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Chronic Disease in Rural America – Resources

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

Lung Cancer Incidence in Nonmetropolitan and Metropolitan Counties — United States, 2007–2016
Reports on lung cancer incidence rates in metropolitan and nonmetropolitan counties, with data by sex and by age at diagnosis. Includes data for 2007 and 2016, as well as the change in rate from 2007 to 2016. Discusses strategies to reduce exposure to lung cancer risk factors and how those strategies might be targeted to decrease disparities.
Author(s): Mary Elizabeth O'Neil, S. Jane Henley, Elizabeth A. Rohan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(44), 993-998
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Potentially Excess Deaths from the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
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. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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ARcare Uses Telehealth for Diabetes Education
Describes ways in which telehealth is used for education programs geared toward prediabetic and diabetic rural patients of ARcare, an Arkansas Federally Qualified Health Center comprising 44 family practice clinics.
Date: 11/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Expanding HIV Care Through Telehealth
Discusses how telehealth programs benefit Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) recipients. Discusses the benefits for rural patients of provider-specialist programs like Project ECHO that offer telementoring to primary care providers and of programs that provide care directly to rural patients via telemedicine.
Citation: CAREAction Newsletter
Date: 10/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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HIV in the Southern United States
Issues brief discussing the HIV epidemic in the South. Highlights the increased number of new HIV diagnoses in suburban and rural areas of the South compared to other regions in the U.S. Covers factors contributing to the HIV epidemic in the South and includes information on how to address these issues in rural communities.
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Ending HIV in America: Policy and Program Insights From Local Health Agencies and Providers
Report evaluates strategies for combating HIV and makes policy recommendations. Discusses access to services in rural areas. Highlights rural Scott County, Indiana as a case study.
Date: 09/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Advancing Innovation to End the HIV Epidemic: 2019 Ryan White HIV/AIDS Program Highlights
Highlights the approaches and outcomes of the Ryan White HIV/AIDS Program. Discusses some of the approaches by grant recipients and details the program's accomplishments nationally and regionally, such as West Virginia's use of telehealth to expand access to HIV services in rural areas.
Date: 09/2019
Type: Document
Sponsoring organization: HRSA HIV/AIDS Bureau
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Impact of Rurality on Diabetes Screening in the US
Examines diabetes screening in urban, suburban, and rural areas, using Behavioral Risk Factor Surveillance System (BRFSS) data from 2011 through 2017.
Author(s): Phoebe Tran, Lam Tran, Liem Tran
Citation: BMC Public Health,19, 1190
Date: 09/2019
Type: Document
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Effective Communication and Consistency in Increasing Rural Vaccination Rates
Discusses barriers to vaccination in rural areas and strategies to improve vaccination rates. Features efforts in a Louisiana Rural Health Clinic (RHC) and in rural Kentucky high schools that are increasing vaccination rates.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Characteristics of Asthma Visits to Physician Offices in the United States: 2012–2015 National Ambulatory Medical Care Survey
Examines asthma visits to offices of non-federally employed U.S. physicians, with information on asthma visit characteristics and trends. Includes data by geographic location of the visit for metropolitan and nonmetro areas.
Author(s): Lara J. Akinbami, Loredana Santo, Sonja Williams, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Characteristics of Inpatient Hospital Stays Involving Sickle Cell Disease, 2000–2016
Examines inpatient stays among patients with sickle cell disease (SCD), with trends by patient age from 2000-2016. Also reports on characteristics of inpatient stays in 2016, including data on the location of patient residence for metropolitan, rural metro-adjacent, and rural remote areas. Includes data by patient location for black patients with SCD-related stays compared to black U.S. residents as a whole. Also reports on SCD-related stays by hospital location for metropolitan, rural metro-adjacent, and rural remote areas.
Author(s): Kathryn R. Fingar, Pamela L. Owens, Lawrence D. Reid, et al.
Date: 09/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Examining Rural Cancer Prevention and Control Efforts: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas, and includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Have Healthy People 2020 Benchmarks for Leading Causes of Death Been Met in Rural and Urban Areas?
Presentation slides from an August 20, 2019 webinar, with analysis of death rates for 7 major causes of death, in light of Healthy People 2020 benchmarks. Features mortality statistics from 2007-2017 for diabetes, heart disease, suicide, cancer, stroke, unintentional injury, and chronic obstructive pulmonary disease, with breakdowns by gender, race, and region, with 6 levels of population density.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Marvellous Akinlotan, Kristie Primm
Date: 08/2019
Type: Presentation Slides
Sponsoring organizations: Southwest Rural Health Research Center, Texas A&M Health Science Center
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Racial and Ethnic Disparities in Use of a Personal Health Record by Veterans Living with HIV
Explores a study on the social and demographic characteristics of veterans with HIV who use My HealtheVet, a web-based personal health record system. Looks at age, race, and rural versus urban location, among other factors.
