Chronic Disease in Rural America – Resources

Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
Type: Document
view details

Adult Asthma Prevalence and Trend Analysis by Urban–Rural Status Across Sociodemographic Characteristics—United States, 2012-20
Examines 2020 asthma prevalence and 2012-2020 annual asthma trends by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore location. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to analyze geographic distribution of asthma conditions, which is further broken down by sex, age, race/ethnicity, educational attainment, insurance status, and income.
Author(s): Xiaoting Qin, Cynthia A. Pate, Hatice S. Zahran
Citation: Journal of Allergy and Clinical Immunology: Global, 2(2), 100085
Date: 05/2023
Type: Document
view details

Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
view details

Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
Type: Document
view details

Colorectal Cancer Incidence, United States, 2003-2019
Provides incidence trends for colon and rectum cancer by stage at diagnosis, and by county-level metropolitan and non-metropolitan status. Data are derived from population-based registries participating in CDC's National Program of Cancer Registries, and/or the National Cancer Institute's Surveillance, Epidemiology, and End Results Program.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details

Elevated Colorectal Cancer Incidence among American Indian/Alaska Native Persons in Alaska Compared to Other Populations Worldwide
Presents the results of a study comparing American Indian/Alaska Native (AI/AN) colorectal cancer (CRC) rates in Alaska for 2018 to CRC rates among tribal and racial populations in other regions of the US, and internationally. Results of this study will be used to inform healthcare organizations about policies and practices supporting CRC screening for the reduction of the disease.
Author(s): Donald Haverkamp, Diana Redwood, Elena Roik, Stephen Vindigni, Timothy Thomas
Citation: International Journal of Circumpolar Health, 82(1)
Date: 03/2023
Type: Document
view details

Many Women Use Preventive Services, but Gaps in Awareness of Insurance Coverage Requirements Persist: Findings from the 2022 KFF Women's Health Survey
Examines cancer screenings and other preventive services received by women. Includes data on mammogram and colon cancer screening among urban/suburban and rural women.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, et al.
Date: 02/2023
Type: Document
Sponsoring organization: KFF
view details

Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details

Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
view details

Journey Map: Older Adults in Rural Areas Using Remote Patient Monitoring Technologies to Manage Chronic Conditions
A guide for rural health centers describing how to help older adult patients with multiple chronic conditions regarding the use of remote patient monitoring (RPM). Describes a five-step journey that a patient will go through while exploring RPM, and the role of the health center in this process.
Date: 2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
view details