Chronic Disease in Rural America – Resources

Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015)
Identifies trends in care of and prevalence of diabetes in terms of socioeconomic and demographic characteristics, and explores individual and community factors related to diabetes and diabetics' unmet medical needs. Features statistics on percentages of adults diagnosed with diabetes from 2011-2015 and distribution of diabetes and foregone medical care, with breakdowns including race or ethnicity, income, and levels of rurality.
Author(s): Samuel D. Towne, Jr., Jane Bolin, Alva Ferdinand, et al.
Citation: International Journal of Environmental Research and Public Health, 14(5), 464
Date: 05/2017
Type: Document
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Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification — United States, 2015
Provides detailed data on prevalence of arthritis and arthritis-attributable activity limitation for six urban-rural categories. Includes urban-rural data by age, gender, race/ethnicity, education, employment, body mass index, smoking status, physical activity, self-rated health, and functionally disabled status.
Author(s): Michael A. Boring, Jennifer M. Hootman, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(20), 527-532
Date: 05/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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Third Annual Report: HCIA Disease-Specific Evaluation
Findings from the third year for 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Provides information on program effectiveness based on Medicare and Medicaid claims data and awardee-collected data. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Additional links: Addendum, June 2017
Date: 02/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Health-Related Behaviors by Urban-Rural County Classification — United States, 2013
Provides data on five self-reported health-related behaviors for residents of rural and urban areas. Behaviors include sufficient sleep, current nonsmoking, nondrinking or moderate drinking, maintaining normal body weight, and meeting aerobic leisure time physical activity recommendations. Includes data for each behavior for metropolitan, micropolitan, and noncore (rural) areas, as well as prevalence of 4-5 health behaviors by sex, age, race/ethnicity, and education level. Based on 2013 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Kevin A. Matthews, Janet B. Croft, Yong Liu, et al.
Citation: MMWR Surveillance Summaries, 66(5), 1-8
Date: 02/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Data Accompanying MMWR Surveillance Summary 66 (No. SS-1): 1-8: Potentially Excess Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Areas, United States, 2005-2015
Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Citation: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999–2014
Investigates the differences in metropolitan and nonmetropolitan regions of the U.S. for the 5 leading causes of death (heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke) by analyzing and comparing mortality data derived from the National Vital Statistics System. Discusses the trends in annual age-adjusted death rates for unintentional injury for metropolitan and nonmetropolitan areas of the U.S.
Additional links: Supplemental Maps: Figure 5, Supplemental Tables: Figures 2-5
Author(s): Ernest Moy, Macarena C. Garcia, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 66(1), 1-8
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Discusses factors impacting the rural-urban gap, and offers suggestions for reducing these disparities and improving health. Updated in a November 2019 report.
Author(s): Macarena C. Garcia, Mark Faul, Greta Massetti, et al.
Citation: MMWR Surveillance Summaries, 66(2), 1-7
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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