Author(s): Sarah J Javier, Lara K Troszak, Stephanie L Shimada, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 696–702
Date: 08/2019
Type: Document
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Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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A Holistic Approach to Chronic Disease Prevention: Good Health and Wellness in Indian Country
Describes the development, funding, and implementation of a 5-year program, begun in 2014, supporting American Indian and Alaska Native (AI/AN) communities and tribal organizations to simultaneously address chronic diseases and their risk factors. Identifies approaches useful for agencies and organizations working with AI/AN populations.
Author(s): Nancy S. Andrade, David K. Espey, Mary E. Hall, Ursula E. Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Using Local Data on Adults Aged 18 to 64 to Tailor Interventions for Blood Pressure Medication Adherence in Maine
Demonstrates how mapping can be used to target specific populations for public health interventions, thereby assuring effective use of limited funding. The Maine Center for Disease Control and Prevention developed a map using Geographic Information Systems (GIS) to determine where and how to administer programs to increase adherence to a prescribed course of medical treatment for hypertension among adults aged 18 to 64. Nearly half of the counties identified with low medication adherence rates were rural.
Author(s): Caitlin Pizzonia, David Pied, Sara L. Huston, et al.
Citation: Preventing Chronic Disease, 16
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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ARcare Uses EHR Alerts for HIV Testing and Prevention
Details ARcare's use of electronic health records to identify risk factors for HIV in primary care health records and flag them for testing. Discusses work with clinical staff to address HIV screening and prevention. Highlights HIV outreach work with the Arkansas Health Department.
Date: 06/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in seven states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Author(s): Marc A. Pitasi, Kevin P. Delaney, John T. Brooks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017
Examines age-adjusted prevalence of chronic obstructive pulmonary disease (COPD) among current smokers, former smokers, and those who have never smoked. Includes data by urban-rural location.
Author(s): Anne G. Wheaton, Yong Liu, Janet B. Croft, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(24), 533-538
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Breathless and Betrayed: What is MSHA Doing to Protect Miners from the Resurgence of Black Lung Disease?
Provides a U.S. House Subcommittee on Workforce Protections hearing on the increase in lung disease among coal miners, particularly in the Appalachian states of Virginia, Kentucky, and West Virginia, and what the Mine Safety and Health Administration (MSHA) should do about it. Addresses the history of black lung in the U.S., black lung statistics, the impact of quartz exposure and ways to reduce it, and the finances of the Black Lung Disability Trust Fund. Includes testimony from the Government Accountability Office, National Institute for Occupational Safety and Health, United Mine Workers of America, University of Illinois School of Public Health, and others.
Additional links: Cecil Roberts, John Howard Testimony, Robert Cohen Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: U.S. House of Representatives
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The Challenges of Chronic Disease in Rural Areas: Chronic Obstructive Pulmonary Disease (COPD)
Video focused on chronic obstructive pulmonary disease (COPD) in rural America. Experts discuss the high prevalence rate in rural areas, possible causes of the disparity, COPD treatment options, and how we can better understand and address this disease.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Organization of Endovascular Thrombectomy the Need for a 2-tier System
Discusses the current state of stroke care and reasons behind establishing a two-tiered standard of care for tertiary healthcare centers and rural hospitals that perform acute stroke care.
Author(s): Mayank Goyal, Kathinka D. Kurz, Marc Fisher
Citation: Stroke, 50, 1325-1326
Date: 06/2019
Type: Document
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Diagnoses of HIV Infection Among Adults and Adolescents in Metropolitan Statistical Areas-United States and Puerto Rico, 2017
Presents data on HIV infection diagnoses in 2017 and the prevalence of adults and adolescents living with diagnosed HIV infection at year-end 2016 residing in metropolitan and nonmetropolitan areas in the U.S. 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: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State-Specific Severe Joint Pain and Physical Inactivity Among Adults with Arthritis — United States, 2017
Examines state-specific prevalence of arthritis and, among adults with arthritis, the prevalence of severe joint pain and of physical inactivity. Includes national data for metropolitan, micropolitan, and non-core counties.
Author(s): Dana Guglielmo, Louise B. Murphy, Michael A. Boring, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(17), 381-387
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reducing Cancer Among Native Populations: Models for Research, Prevention, and Treatment
Highlights the work of a cancer researcher, a foundation director, and healthcare provider who are engaging American Indians and Alaska Natives in cancer research, prevention, and treatment.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Changing Burden of Diabetes in Rural and Urban America
Recording and slides from a April 29, 2019 webinar with Timothy Callaghan and Alva O. Ferdinand from the Texas A&M University School of Public Heath. Provides an overview of diabetes mortality and trends in rural and urban areas. Covers data on in-hospital diabetes mortality, predictors of emergency department initiated diabetes care, and progress towards Healthy People 2020 goals to reduce diabetes mortality.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 04/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Relationship Between Adherence to Antihypertensive Medication Regimen and Out-of-Pocket Costs Among People Aged 35 to 64 With Employer-Sponsored Health Insurance
Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America from the National Advisory Committee on Rural Health and Human Services
Webinar recording discussing chronic obstructive pulmonary disease (COPD) in rural areas. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the National Institutes of Health (NIH), the University of North Carolina's School of Public Health, and the Dorney-Koppel Foundation.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Healthcare Professionals' Views of Palliative Care for American War Veterans with Non-malignant Respiratory Disease Living in a Rural Area: A Qualitative Study
Discussed the views of healthcare professionals on palliative care for rural veterans with chronic lung diseases in Idaho. Highlights the providers' perception of veterans' understanding of the disease and it's progression, as well as barriers to palliative care services.
