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Chronic Disease in Rural America – Resources

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

Trends in the Prevalence of Chronic Obstructive Pulmonary Disease Among Adults Aged ≥18 Years — United States, 2011–2021
Reports on trends and differences in self-reported physician-diagnosed chronic obstructive pulmonary disease (COPD) among U.S. adults 18 years of age and older. Includes data for metropolitan, micropolitan, and noncore areas. Includes discussion of COPD-related needs and challenges in rural areas.
Author(s): Yong Liu, Susan A. Carlson, Kathleen B. Watson, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(46), 1250-1256
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Health: Addressing Barriers to Care
An infographic that presents data on rural versus urban health disparities and barriers to healthcare in rural America. Includes interactive data on percentage of rural residents by state, rural life expectancy and chronic health conditions, hospital closures and lack of access to healthcare, rural workforce shortages, and more. Provides strategies to improve rural access to healthcare.
Author(s): Carrie Cochran-McClain
Date: 10/2023
Type: Document
Sponsoring organizations: National Institute for Health Care Management, National Rural Health Association
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The Role of Comorbidities, Medications, and Social Determinants of Health in Understanding Urban-Rural Outcome Differences among Patients with Heart Failure
Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health
Date: 10/2023
Type: Document
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Factors Associated with Higher Hemoglobin A1c and Type 2 Diabetes-related Costs: Secondary Data Analysis of Adults 18 to 64 in Texas with Commercial Insurance
Examines factors associated with hemoglobin A1c values and diabetes-related costs in Texas residents with type 2 diabetes. Analyzes 2018-2019 data from 34,992 individuals with type 2 diabetes according to age, sex, comorbidities, health indicators, and metro versus nonmetro location.
Author(s): Marcia G. Ory ,Gang Han,Sagar N. Jani, et al.
Citation: PLoS One, 18(9)
Date: 09/2023
Type: Document
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Guideline-Discordant Inhaler Regimens after COPD Hospitalization: Associations with Rurality, Drive Time to Care, and Fragmented Care – a United States Cohort Study
Examines the factors related to guideline-discordant inhaler regimens following chronic obstructive pulmonary disease (COPD) hospitalization. Analyzes 33,785 patient inhaler prescriptions between 2017-2020 according to rurality, drive time to pulmonary specialty care, and fragmented care.
Author(s): Arianne K. Baldomero, Ken M. Kunisaki, Chris H. Wendt, et al.
Citation: The Lancet Regional Health - Americas, 26
Date: 09/2023
Type: Document
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Racial Disparities in Obesity‐Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020
Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Citation: Journal of the American Heart Association, 12(18)
Date: 09/2023
Type: Document
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Availability of Dialysis Facilities in Minoritized Racial/Ethnic Group Areas
Explores the availability of dialysis facilities nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on driving distances to the nearest dialysis facility by ZCTA rurality, minoritized ethnic and racial group category, and frontier and remote (FAR) designation.
Author(s): Janice C. Probst, Peiyin Hung, Gabriel Benavidez, Abbey Hunter, Jan M. Eberth
Date: 08/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Socioeconomic and Environmental Determinants of Asthma Prevalence: A Cross-sectional Study at the U.S. County Level Using Geographically Weighted Random Forests
Examines ecological associations of asthma by social and physical determinants at the county level. Includes U.S. maps that depict asthma prevalence as well as determinants such as smoking prevalence, depression prevalence, poverty, insurance rates, and more, which are further analyzed to depict their correlation with asthma.
Author(s): Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
Citation: International Journal of Health Geographics, 22, 18
Date: 08/2023
Type: Document
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Sociodemographic and Geographic Risk Factors for All-Cause Mortality in Patients with COPD
Analyzes factors related to chronic obstructive pulmonary disease (COPD) mortality while considering both individual characteristics and community risk factors. Examines 2021 COPD patient data according to sex, race/ethnicity, comorbidities, area deprivation index, and location by highly rural, rural, and urban.
Author(s): C Robichaux, J Aron, CH Wendt, et al.
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 18, 1587-1593
Date: 07/2023
Type: Document
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Epidemiology and Outcomes of Choledocholithiasis and Cholangitis in the United States: Trends and Urban-Rural Variations
Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
Type: Document
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Last Updated: 11/21/2023