabetes, hypertension, obesity, physical activity, alcohol use, and smoking.
Type: Map/Mapping System
Sponsoring organization: Institute for Health Metrics and Evaluation
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Medicare Chronic Conditions Dashboards
Provides access to national, state, county and hospital referral region statistics on Medicare beneficiaries related to chronic disease prevalence, utilization, and Medicare spending.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP) Atlas
Provides access to state and county-level data on HIV/AIDS, viral hepatitis, tuberculosis, chlamydia, gonorrhea, and syphilis. Click the query tab to change selections.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Interactive Atlas of Heart Disease and Stroke
State and county maps and data on heart disease and stroke, with data available by demographic group. Includes county-level healthcare cost data for Medicare fee-for-service beneficiaries. Also covers social and environmental determinants, availability of health services, and location of health care facilities.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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State Cancer Profiles
Provides access to state and county cancer statistics and trends, with data by demographic group and cancer type. Also covers screening and risk factors. Offers interactive mapping.
Type: Website
Sponsoring organization: National Cancer Institute
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What's Working in Chronic Disease Prevention and Control
A collection of programs aimed at improving the health of communities and reducing the burden of chronic disease.
Type: Website
Sponsoring organization: National Association of Chronic Disease Directors
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Rural Obesity Prevention Toolkit
Contains eight modules that concentrate on different aspects of obesity prevention programs. Also shares best practices from successful obesity prevention programs that have been implemented in clinical, school, and community settings.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Behavioral Risk Factor Surveillance System (BRFSS)
Provides access to data and reports from a national survey covering chronic diseases and conditions, health risk behaviors, and use of preventive health services.
Type: Database
Sponsoring organization: Centers for Disease Control and Prevention
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 12/5/2017