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Chronic Disease in Rural America – Resources

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

Diabetes Prevalence and Monitoring in Nonmetropolitan and Metropolitan Areas Within a Commercially Insured U.S. Population
Explores the prevalence of diabetes in metro and nonmetro areas. Draws data from commercial insurance enrollees and compares rates of diabetes testing and outcomes by rurality.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert
Date: 06/2023
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
Type: Document
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Adult Asthma Prevalence and Trend Analysis by Urban–Rural Status Across Sociodemographic Characteristics—United States, 2012-20
Examines 2020 asthma prevalence and 2012-2020 annual asthma trends by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore location. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to analyze geographic distribution of asthma conditions, which is further broken down by sex, age, race/ethnicity, educational attainment, insurance status, and income.
Author(s): Xiaoting Qin, Cynthia A. Pate, Hatice S. Zahran
Citation: Journal of Allergy and Clinical Immunology: Global, 2(2), 100085
Date: 05/2023
Type: Document
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
Type: Document
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal: Background and Policy Options
Information on black lung disease and benefits under the federal black lung program. Examines Black Lung Disability Trust Fund revenues, including coal excise tax, and discusses policy options that could improve the fiscal outlook of the Trust Fund. Features statistics including black lung benefit costs, number of beneficiaries, coal excise tax collections, and Trust Fund debt, with breakdowns by year.
Date: 02/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
Type: Document
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Rural Healthy People 2030
Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Journey Map: Older Adults in Rural Areas Using Remote Patient Monitoring Technologies to Manage Chronic Conditions
A guide for rural health centers describing how to help older adult patients with multiple chronic conditions regarding the use of remote patient monitoring (RPM). Describes a five-step journey that a patient will go through while exploring RPM, and the role of the health center in this process.
Date: 2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Urban–Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial
Presents a study on the differences in mental and physical health outcomes for people with multiple chronic conditions in rural and urban areas with access to primary care providers. Breaks down data by demographic characteristics, such as age, income, and chronic conditions, among others.
Author(s): Levi N. Bonnell, Jessica Clifton, Gail L. Rose, et al.
Citation: International Journal of Environmental Research and Public Health, 19(23), 15580
Date: 11/2022
Type: Document
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 2/7/2025