Chronic Disease in Rural America – Resources
Selected recent or important resources focusing on Chronic Disease in Rural America.
The Growing Rural-Urban Divide in US Life Expectancy: Contribution of Cardiovascular Disease and Other Major Causes of Death
Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Study examining rural and urban life expectancy between 1999 and 2019 based on Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) detailed mortality files. Offers data by sex and age on changes in life expectancy, including cause-of-death breakdowns.
Author(s): Leah R. Abrams, Mikko Myrskyla, Neil K. Mehta
Citation: International Journal of Epidemiology, 50(6), 1970-1978
Date: 08/2021
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Diabetes-Related Inpatient Stays, 2018
Brief examining nonmaternal inpatient stays related to type 1 and type 2 diabetes based on 2018 National Inpatient Sample (NIS) data. Presents distribution of inpatient stays by age, sex, insurance status, income, race and ethnicity, and metro and rural location.
Author(s): Kathryn R. Fingar, Lawrence D. Reid
Date: 07/2021
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Brief examining nonmaternal inpatient stays related to type 1 and type 2 diabetes based on 2018 National Inpatient Sample (NIS) data. Presents distribution of inpatient stays by age, sex, insurance status, income, race and ethnicity, and metro and rural location.
Author(s): Kathryn R. Fingar, Lawrence D. Reid
Date: 07/2021
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Pulmonary Rehabilitation: Benefiting Rural Individuals, Benefiting Rural Population Health
Discusses the benefits of pulmonary rehabilitation (PR) as a treatment for chronic obstructive pulmonary disease (COPD). Highlights the potential of telehealth to deliver PR in rural areas and features the work of rural PR programs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Discusses the benefits of pulmonary rehabilitation (PR) as a treatment for chronic obstructive pulmonary disease (COPD). Highlights the potential of telehealth to deliver PR in rural areas and features the work of rural PR programs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Still Stealing Rural America's Breath: An Update on Chronic Obstructive Pulmonary Disease
Discusses rural research efforts focused on chronic obstructive pulmonary disease (COPD), with insights from researchers, philanthropists, and healthcare providers. Explores the impact of COVID-19 on COPD. Also covers the importance of pulmonary rehabilitation and new research findings on the impact of this treatment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Discusses rural research efforts focused on chronic obstructive pulmonary disease (COPD), with insights from researchers, philanthropists, and healthcare providers. Explores the impact of COVID-19 on COPD. Also covers the importance of pulmonary rehabilitation and new research findings on the impact of this treatment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States
Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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Rural-Urban Disparities: Diabetes, Hypertension, Heart Disease, and Stroke Mortality Among Black and White Adults, 1999–2018
Article examining racial disparities in diabetes, hypertension, heart disease, and stroke mortality, comparing Black and White populations and breaking down data by rural and urban location using CDC Wonder 1999-2018 data. Discusses trends in racial disparities in urban and rural areas.
Author(s): Rahul Aggarwal, Nicholas Chiu, Emefah C. Loccoh, et al.
Citation: Journal of the American College of Cardiology, 77(11), 1480-1481
Date: 03/2021
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Article examining racial disparities in diabetes, hypertension, heart disease, and stroke mortality, comparing Black and White populations and breaking down data by rural and urban location using CDC Wonder 1999-2018 data. Discusses trends in racial disparities in urban and rural areas.
Author(s): Rahul Aggarwal, Nicholas Chiu, Emefah C. Loccoh, et al.
Citation: Journal of the American College of Cardiology, 77(11), 1480-1481
Date: 03/2021
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Trends in Heart Failure-Related Cardiovascular Mortality in Rural Versus Urban United States Counties, 2011–2018: A Cross-Sectional Study
Study comparing rates of cardiovascular disease in rural and urban areas at the county level. Analyzes CDC WONDER data on heart failure deaths related to cardiovascular disease between 2011 and 2018, comparing population demographics, socioeconomic characteristics, risk factor prevalence, and physician density. Discusses issues of access to care in rural areas with high rates of heart failure.
Author(s): Jacob B. Pierce, Nilay S. Shah, Lucia C. Petito, et al.
Citation: PLoS One, 16(3), e0246813
Date: 03/2021
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Study comparing rates of cardiovascular disease in rural and urban areas at the county level. Analyzes CDC WONDER data on heart failure deaths related to cardiovascular disease between 2011 and 2018, comparing population demographics, socioeconomic characteristics, risk factor prevalence, and physician density. Discusses issues of access to care in rural areas with high rates of heart failure.
Author(s): Jacob B. Pierce, Nilay S. Shah, Lucia C. Petito, et al.
Citation: PLoS One, 16(3), e0246813
Date: 03/2021
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Rural HIV Prevalence and Service Availability in the United States: A Chartbook
Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Arthritis
- Cardiovascular disease
- Chronic disease management
- Chronic respiratory conditions
- Diabetes
- Health screening
- HIV and AIDS
- Wellness, health promotion, and disease prevention
Last Updated: 3/24/2025