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Chronic Disease in Rural America – Resources

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

Initial Home Dialysis Is Increased for Rural Patients by Accessing Urban Facilities
Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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County-Level Variation in Cirrhosis-Related Mortality in the US, 1999-2019
Reviews cirrhosis mortality rates in the U.S. based on data from the U.S. Centers for Disease Control and Prevention WONDER database for 1999-2019. Analyzes data according to sex, race and ethnicity, and metropolitan/nonmetropolitan categories. Includes discussions of health disparities as related to metro categories.
Author(s): Audrey Y. Ha, Michael H. Le, Linda Henry, et al.
Citation: JAMA Network Open, 5(2)
Date: 02/2022
Type: Document
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Trends in Premature Mortality From Acute Myocardial Infarction in the United States, 1999 to 2019
Reports on deaths of people under 65 from acute myocardial infarction by race, sex, and age from 1999 to 2019 based on data from the Centers for Disease Control and Prevention's WONDER (Wide‐Ranging Online Data for Epidemiologic Research) death certificate database. Provides state-by-state data and mortality rates broken down by rural, medium/small metro, and large metro in Table S1.
Author(s): Sourbha S. Dani, Ahmad N. Lone, Zulqarnain Javed, et al.
Citation: Journal of the American Heart Association, 11(1)
Date: 01/2022
Type: Document
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Trends in the Incidence of New‐Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019
Examines 51,685,525 live births in rural and urban women between 2007 and 2019 to study incidence of hypertensive disorders of pregnancy. Provides Centers for Disease Control and Prevention Natality Database statistics and data broken down by rural/urban category, age, race/ethnicity, and census region, among others. Discusses impacts of trend changes in hypertensive disorders in both rural and urban areas.
Author(s): Natalie A. Cameron, Ian Everitt, Laura E. Seegmiller, et al.
Citation: Journal of the American Heart Association, 11(2)
Date: 01/2022
Type: Document
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Mapping Geographic Variability of Severe Uncontrolled Asthma in the United States
Examines data on uncontrolled asthma across the United States to assess asthma prevalence and morbidity. Compares state-level data with county-level data to understand heterogeneity of asthma concerns within states. Includes graphs and statistics and a discussion of urban versus rural trends.
Author(s): Eugene R. Bleecker, Hitesh Gandhi, Ileen Gilbert, Kevin R. Murphy, Geoffrey L. Chupp
Citation: Annals of Allergy, Asthma & Immunology, 128(1), 78-88
Date: 01/2022
Type: Document
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Report to Congress on Leveraging Federal Programs to Prevent and Control Diabetes and Its Complications, 2021
Report examining diabetes prevalence and health impact nationwide, offering recommendations for reducing risks, preventing type 2 diabetes, and treating and managing diabetes. Discusses diabetes and other chronic conditions in rural areas, rural health disparities, and rural-specific recommendations for prevention and management.
Date: 01/2022
Type: Document
Sponsoring organizations: National Clinical Care Commission, U.S. Department of Health and Human Services
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Non-Occupational Post-Exposure Prophylaxis (nPEP) Toolkit
Toolkit offering assessment and treatment recommendations, a medication assistance quick guide, and other resources for non-occupational post-exposure prophylaxis (nPEP) prevention in rural areas. Covers guidance to prescribing nPEP and other information address nPEP misconceptions.
Author(s): Jeannette Southerly, Alyssa A. Guido, Dayna Morrison, et al.
Date: 01/2022
Type: Website
Sponsoring organization: AIDS Education and Training Centers National Coordinating Resource Center
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Extrahepatic Causes of Death in Cirrhosis Compared to Other Chronic Conditions in the United States, 1999-2017
Compares mortality trends of cirrhosis and other chronic conditions from 1999-2017 based on information from a national mortality database. Presents comparative data on cirrhosis, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD), among others. Reports on mortality trends in rural areas.
Author(s): Nagasri Shankar, Azaan Ramani, Connor Griffin, et al.
Citation: Annals of Hepatology, 26
Date: 12/2021
Type: Document
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National Plan to Address Alzheimer's Disease: 2021 Update
Action plan outlining six goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD data tracking, care, and supports for underserved populations, including rural and tribal communities.
Date: 12/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Last Updated: 6/16/2022