Author(s): Clare Mc Veigh, Joanne Reid, Paula Carvalho
Citation: BMC Palliative Care, 18, 22
Date: 02/2019
Type: Document
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Advancing Tobacco Prevention and Control in Rural America
Discusses different contexts for rural tobacco prevention and control, such as sociodemographic risk factors, culture, and infrastructure. Includes statistics on the national prevalence of tobacco users in the past month by rural and urban adults. Describes three types of tobacco control and prevention efforts in rural areas: cessation, prevention of initiation, and smoke free air. Offers recommendation on rural tobacco prevention and control for federal and state agencies, and communities, tribes, and other stakeholders.
Additional links: Executive Summary
Author(s): Jean A. Talbot, Martha Elbaum Williamson, Karen Pearson, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Network of Public Health Institutes
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Neighborhood Disadvantage and Chronic Disease Management
Assesses the relationship between neighborhood disadvantage and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage population. Features demographic statistics with breakdowns by 6 levels of population density.
Author(s): Shayla N.M. Durfey, Amy J.H. Kind, William R. Buckingham, Eva H. DuGoff, Amal N. Trivedi
Citation: Health Services Research, 54(1), Part II, 206-216
Date: 02/2019
Type: Document
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COPD and Rural Health: A Dialogue on the National Action Plan
Summarizes workshop discussions between rural health and chronic obstructive pulmonary disease (COPD) stakeholders regarding the implementation of the COPD National Action Plan (CNAP) in rural settings.
Author(s): Paul Moore, Graham T. Atkins, Stephanie Cramb, et al.
Citation: Journal of Rural Health
Date: 01/2019
Type: Document
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Understanding the Many Roles of COPD Foundation State Captains: Q&A with John Linnell
An interview with John Linnell, a rural COPD Foundation State Captain, who talks about COPD and how he and other Captains can be partners in efforts to impact the disease.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal: Background and Policy Options
Information on black lung disease and benefits under the federal black lung program. Examines Black Lung Disability Trust Fund revenues, including coal excise tax, and discusses policy options that could improve the fiscal outlook of the Trust Fund. Features statistics including black lung benefit costs, number of beneficiaries, coal excise tax collections, and Trust Fund debt, with breakdowns by year.
Date: 01/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Health, United States, 2018
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups.
Additional links: Trend Tables Data Finder
Date: 2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Type: Document
Sponsoring organization: American Heart Association
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The Rural COPD Podcast
Podcast series about rural chronic obstructive pulmonary disease (COPD). Each of the 6 episodes features a COPD expert offering perspectives on rural COPD based on their expertise and experiences.
Date: 2019
Type: Audio
Sponsoring organization: National Rural Health Resource Center
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Ending the HIV Epidemic: A Plan for America (Presentation Slides)
Presentation slides from the 2019 Presidential Advisory Council on HIV/AIDS (PACHA). Includes 2016 and 2017 data on new HIV diagnoses in the U.S. and territories most affected by the epidemic: 48 counties with 50% of the new HIV diagnoses, 7 states with disproportionate HIV diagnoses located in rural areas, the District of Columbia, and San Juan, Puerto Rico. Discusses the implementation plan that includes a focus on working in rural, and other, areas with high incidences of HIV.
Date: 2019
Type: Presentation Slides
Sponsoring organization: HIV.gov
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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: 2019
Type: Document
Sponsoring organization: American Heart Association
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New SASI Analysis: In the Deep South, Significant Percentages of People Most Impacted by HIV Live Outside Large Urban Areas Demonstrating a Need for Increased Federal Resources
Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes black, Latino, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Type: Document
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America
Discusses the burden of chronic obstructive pulmonary disease (COPD) and its impact on rural America. Covers rural risk factors for COPD and healthcare disparities influencing rural COPD patients' ability to access care. Discusses ongoing federal COPD programs and offers policy recommendations and considerations to improve access to COPD care and treatments for individuals living in rural areas.
Date: 12/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Talking about Hepatitis C: FAQs from Young Adults who Inject Drugs
Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex, race, and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
Type: Document
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A Large HCV Transmission Network Enabled a Fast-growing HIV Outbreak in Rural Indiana, 2015
Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
Type: Document
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Factors Influencing Patient Adherence with Diabetic Eye Screening in Rural Communities: A Qualitative Study
Reports on a study in rural Wisconsin to understand the circumstances affecting diabetic patient's adherence to yearly eye screening in order to design effective interventions, and increase screenings in rural health settings.
Author(s): Yao Liu, Nicholas J. Zupan, Olayinka O. Shiyanbola, Rebecca Swearingen, Julia N. Carlson, et al.
