Rural Health
Resources by State: North Carolina
Pesticide Exposure and Incident Thyroid Cancer Among Male Pesticide Applicators in Agricultural Health Study
Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Rural Community Engagement for Health Disparities Research: The Unique Role of Historically Black Colleges and Universities (HBCUs)
Explores the potential of Historically Black Colleges and Universities (HCBUs) to help reduce health disparities in rural communities of color. Highlights the Research with Care project, a collaboration between the North Carolina Central University and rural Halifax County, N.C. and discusses the expounding health disparities faced by people of color in rural areas, including COVID-19.
Author(s): Lorraine C. Taylor, Charity S. Watkins, Hannah Chesterton, et al.
Citation: International Journal of Environmental Research and Public Health, 18(1), 64
Date: 01/2021
Type: Document
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Explores the potential of Historically Black Colleges and Universities (HCBUs) to help reduce health disparities in rural communities of color. Highlights the Research with Care project, a collaboration between the North Carolina Central University and rural Halifax County, N.C. and discusses the expounding health disparities faced by people of color in rural areas, including COVID-19.
Author(s): Lorraine C. Taylor, Charity S. Watkins, Hannah Chesterton, et al.
Citation: International Journal of Environmental Research and Public Health, 18(1), 64
Date: 01/2021
Type: Document
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Community Health Center Addresses Vaccine Hesitancy through Social Media
Shares examples of graphics and videos developed by Roanoke Chowan Community Health Center to answer common questions about the COVID-19 vaccines and encourage patients to get vaccinated.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Shares examples of graphics and videos developed by Roanoke Chowan Community Health Center to answer common questions about the COVID-19 vaccines and encourage patients to get vaccinated.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
Type: Document
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Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
Type: Document
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A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community Based Palliative Care in a Rural Seriously Ill Population
Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Using State Licensure Data to Assess North Carolina's Health Workforce COVID-19 Response Capacity
Assesses the supply of healthcare providers in North Carolina who are able to respond to the COVID-19 pandemic, using licensure data merged with population data and numbers of intensive care unit (ICU) beds. Mentions rural throughout. Features county-level maps showing ratios of respiratory therapists, critical care nurses and physicians per 10,000 county population, and ratios of critical care nurses and respiratory therapists to numbers of ICU beds.
Author(s): Heather Wilson, Evan M. Galloway, Julie C. Spero, et al.
Citation: North Carolina Medical Journal, 82(1), 29-35
Date: 2021
Type: Document
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Assesses the supply of healthcare providers in North Carolina who are able to respond to the COVID-19 pandemic, using licensure data merged with population data and numbers of intensive care unit (ICU) beds. Mentions rural throughout. Features county-level maps showing ratios of respiratory therapists, critical care nurses and physicians per 10,000 county population, and ratios of critical care nurses and respiratory therapists to numbers of ICU beds.
Author(s): Heather Wilson, Evan M. Galloway, Julie C. Spero, et al.
Citation: North Carolina Medical Journal, 82(1), 29-35
Date: 2021
Type: Document
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Rural Registered Nurses: Stories of Caring for Their Communities
Features five rural registered nurses from across the country describing their path to nursing, their accomplishments, and how they provide healthcare in their rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features five rural registered nurses from across the country describing their path to nursing, their accomplishments, and how they provide healthcare in their rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Dicamba Use and Cancer Incidence in the Agricultural Health Study: An Updated Analysis
Highlights a study on the connection between colon and lung cancers in farmers and farmworkers and use of the herbicide dicamba. Draws data from the Agricultural Health Study and breaks it down by age, crops/animals produced, and other pesticides used, among other measures.
Author(s): Catherine C Lerro, Jonathan N Hofmann, Gabriella Andreotti, et al.
Citation: International Journal of Epidemiology, 49(4), 1326-1337
Date: 08/2020
Type: Document
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Highlights a study on the connection between colon and lung cancers in farmers and farmworkers and use of the herbicide dicamba. Draws data from the Agricultural Health Study and breaks it down by age, crops/animals produced, and other pesticides used, among other measures.
Author(s): Catherine C Lerro, Jonathan N Hofmann, Gabriella Andreotti, et al.
Citation: International Journal of Epidemiology, 49(4), 1326-1337
Date: 08/2020
Type: Document
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COVID-19 Testing - What RHCs Are Doing For Their Communities
Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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