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Rural Health
Resources by State: Alabama

Influences on Lung Cancer Screening Initiation and Retention in Rural Alabama
Examines the facilitators of lung cancer screening initiation and retention in mostly Black and rural areas of Alabama. Provides feedback from 58 interviews with people who had a lung cancer screening between December 2019 and January 2022. Includes data on patient demographics, reasons for being screened, and intention to screen annually.
Author(s): Amy Copeland, Kathy Levy, Claudia M. Hardy, Jennifer C. King, Maureen Rigney
Citation: Journal of Primary Care & Community Health, 14
Date: 04/2023
Type: Document
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Social Determinants of Health and Emergency Department Utilization in Alabama Children's Health Insurance Program
Examines the relationship between social determinants of health (SDOH) and emergency department (ED) use in Alabama children. Utilizes 2015-2017 data from ALL Kids, Alabama's Children's Health Insurance Program, to analyze ED use by race, socioeconomic status (SES), urbanicity, availability of pediatricians, immigrant-density factors, and more.
Author(s): Ye Liu, Pradeep Sharma, David J. Becker, et al.
Citation: The American Journal of Managed Care, 29(3)
Date: 03/2023
Type: Document
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Contraceptive Care Service Provision via Telehealth Early in the COVID-19 Pandemic at Rural and Urban Federally Qualified Health Centers in 2 Southeastern States
Explores a study on the use of telehealth by Federally Qualified Health Centers (FQHCs) to provide contraceptive services during the COVID-19 pandemic in Alabama and South Carolina. Breaks down data by clinic accessibility and services offered, type of contraceptives provided, and rural versus urban location, among other factors.
Author(s): Kate Beatty, Michael G. Smith, Amal J. Khoury, et al.
Citation: Journal of Rural Health, 39(1), 160-171
Date: 12/2022
Type: Document
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COVID Community-Engaged Testing in Alabama: Reaching Underserved Rural Populations Through Collaboration
Provides an overview of the National Institutes of Health's Rapid Acceleration of Diagnostics–Underserved Populations initiative that fostered collaborations to increase COVID-19 testing in rural areas of Alabama. Discusses intervention, implementation, and evaluation of initiative and includes county-level data on tests administered.
Author(s): Christopher Greer McCollum, Thomas N. Creger, Aadia I. Rana, et al.
Citation: American Journal of Public Health, 112(10), 1399-1403
Date: 10/2022
Type: Document
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Audiology, Medicine, and Pharmacy Interprofessional Preliminary Interviews and Discussions: Improving Hearing Health Care in Rural Alabama
Results of a study to determine the feasibility of interprofessional collaboration among physicians and audiologists and pharmacists and audiologists, to improve access and affordability of hearing health care in rural communities. Based on information from online surveys and virtual discussion groups with 16 family physicians and medicine residents at the University of Alabama and 15 pharmacists who worked in independently owned community pharmacies in Alabama.
Author(s): Emma B. Brothers, Marcia J. Hay-McCutcheon, Peter J. Hughes, M. Louanne Friend
Citation: American Journal of Audiology, 31(3), 656-668
Date: 09/2022
Type: Document
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Preserving Independence among Under-Resourced Older Adults in the Southeastern United States: Existing Barriers and Potential Strategies for Research
Literature review examining barriers to independent aging in the Southeast, including physical, mental, and social challenges related to chronic conditions, health disparities, and access to care. Includes a section on barriers for older adults in rural areas of the Southeast.
Author(s): Ene M. Enogela, Taylor Buchanan, Christy S. Carter, et al.
Citation: International Journal for Equity in Health, 21, 119
Date: 08/2022
Type: Document
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Expanding Access to Substance Use Services and Mental Health Care for People with HIV in Alabama, a Technology Readiness Assessment Using a Mixed Methods Approach
Results of a study exploring opportunities for enhanced substance use disorder and mental health screening using electronic patient reported outcomes and telehealth at 5 Ryan White HIV/AIDS Program-funded clinics in Alabama. Features a county-level map showing HIV prevalence in Alabama in 2019.
Author(s): Ellen F. Eaton, Kaylee Burgan, Greer McCollum, et al.
Citation: BMC Health Services Research, 22(1), 919
Date: 07/2022
Type: Document
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Pandemic-Triggered Adoption of Telehealth in Underserved Communities: Descriptive Study of Pre- and Postshutdown Trends
Examines telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, gender, rurality, age, and service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Citation: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022
Type: Document
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
Type: Document
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