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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

County-Level Sociodemographic Factors Associated with COVID-19 Incidence and Mortality in North and South Carolina
Explores associations of county-level characteristics with COVID-19 outcomes within North Carolina and South Carolina during the first 7 months of the pandemic. Features statistics including incidence and mortality rates, with breakdowns by rural and nonrural areas.
Author(s): Nicole Kniep, Thelma Achidi, Christy Flynn, et al.
Citation: North Carolina Medical Journal, 83(5), 366-374
Date: 09/2022
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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
Sponsoring organization: Consumer Financial Protection Bureau
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The Rural Opioid Initiative Consortium Description: Providing Evidence to Understand the Fourth Wave of the Opioid Crisis
Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Sponsoring organization: Rural Health Information Hub
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Temporal Changes in Treatment Patterns for Rural and Urban Patients With Early-Stage Non-Small Cell Lung Cancer
Examines treatment modalities in rural and urban populations in North Carolina for patients who have Stage I non-small cell lung cancer (NSCLC). Identifies the treatment patterns of 5,504 patients such as surgery, radiation, or no treatment. Provides patient demographics broken down by age, sex, race, insurance, comorbidity index, history of lung disease, and urban, suburban, or rural location.
Author(s): Joshua Herb, Tzy-Mey Kuo, Vaibhav Kumar, et al.
Citation: North Carolina Medical Journal, 83(4), 294-303
Date: 07/2022
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion, 36(6), 948-958
Date: 07/2022
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North Carolina Statewide Telepsychiatry Program: SFY 2022
County-level map showing North Carolina telepsychiatry sites and provider hubs, with shadings for rural and urban counties.
Date: 06/2022
Sponsoring organization: North Carolina Department of Health and Human Services
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Factors Responsible for Healthcare Avoidance among Rural Adults in the Eastern Region of North Carolina
Analyzes reasons for healthcare avoidance in rural residents living in North Carolina. Examines 946 survey respondents about themes such as self-perceived health, healthcare utilization, and healthcare avoidance due to cost, complexity, or privacy. Includes demographic breakdown of survey respondents by age, sex, race/ethnicity, education, income, insurance status, health status, and other healthcare access variables.
Author(s): Ashley E. Burch
Citation: Journal of Community Health, 47(5), 737-744
Date: 06/2022
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Evaluation of a Family Connects Dissemination to Four High-Poverty Rural Counties
Results from the Family Connects postpartum home visiting program, conducted in 4 high-poverty rural eastern North Carolina counties from September 2014 through December 2015. Features statistics on Family Connects' impact on infant and parental health and well-being, with breakdowns by intervention group and comparison group.
Author(s): W. Benjamin Goodman, Kenneth A, Dodge, Yu Bai, Robert A. Murphy, Karen O'Donnell
Citation: Maternal and Child Health Journal, 26(5), 1067-1076
Date: 05/2022
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