Chronic Disease in Rural America – Resources

Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program — United States, March 2023–March 2024
Reports on people who ordered and used a direct-to-consumer HIV self-test through the Together TakeMeHome HIV self-test distribution program. Also provides data on related testing and services used by those requesting the self-test. Includes data by participant location for metropolitan, micropolitan, and noncore areas.
Author(s): Travis Sanchez, Robin J. MacGowan, Jennifer Hecht, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(24), 558-564
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Regional and Rural-Urban Patterns in the Prevalence of Diagnosed Hypertension among Older U.S. Adults with Diabetes, 2005–2017
Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
Type: Document
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Risk of Chronic Obstructive Pulmonary Disease and Receipt of a Breathing Test in 26 States and the District of Columbia, 2017–2018
Examines prevalence of having chronic obstructive pulmonary disease (COPD), having risk factors for COPD, and receiving a breathing test according to corresponding risk level. Analyzes 2017-2018 Behavioral Risk Factor Surveillance System (BRFSS) data from 26 states and the District of Columbia, with breakdowns according to sex, race/ethnicity, education, and large central metro, large fringe metro, medium metro, small metro, micropolitan, or rural (noncore) location.
Author(s): Kathleen B. Watson, Janet B. Croft, Anne G. Wheaton, et al.
Citation: Preventing Chronic Disease, 21
Date: 05/2024
Type: Document
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Preventable Premature Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Counties, United States, 2010–2022
Analyzes National Vital Statistics System mortality data between 2010 and 2022 to find the 5 leading causes of preventable deaths for people less than 80 years old. Discusses trends across time in metropolitan, micropolitan, and noncore regions and the impact of COVID-19 on the findings. Offers recommendations for future data analysis.
Author(s): Macarena C. García, Lauren M. Rossen, Kevin Matthews, et al.
Citation: MMWR Surveillance Summaries, 73(2), 1-11
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Infection and Incident Diabetes in American Indian and Alaska Native people: A Retrospective Cohort Study
Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
Type: Document
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Diabetes and the Social, Biologic, and Behavioral Determinants of Endometrial Cancer in the United States
Examines factors associated with endometrial cancer, including biologic, behavioral, and social determinants of health (SDOH). Analyzes variables such as status of endometrial cancer and/or diabetes, behavioral health factors, biologic factors, and various SDOH, including rural versus urban county.
Author(s): Nour Massouh, Ayad A. Jaffa, Miran A. Jaffa
Citation: BMC Cancer, 24, 540
Date: 04/2024
Type: Document
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Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region
Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
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County Rurality and Incidence and Prevalence of Diagnosed Diabetes in the United States
Evaluates incidence and prevalence of diagnosed diabetes by rurality at the county level, utilizing 2004-2019 Behavioral Risk Factor Surveillance System data. Analyzes the impact of food environment, obesity, physical activity, and other sociodemographic factors on rural-urban differences in diabetes incidence and prevalence. Includes regional comparisons.
Author(s): Sagar B. Dugani, Brian D. Lahr, Hui Xie, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1078-1090
Date: 03/2024
Type: Document
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Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities
Examines novel and promising programs and interventions to potentially improve HIV pre-exposure prophylaxis (PrEP) access in the U.S. South and rural communities. Describes ways to normalize, digitalize, and simplify PrEP care.
Author(s): Emiko Kamitani, Yuko Mizuno, Linda J. Koenig
Citation: Journal of the Association of Nurses in AIDS Care, 35(2), 153-160
Date: 03/2024
Type: Document
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Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas
Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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