Rural Health
Resources by State: North Carolina
Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
Type: Document
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Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
Type: Document
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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"Meet People Where They Are": A Qualitative Study of Community Barriers and Facilitators to HIV Testing and HIV Self-Testing among African Americans in Urban and Rural Areas in North Carolina
Summarizes community-based strategies to increase testing among African Americans in both urban and rural areas of North Carolina. Identifies concerns over confidentiality, negative treatment by healthcare workers, and lack of support regarding self-testing kits. Discusses strategies such as decentralizing HIV testing, particularly in rural areas.
Author(s): Allison Mathews, Samantha Farley, Donaldson F. Conserve, et al.
Citation: BMC Public Health, 20(494)
Date: 04/2020
Type: Document
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Summarizes community-based strategies to increase testing among African Americans in both urban and rural areas of North Carolina. Identifies concerns over confidentiality, negative treatment by healthcare workers, and lack of support regarding self-testing kits. Discusses strategies such as decentralizing HIV testing, particularly in rural areas.
Author(s): Allison Mathews, Samantha Farley, Donaldson F. Conserve, et al.
Citation: BMC Public Health, 20(494)
Date: 04/2020
Type: Document
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Hospital Access in the Fifth District and COVID-19
Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Strengthening Community-Clinical Linkages to Reduce Cardiovascular Disease Risk in Rural NC: Feasibility Phase of the CHANGE Study
Highlights a study evaluating the implementation and effectiveness of a cardiovascular disease prevention program using community health worker (CHW) interventions. Analyzes the CHANGE program in rural North Carolina and discusses the program's design, implementation, and outcomes.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: BMC Public Health, 20, 264
Date: 02/2020
Type: Document
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Highlights a study evaluating the implementation and effectiveness of a cardiovascular disease prevention program using community health worker (CHW) interventions. Analyzes the CHANGE program in rural North Carolina and discusses the program's design, implementation, and outcomes.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: BMC Public Health, 20, 264
Date: 02/2020
Type: Document
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Healthy North Carolina 2030: A Path Toward Health
Discusses population health in North Carolina, identifying disparities in health outcomes and social determinants of health and highlighting strategies for improvement. Provides data for selected indicators, including unemployment, access to healthy food, and primary care workforce availability, among others. Mentions people in rural areas throughout.
Date: 01/2020
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Discusses population health in North Carolina, identifying disparities in health outcomes and social determinants of health and highlighting strategies for improvement. Provides data for selected indicators, including unemployment, access to healthy food, and primary care workforce availability, among others. Mentions people in rural areas throughout.
Date: 01/2020
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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A Public Health Emergency: State Efforts to Curb the Opioid Crisis
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the outcomes of public health efforts to combat the opioid crisis. Features testimony from representatives of the Rhode Island Department of Health, the Massachusetts Department of Public Health, the North Carolina Department of Health and Human Services, the West Virginia Department of Health and Human Resources, and the Pennsylvania Department of Drug and Alcohol Programs.
Date: 01/2020
Type: Video/Multimedia
Sponsoring organization: House Committee on Energy and Commerce
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Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the outcomes of public health efforts to combat the opioid crisis. Features testimony from representatives of the Rhode Island Department of Health, the Massachusetts Department of Public Health, the North Carolina Department of Health and Human Services, the West Virginia Department of Health and Human Resources, and the Pennsylvania Department of Drug and Alcohol Programs.
Date: 01/2020
Type: Video/Multimedia
Sponsoring organization: House Committee on Energy and Commerce
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Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Sugar-Sweetened Beverage Intake Among Adults, by Residence in Metropolitan and Nonmetropolitan Counties in 12 States and the District of Columbia, 2017
Results of a study measuring the sugar-sweetened beverage intake of 68,896 adults, using information from the Behavioral Risk Factor Surveillance System. Features demographic statistics with breakdowns by frequency of intake, state, and metropolitan or nonmetropolitan location.
Author(s): Omoye Imoisili, Sohyun Park, Elizabeth A. Lundeen, et al.
Citation: Preventing Chronic Disease, 17
Date: 01/2020
Type: Document
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Results of a study measuring the sugar-sweetened beverage intake of 68,896 adults, using information from the Behavioral Risk Factor Surveillance System. Features demographic statistics with breakdowns by frequency of intake, state, and metropolitan or nonmetropolitan location.
Author(s): Omoye Imoisili, Sohyun Park, Elizabeth A. Lundeen, et al.
Citation: Preventing Chronic Disease, 17
Date: 01/2020
Type: Document
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