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Rural Health Information Hub

Chronic Disease in Rural America – Resources

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

Urban-Rural Differences in Visits to Office-based Physicians by Adults With Hypertension: United States, 2014–2016
Examines urban-rural differences in office-based physician visits made by adults 18 and older with hypertension. Provides data by age group, by sex, and by race/ethnicity for non-Hispanic White, non-Hispanic Black, and Hispanic populations.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Danielle Davis, Pinyao Rui
Date: 11/2020
Sponsoring organization: National Center for Health Statistics
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Joint Effect of Race/Ethnicity or Location of Residence and Sex on Low Density Lipoprotein-Cholesterol among Veterans with Type 2 Diabetes: A 10-year Retrospective Cohort Study
Details a study exploring the intersection of race/ethnicity, sex, and rurality in the effective management of cardiovascular disease by veterans with type 2 diabetes. Highlights the importance and difficulty of managing low-density lipoproteins (LDL) for patients with both cardiovascular disease and type 2 diabetes. Breaks down data by race, sex, and rural versus urban location.
Author(s): Erin R. Weeda, Kinfe G. Bishu, Ralph Ward, et al.
Citation: BMC Cardiovascular Disorders, 20, 449
Date: 10/2020
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Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018
Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Sponsoring organization: National Center for Health Statistics
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Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness — United States, 2018
Reports on the estimated number and proportion of people with certain underlying medical conditions that put them at risk for severe COVID-19. Provides county-level maps with data on adults with any of these conditions: chronic respiratory conditions, heart disease, diabetes, chronic kidney disease, or obesity. Also discusses the prevalence of underlying conditions in rural counties.
Author(s): Hilda Razzaghi, Yan Wang, Hua Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 945-950
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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The Most Costly Chronic Medical Condition in America: Experts Talk About the Rural Aspects of Alzheimer's Disease and Related Dementias
Describes the impact of Alzheimer's Disease and other dementias in rural areas, the challenges of providing treatment and care, and initiatives underway to address dementia in rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2020
Sponsoring organization: Rural Health Information Hub
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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017
Examines self-reported prevalence of diagnosed hypertension and antihypertensive medication use. Includes data for metropolitan, micropolitan, and noncore (rural) areas. Also discusses geographic trends at the county level, with maps showing county-level hypertension prevalence and medication use. Highlights higher prevalence of hypertension in the Southeast, Appalachia, and the Great Plains.
Author(s): Claudine M. Samanic, Kamil E. Barbour, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(18), 533-539
Date: 05/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Increasing Mortality From Premature Coronary Artery Disease in Women in the Rural United States
Assesses rural and urban differences in premature coronary artery disease (CAD) mortality rates from 1999 to 2017 using the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research (CDC WONDER) database. Includes data breakdowns by sex, age group, race, and urbanization.
Author(s): Matthias Bossard, Yllka Latifi, Matteo Fabbri, et al.
Citation: Journal of the American Heart Association, 9(9)
Date: 04/2020
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Concussion in Rural America: Experts Detail Injury and Recovery of Traumatic Brain Injury
Reports on concussions, or mild traumatic brain injuries (mTBI), in rural areas. Discusses the impact of these injuries, the role of support networks, TBI training for rural clinicians, rural TBI data, and management of mTBI in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Sponsoring organization: Rural Health Information Hub
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Improving the Care of Students with Diabetes in Rural Schools Utilizing an Online Diabetes Education Program for School Personnel
Analyzes the impact of Diabetes Care at School: Bridging the Gap, an online diabetes education program, to determine the knowledge and confidence of school personnel who provide care to students with diabetes in rural areas.
Author(s): Cassity Gutierrez
Citation: Rural and Remote Health, 20(1), 5596
Date: 02/2020
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An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
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Last Updated: 6/19/2025