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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.

Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Sponsoring organization: Rural Health Information Hub
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Changes in Diet and Physical Activity Resulting from the Strong Hearts, Healthy Communities Randomized Cardiovascular Disease Risk Reduction Multilevel Intervention Trial
Examines the secondary outcomes resulting from participation in Strong Hearts, Healthy Communities (SHHC), a cardiovascular disease risk reduction intervention designed for women in rural communities, to determine changes in diet and physical activity. SHHC was a six month, community-randomized trial conducted in 16 rural communities in Montana and New York.
Author(s): Sara C. Folta, Lynn Paul, Miriam E. Nelson, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 16(1), 91
Date: 10/2019
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HIV in the Southern United States
Issue 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
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
Sponsoring organization: Bipartisan Policy Center
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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
Sponsoring organization: Rural Health Information Hub
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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
Sponsoring organization: Agency for Healthcare Research and Quality
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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
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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
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Extending Access to Care Across the Rural US South: Preliminary Results from the Alabama eHealth Programme
Describes Alabama eHealth, a community-based initiative of Medical Advocacy and Outreach (MAO) that provides telehealth services to rural residents living with HIV. Discusses staff interviews describing barriers and successes to implementing the program. Evaluates the effectiveness and sustainability of the program by tracking patient appointment completion rates, CD4 counts, and viral loads. Table 1 provides an overview of Alabama eHealth affiliates and their roles in providing telehealth services.
Author(s): Kriti Jain, Prashanth Bhat, Cathy Maulsby, et al.
Citation: Journal of Telemedicine and Telecare, 25(5): 301-309
Date: 06/2019
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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 7 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
Sponsoring organization: Centers for Disease Control and Prevention
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Last Updated: 4/15/2025