Citation: PLoS One, 13(11)
Date: 11/2018
Type: Document
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Cancer Mortality in Rural America 1999-2016
Analyzes mortality associated with cancers of the prostate, breast, lung, cervix, and colorectal areas, and assesses whether level of rurality influences mortality. Features statistics with breakdowns by 4 levels of metropolitan areas and 2 levels of nonmetropolitan communities.
Author(s): Timothy H. Callaghan, Alva O. Ferdinand, Samuel D. Towne Jr., et al.
Date: 11/2018
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Surveillance for Cancers Associated with Tobacco Use — United States, 2010–2014
Reports on tobacco-associated cancer incidence for lung, bronchial, and tracheal cancers; laryngeal cancer; oral cavity and pharyngeal cancers; esophageal cancer; stomach cancer; colon and rectal cancers; liver cancer; pancreatic cancer; kidney and renal pelvis cancers; urinary bladder cancer; cervical cancer; and acute myeloid leukemia. Includes data for metropolitan and nonmetro counties, as well as by sex, age, race/ethnicity, tumor characteristics, U.S. census region, and state.
Author(s): M. Shayne Gallaway, S. Jane Henley, C. Brooke Steele, et al.
Citation: MMWR Surveillance Summaries, 67(12), 1-42
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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QuickStats: Age-Adjusted Death Rates for Lung Cancer, by Urbanization of County of Residence — National Vital Statistics System, United States, 2006 and 2016
Bar chart showing lung cancer deaths per 100,000 population in 2006 and 2016 for metropolitan counties (large central, large fringe/suburban, medium, small) and nonmetropolitan counties (micropolitan, noncore).
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(36), 1022
Date: 09/2018
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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New Mexico Implements and Expands Physical Activity Programs in Rural Communities
Describes the efforts of the University of New Mexico Prevention Research Center (UNM-PRC) to implement and expand evidence-based physical activity programs in the rural community of Cuba, New Mexico. Discusses program considerations relevant to working with rural communities and methods to connect with community partners and stakeholders to address their concerns and gain their support for making community changes to improve health and promote healthy habits.
Date: 09/2018
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
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Geographic Distribution and Survival Outcomes for Rural Patients With Cancer Treated in Clinical Trials
Results of a comparative effectiveness study of 36,995 patients with uniform access to cancer care in treatment trials from 1986-2012. Includes statistics for various types of cancer with breakdowns by urban and rural locations.
Author(s): Joseph M. Unger, Anna Moseley, Banu Symington, et al.
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
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Coal Workers' Pneumoconiosis–Attributable Years of Potential Life Lost to Life Expectancy and Potential Life Lost Before Age 65 Years — United States, 1999–2016
Examines trends in premature mortality attributed to coal workers' pneumoconiosis (CWP), a preventable occupational lung disease caused by inhaling coal mine dust, based on an analysis of underlying causes of death data from 1999 to 2016.
Author(s): Jacek M. Mazurek, John Wood, David J. Blackley, David N. Weissman
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(30), 819-824
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Assessing Effectiveness and Cost-Benefit of the Trinity Hospital Twin City Fit for Life Program for Weight Loss and Diabetes Prevention in a Rural Midwestern Town
Reports on Fit For Life (FFL), a health education program that works to address the causes of obesity in rural settings and helps program participants lose weight. Highlights discussion on assessing effectiveness, replication, and cost-effectiveness of lifestyle interventions in a rural Appalachian Ohio county. Covers lessons learned and practice implications.
Author(s): Timothy McKnight, Jennifer R. Demuth, Natalie Wilson, Jonathon P. Leider, Alana Knudson
Citation: Preventing Chronic Disease, 15
Date: 08/2018
Type: Document
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Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, 2001–2014
Examines adult inpatient stays with diagnoses of coronary artery disease, acute myocardial infarction, and ischemic stroke and by procedure for percutaneous transluminal coronary angioplasty and coronary artery bypass graft. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan counties.
Author(s): Quyen Ngo-Metzger, Arlene S. Bierman, Amanda Borsky, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Adverse Childhood Experiences, Health‐Related Quality of Life, and Chronic Disease Risks in Rural Areas of the United States
Discusses a study on the correlation between adverse childhood experiences (ACEs) and adult chronic disease and poor physical and mental health among rural people. Breaks down data by age, race, and education, among other factors. Compares prevalence of ACEs rural and urban areas.
Author(s): Amy Chanlongbutra, Gopal K. Singh, Curt D. Mueller
Citation: Journal of Environmental and Public Health, 2018, 7151297
Date: 07/2018
Type: Document
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HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016
Reports on work by 20 health departments and 24 community-based organizations (CBOs) funded by CDC to provide HIV testing and related services to black gay, bisexual, and other men who have sex with men in the South. Provides rural-urban data on the number of HIV tests provided, new HIV-positive diagnoses, linking people with HIV infection to medical care, and interviews for partner services.
