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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Fruit and Vegetable Preferences and Practices may Hinder Participation in Community Supported Agriculture among Low-Income Rural Families
Presents a study on the effect food preferences have on rates of participation in community agriculture programs for low-income families in rural areas. Bases results on interviews with families regarding fruit and vegetable preferences.
Author(s): Karla L. Hanson, Jennifer Garner, Leah M. Connor, et al.
Citation: Journal of Nutrition Education and Behavior, 51(1), 57-67
Date: 01/2019
Type: Document
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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To Oversee or Not to Oversee? Lessons from the Repeal of North Carolina's Certificate of Public Advantage Law
Describes North Carolina's experience with its Certificate of Public Advantage (COPA) statute, which provided the state oversight on hospital mergers that could support continued access to care, particularly in rural areas. Focuses on the impact of the statute's repeal. Compares differences in North Carolina's COPA to Tennessee and Virginia's COPA laws, discussing the implications for rural populations.
Author(s): Erin C. Fuse Brown
Date: 01/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Adaptation of an Evidence-Based Cardiovascular Health Intervention for Rural African Americans in the Southeast
Explores the process of adapting an evidence-based intervention to address factors contributing to cardiovascular disease in African Americans living in the rural southeastern U.S. Uses community-based participatory research via focus groups, interviews, web-based surveys, and weekly meetings with community and academic stakeholders to identify findings and integrate them into the structure of the intervention.
Author(s): Kiana D. Bess, Leah Frerichs, Tiffany Young, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 13(4), 385-396
Date: 2019
Type: Document
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Healthy Eating and Active Living Through an Equity Lens
Describes how three predominantly Black North Carolina communities in rural Appalachia addressed their health disparities and improved quality of life with the establishment of a community garden and the promotion of active living.
Author(s): Laura Gerald
Citation: Stanford Social Innovation Review, 2019
Date: 2019
Type: Document
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Rural Hospital Closures and the Fifth District
Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Perceived Benefits of Peer Support Groups for Stroke Survivors and Caregivers in Rural North Carolina
Describes the experiences of stroke survivors and caregivers in four rural North Carolina counties who participated in peer support groups. Findings based on four focus groups with 32 participants, who were predominantly non-Hispanic, White, and female, with an average age of 67.
Author(s): Erin R. Christensen, Shannon L. Golden, Sabina B. Gesell
Citation: North Carolina Medical Journal, 80(3), 143-148
Date: 2019
Type: Document
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 2019
Type: Document
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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