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Chronic Disease in Rural America – Resources

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

Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
Type: Document
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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HIV Prevention and Treatment Challenges in Rural America
A webinar recording that covers issues related to HIV healthcare in rural communities and presents HIV data in the United States. Discusses populations who should be offered pre-exposure prophylaxis (PrEP), current options in HIV treatment, and rural health issues such as stigma, medical and mental health shortage areas, and LGBT discrimination. Provides healthcare options available in Kansas.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organizations: AIDS Education and Training Centers National Coordinating Resource Center, University of Kansas Medical Center
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Prevalence of Chronic Conditions by Sexual Orientation and Rural-Urban Location
Presents a study on the correlation between chronic health issues by sexual orientation and rurality. Breaks down rates of chronic diseases such as arthritis, high cholesterol, diabetes, and others by sexual orientation and rural versus urban location.
Author(s): Carrie Henning-Smith, Gilbert Gonzales, Megan Lahr, et al.
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Telemedicine Adoption for Heart Attack and Stroke Care Among Rural and Urban Hospitals: A Longitudinal Study
Examines the adoption of telemedicine for cardiac and stroke care in rural and urban hospitals between 2012 and 2017. Analyzes indicators for telemedicine adoption with a focus on hospital profitability and geographic location. Includes data on 4,108 hospitals across the U.S., such as academic centers, Critical Access Hospitals, and general medical, among other hospital types, as well as breakdowns of hospital characteristics by rural versus urban location.
Author(s): Amir Alishahi Tabriz, Kea Turner, Dunc Williams Jr., et al.
Citation: Telemedicine and e-Health, 28(6), 781-788
Date: 06/2022
Type: Document
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QuickStats: Percentage of Adults Aged ≥18 Years with Diagnosed Heart Disease, by Urbanization Level and Age Group — National Health Interview Survey, United States, 2020
Bar chart showing heart disease in metropolitan and nonmetro areas for adults overall and by age group for those 18-44, 45-64, and 65 or older.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(23), 778
Date: 06/2022
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017
Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
Type: Document
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Diabetes Prevalence and Monitoring by Urbanization
Poster presentation from the National Rural Health Association 2022 annual conference, examining the prevalence of diabetes and the quality of annual hemoglobin A1c (HbA1c) monitoring in a national sample of commercially-insured people. Features demographics and statistics including prevalence of diabetes among enrollees and HbA1c testing in people with diabetes in 2019 and 2020, with breakdowns by metro and nonmetro location.
Author(s): Lindsey R. Hammerslag, Katie Youngen, Ty Borders, Jeffery Talbert
Date: 05/2022
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Last Updated: 7/22/2022