Author(s): Mariette Marano, Renee Stein, Wei Song, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(28), 778-781
Date: 07/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Wisconsin Chronic Disease Toolkit 2018
Toolkit comprised of rural best practices that have shown success for improving chronic disease outcomes and population health by providing resources to address communication, Body Mass Index (BMI), diabetes care, blood pressure control, and chronic disease management.
Date: 06/2018
Type: Document
Sponsoring organization: Rural Wisconsin Health Cooperative
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Geographic Variation in Pediatric Cancer Incidence — United States, 2003–2014
Examines pediatric cancer rates by sex, age group, race/ethnicity, state, region, county-level economic status, county-level rural/urban classification, and type of cancer.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(25), 707-713
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Availability of Respiratory Care Services in Critical Access and Rural Hospitals
Policy brief describing availability of respiratory therapy and therapists in Critical Access Hospitals and in urban and rural Prospective Payment System hospitals. Includes statistics with breakdowns by hospital type and rural or urban location.
Author(s): Michelle Casey, Alex Evenson, Ira Moscovice, Zhengtian Wu
Date: 06/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Statewide Program Providing Colorectal Cancer Screening to the Uninsured of South Carolina
Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
Type: Document
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Stroke Care Quality Improvement Initiatives in Critical Access Hospitals
Highlights successful evidenced-based programs implemented by Critical Access Hospitals (CAHs) and other rural hospitals to improve stroke care. Reviews key program elements, quality improvement stroke data measures, and CAH participation for state-level initiatives and covers national stroke care quality improvement initiatives.
Author(s): Megan Lahr
Date: 05/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Establishing Effective Patient Navigation Programs in Oncology: Proceedings of a Workshop
Summarizes workshop proceedings and discussion to examine how to improve cancer patients' healthcare services navigation. Discusses current models of patient navigation programs, including programs in rural areas. Covers lessons learned, and policy changes and opportunities to improve cancer patient healthcare services navigation.
Author(s): Board on Health Care Services
Date: 05/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
Type: Document
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Long-Term Survivorship Care After Cancer Treatment: Proceedings of a Workshop
Summarizes the workshop events and discussion to examine the progress made in cancer survivorship care since the From Cancer Patient to Cancer Survivor: Lost in Transition report. Includes information on reaching rural cancer survivors and innovative examples of providing survivorship care in a rural setting.
Additional links: Read Online
Date: 04/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Preventing and Treating Cancer in Rural America
Policy brief focused on rural cancer prevention, screening, treatment, and cancer survivorship. Provides an overview of rural-specific issues related to cancer. Identifies policy options for addressing cancer in rural areas and includes four brief case studies.
Date: 04/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Perceived Benefits and Barriers of a Community-Based Diabetes Prevention and Management Program
Examines the factors that motivate or impede participation in a community-based diabetes program by individuals who are overweight or obese adults with diabetes and prediabetes, and living in predominately rural counties of West Virginia. Provides suggestions for improving future diabetes prevention and management programs.
Author(s): Samantha Shawley-Brzoska, Ranjita Misra
Citation: Journal of Clinical Medicine, 7(3), 58
Date: 03/2018
Type: Document
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Multilevel Small-Area Estimation of Colorectal Cancer Screening in the United States
Examines the socio-geographic differences within states and counties regarding colorectal cancer (CRC) screening to more accurately determine nationwide county-level prevalence rates for routine screening by adults ages 50-75.
Author(s): Zahava Berkowitz, Xingyou Zhang, Thomas B. Richards, Marion Nadel, Lucy A. Peipins, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 27(3), 245–253
Date: 03/2018
Type: Document
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COPD & Rural Health: A Dialogue on the National Action Plan
Video of rural health experts discussing the challenges, opportunities, and resources related to the COPD National Action Plan's 5 goals. Presentations feature data including county-level maps on prevalence of COPD and death rates.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organizations: National Heart, Lung, and Blood Institute, National Institutes of Health
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Diabetes-Related Hospital Mortality in Rural America: A Significant Cause for Concern
Examines hospital-based diabetes-related mortality from 2009-2014, emphasizing urban and rural differences across 4 census regions. Features statistics with breakdowns by 6 levels of population density, including noncore.
Author(s): Alva O. Ferdinand, Marvellous A. Akinlotan, Timothy H. Callaghan, Samuel D. Towne, Jr., Jane N. Bolin
Date: 03/2018
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders
Results of a study measuring the effects of income, employment status, and education level on the rates of chronic disease among 14,632 American Indian or Alaska Native elders from 2011-2014. Features demographics with breakdowns by 10 chronic diseases.
Author(s): Collette Adamsen, Shawnda Schroeder, Steven LeMire, Paula Carter
Citation: Preventing Chronic Disease, 15
Date: 03/2018
Type: Document
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Providing Diabetes Self-Management Education and Support For Rural Americans
Policy brief focused on Diabetes Self-Management Education and Support (DSMES) in rural areas. Provides an overview of factors that impact rural access to and use of DSMES. Identifies policy options to improve rural access to DSMES and provides two brief case studies.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Notes from the Field: HIV Infection Investigation in a Rural Area — West Virginia, 2017
Reports on an investigation by the West Virginia Department of Health and Human Resources that began with 10 cases of human immunodeficiency virus (HIV) infection identified in three counties during January-July 2017. Describes how the investigation broadened to 15 counties based on injection drug use and sexual contacts. Identifies risk reduction and treatment options available in these counties and discusses strategies undertaken to limit further transmission of HIV.
Author(s): Mary E. Evans, Sarah M. Labuda, Vicki Hogan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(8), 257-258
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015
Examines rural-urban chronic obstructive pulmonary disease (COPD) disparities. Compares age-adjusted COPD prevalence, Medicare hospitalizations for COPD, and mortality for rural, micropolitan, and metropolitan residents. Also includes state-level data on the percentage rural residents and age-adjusted estimates of selected COPD measures.
Author(s): Janet B. Croft, Anne G. Wheaton, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(7), 205-211
Date: 02/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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New Mexico Mobile Screening Program for Miners Brings Care to the Patients
Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Best Practices for States to Identify and Address Breast Cancer Disparities
Discusses best practices, lessons learned, and resources identified through a breast cancer disparities learning community to assist health departments in Arizona, Tennessee, and West Virginia identify and address unique state and local breast cancer screening disparities.
Author(s): Josh Berry
Date: 02/2018
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Rapid Review of Rural Health Research: Resources for the Five Leading Causes of Death
Prepared to accompany the December 12-13, 2017 workshop What Works for Rural: From Research to Reality. Compiles research and resources gathered online from October 2013 to December 2017 on the topics of cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury, which includes a subsection on drug overdoses and opioids.
Date: 01/2018
Type: Document
Sponsoring organizations: Centers for Disease Control and Prevention, Federal Office of Rural Health Policy, Georgia Health Policy Center, National Network of Public Health Institutes
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Post-Sexual Exposure (nPEP) HIV Prevention Toolkit
Toolkit offering recommendations, a clinical pocket guide, and other resources for post-sexual exposure (nPEP) HIV prevention in rural areas. Covers guidance to prescribing nPEP and other post-sexual exposure treatments.
Author(s): Jeannette Southerly, Alyssa A. Guido, Dayna Morrison, et al.
Date: 01/2018
Type: Website
Sponsoring organization: AIDS Education and Training Centers National Coordinating Resource Center
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ACOs' Impact on Hospitalization Rates of Rural Older Adults with Diabetes: Early Indications
Examines the impact of Accountable Care Organizations (ACOs) on reducing the hospitalization rate for diabetes related conditions of older adults living in rural Southeast areas of the U.S. where the prevalence of diagnosed diabetes is higher. Highlights the characteristics of Rural Health Clinics (RHCs) participating in ACOs and the adult patients they serve.
Author(s): Yi-Ling Lin, Judith Ortiz, Celeste Boor
Citation: Family & Community Health, 41(4), 265-273
Date: 2018
Type: Document
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Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities
A guide for healthcare professionals to support them in offering chronic care management (CCM) services. Provides links to CMS resources, including guides targeted to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Also includes educational materials to help patients understand CCM services.
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Healthcare Resource Availability and Cardiovascular Health in the USA
A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
Type: Document
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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.
Citation: 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.
Citation: 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
Citation: 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
Citation: Journal of Rural Health, 33(4), 345-349
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.
Citation: 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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County-Level Cumulative Environmental Quality Associated with Cancer Incidence
Uses the environmental quality index (EQI), a county-level measure of cumulative environmental exposures, to examine all-site and site-specific cancer incidence. Explores rural versus urban factors influencing environmental quality. Includes statistics of cancer incidence and EQI for rural and urban areas.
Author(s): J. S. Jagai, L. C. Messer, K. M. Rappazzo, et al.
Citation: Cancer, 123(5), 2901-2908
Date: 08/2017
Type: Document
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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 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 Recording, PowerPoint Handout, 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
Citation: 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, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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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.
Citation: 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
Citation: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends
Highlights rural-urban disparities in cancer prevalence and mortality from 2009-2013, and analyzes the five-year (2011-2016) funding trends for rural-focused, National Cancer Institute (NCI) supported cancer control grants.
Author(s): Kelly D. Blake, Jennifer L. Moss, Anna Gaysynsky, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 07/2017
Type: Document
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Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014
Offers detailed statistics on health conditions and behaviors for the Native Hawaiian and Pacific Islander (NHPI) population and for multiple and single-race NHPI populations, with comparisons to other racial groups and to the U.S. population as a whole. Topics covered include general health status, specific health conditions, disabilities, body mass index, physical activity, and substance use.
Author(s): Adena M. Galinsky, Carla E. Zelaya, Catherine Simile, Patricia M. Barnes
Citation: Vital and Health Statistics, 3(40)
Date: 07/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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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
Citation: 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. Discusses cancer risk factor prevalence and evidence-based interventions.
Author(s): S. Jane Henley, Robert N. Anderson, Cheryll C. Thomas, et al.
Citation: 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.
Citation: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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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.
Citation: 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.
Citation: 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
Citation: 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.
Citation: 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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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.
Citation: 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
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): Donna E. Sweet, John Nelson, Anna Kinder,
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.
Citation: 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. 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.
Citation: 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. Updated in a November 2019 report.
Author(s): Macarena C. Garcia, Mark Faul, Greta Massetti, et al.
Citation: MMWR Surveillance Summaries, 66(2), 1-7
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 2017
Presentation slides providing statistics on HIV and AIDS for metro and nonmetro areas. Includes data on metropolitan statistical areas (MSAs) by race/ethnicity, region, and diagnoses rates.
Date: 2017
Type: Presentation Slides
Sponsoring organization: Centers for Disease Control and Prevention
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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.
Citation: 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.
Citation: 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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Understanding Multiple Behavioral Risk Factors for Cancer in Rural Women
Analyzes data from the Rural Families Speak about Health study to report on demographic and health-related factors associated with risk behaviors linked to cancer, such as smoking, high body mass index (BMI), and low physical activity for rural women. Includes characteristic statistics by age, race/ethnicity, marital status, income, health status, and number of risk factors.
Author(s): Devon Noonan, Latefa Dardas, Tiffany Bice-Wigington, et al.
Citation: Public Health Nursing, 33(6), 519-528
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.
Citation: 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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Geographic Accessibility of Pulmonologists for Adults with COPD
Examines county-level geographic access to pulmonologists for adults with Chronic Obstructive Pulmonary Disease (COPD). Includes statistics describing the distance in miles to a pulmonologist or primary care physician for adults living in rural areas. Figure 1 overlays locations of pulmonologists with county estimates of adults with COPD. Figure 2 overlays the locations of primary care physician locations with county estimates of adults with COPD.
Author(s): Janet B. Croft, Hua Lu, Xingyou Zhang, James B. Holt
Citation: Chest, 150(3), 544-553
Date: 09/2016
Type: Document
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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, Douglas W. Roblin, Lawrence Barker
Citation: Preventing Chronic Disease, 13
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
Citation: 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 healthcare, healthcare 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
Citation: 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
Citation: 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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Rural-Urban Differences in Chronic Disease and Drug Utilization in Older Oregonians
Provides secondary analysis of 3 longitudinal brain-aging studies of adults 85 years of age or older in Oregon. Compares the results of a study with a rural cohort and 2 studies with urban cohorts to identify the disease burden and medication usage of each elderly population. Analysis uses Modified Cumulative Illness Rating Scale (MCIRS) to measure chronic illness and medication usage is estimated based on the mean number of total self-reported prescription and non-prescription medications per cohort.
Author(s): Leah M. Goeres, Allison Gille, Jon P. Furuno, et al.
Citation: Journal of Rural Health, 32(3), 269-279
Date: 06/2016
Type: Document
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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
Citation: 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
Citation: Rural and Remote Health, 16(1), 3601
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 the relationship between access to healthcare and healthcare utilization of primary care physicians, hospitals, Rural Health Centers (RHCs), and Federally Qualified Health Centers (FQHCs) for patients with chronic obstructive pulmonary disease (COPD) using national data.
Author(s): Minchul Kim, Jinma Ren, William Tillis, et al.
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 11, 357-367
Date: 02/2016
Type: Document
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Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women
Reports the results of a survey and assessment of overweight African American women in the South about their motivation for weight loss and exercise, specifically exploring connections with 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
Citation: Clinical Medicine Insights: Women's Health, 9(Suppl 1), 95-101
Date: 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
Citation: PLoS One, 11(7)
Date: 2016
Type: Document
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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
Citation: 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. Discussion includes the availability of cancer specialists, limited transportation services, lower socioeconomic status, health insurance coverage, less access to clinical trials, and the shortage of palliative and end-of-life staff and services.
Author(s): Mary Charlton, Jennifer Schlichting, Catherine Chioreso, et al.
Citation: 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 associations between 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. Examines breast, cervical, prostate, and colorectal cancer. Data is broken down by cancer type, rural versus urban, Health Professional Shortage Area (HPSA) designation, and race.
Author(s): Swann Arp Adams, Seul Ki Choi, Leepao Khang, et al.
Citation: Journal of Community Health, 40(4), 633-641
Date: 08/2015
Type: Document
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Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial
Discusses the results of a study comparing the effects of peer-coaching intervention that includes brief education versus brief education alone on diabetes patients living in under resourced settings of rural Alabama.
Author(s): Monika M. Safford, Susan Andreae, Andrea L. Cherrington, et al.
Citation: Annals of Family Medicine, 13(Suppl 1), S18–S26
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: The 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
Provides guidelines for the integration of community health workers (CHWs) into community based chronic disease prevention programs. 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 totals for all Maine counties.
Author(s): N. Burgess Record, Daniel K. Onion, Roderick E. Prior, et al.
Citation: JAMA: 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
Citation: 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
Citation: 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
Bar chart showing death rates from Chronic Obstructive Pulmonary Disease for metropolitan and nonmetropolitan areas by gender among adults over 55.
Citation: 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
Citation: Rural and Remote Health, 14(4), 2886
Date: 10/2014
Type: Document
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Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Overview of a quality improvement project initiated by a group of 5 small rural practices and designed to improve the outcomes of patients with hypertension.
Author(s): Jennifer L. Brull
Citation: Family Practice Management, 21(5), 23-27
Date: 09/2014
Type: Document
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Examines 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, et al.
Citation: 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 and treating AIDS. Includes policy recommendations.
Date: 04/2014
Type: Document
Sponsoring organization: National Rural Health Association
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The Relationship Between Perceived Burden of Chronic Conditions and Colorectal Cancer Screening Among Appalachian Residents
Describes the perceived burden of multiple morbidity among primarily rural Appalachian adults aged 50-75 and the likelihood these patients will undertake colorectal cancer screenings (CRCS). Discusses the prioritization of CRCS by patients with chronic disease and their physicians. Briefly compares reports from both urban and rural areas.
Author(s): Yelena N. Tarasenko, Steven T. Fleming, Nancy E. Schoenberg
Citation: Journal of Rural Health, 30(1), 40-49
Date: 01/2014
Type: Document
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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
Citation: 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 AIDS Diagnoses in Florida: Changing Demographics and Factors Associated With Survival
Reports on a study comparing demographic characteristics of rural and urban Floridians diagnosed with AIDS from 1993-2007. Looks at age, race, and mode of transmission, as well as other factors. Compares survival rates of rural and urban populations.
Author(s): Mary Jo Trepka, Theophile Niyonsenga, Lorene M. Maddox, Spencer Lieb
Citation: Journal of Rural Health, 29(3), 266-280
Date: 06/2013
Type: Document
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Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-Access Healthcare System
Reports the results of a study examining the use of raltegravir, the first HIV integrase inhibitor, in Veterans Affairs (VA) patients. Provides rural versus urban participant characteristic statistics by race/ethnicity, AIDS defining illness, substance abuse, and more. 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.
Citation: 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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Rural Chronic Obstructive Pulmonary Disease Toolkit
Resources and best practices to help rural communities develop programs to address chronic obstructive pulmonary disease (COPD). 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 Health: Highlights of PCORI-Funded Projects
Summaries of rural health research and engagement projects funded by the Patient-Centered Outcomes Research Institute. Projects address a range of health conditions and other healthcare challenges that impact rural areas.
Type: Website
Sponsoring organization: Patient-Centered Outcomes Research Institute
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What Is 'Ending the HIV Epidemic: A Plan for America'?
Provides an overview of the plan to end the HIV epidemic in the U.S. that includes background information, goals, and discussion of the three different phases of the plan, one of which includes a focus on the 7 states with disproportionately higher HIV diagnoses located in rural areas. Details key strategies of the plan and anticipated challenges.
Type: Website
Sponsoring organization: HIV.gov
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HIV.gov
Offers learning opportunities, digital tools, events, and other resources related to HIV care, prevention, and education. Provides information on the federal response to the HIV epidemic.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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Ending the HIV Epidemic: A Plan for America
Provides information on the plan to end the HIV epidemic in the U.S. Highlights key strategies of the plan and related federal resources. Discusses the Health Resources and Services Administration's (HRSA) role in the plan.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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PubMed Search: Chronic Disease in Rural America
Searches PubMed's collection of journal article citations on chronic disease and rural health published in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Cancer-Rates.info
Contains cancer incidence and mortality data for a number of states, with the option to view data by county, cancer type, gender, race and ethnicity, and in most cases, rural/urban geography.
Type: Database
Sponsoring organization: University of Kentucky
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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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U.S. Diabetes Surveillance System
Provides access to national, state, and county-level data and trends for diabetes and diabetes-related concerns. Select "indicators" to view additional data options, including burden of diabetes, preventive care, health status and disability, risk factors, and diabetes-related end-stage renal disease.
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
Provides access to county-level data and comparisons on chronic disease prevalence, Medicare spending, hospital and emergency department utilization, preventive services, and preventable hospitalizations, readmissions, and mortality rates for Medicare beneficiaries. Includes hospital-level quality of care and cost of care data and comparisons.
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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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.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CDC WONDER
Provides access to wide range of public health data, including mortality data for metropolitan and nonmetropolitan 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 regional, state, county, and hospital referral region statistics on prevalence, utilization, and Medicare spending for Medicare beneficiaries with chronic conditions and multiple chronic conditions.
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) AtlasPlus
Provides access to state and county-level data on HIV/AIDS, viral hepatitis, tuberculosis, chlamydia, gonorrhea, and syphilis. Also includes data on the social determinants of health and state-level data on the rural population.
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.
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 seven modules that concentrate on different aspects of obesity prevention programs. Shares best practices from successful obesity prevention programs in clinical, school, and community settings.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Clinicians' Consultation Center
Provides clinicians of all experience levels prompt, expert responses to questions about managing HIV/AIDS, perinatal HIV, pre-exposure prophylaxis, and bloodborne pathogen exposures.
Type: Hotline
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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: 11/18/2019