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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Maternal Mortality in the United States
Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Type: Document
Sponsoring organization: American Action Forum
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Report of Recommendations: Appalachian Regional Commission's Substance Abuse Advisory Council
Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance abuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Advancing Health Equity and Access Using Telemedicine: A Geospatial Assessment
Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805
Date: 08/2019
Type: Document
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The Status of Women in North Carolina: Health & Wellness
Analyzes data on women's health, access to reproductive services, and experiences of sexual assault and intimate partner violence. Includes recommendations such as increasing women's access to healthcare, particularly in rural areas. Features statistics on various diseases and health conditions and county-level North Carolina maps showing mortality rates for breast cancer and heart disease.
Author(s): Elyse Shaw, Adiam Tesfaselassie
Date: 06/2019
Type: Document
Sponsoring organization: North Carolina Council for Women and Youth Involvement
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Examining Urban and Rural Differences in How Distance to Care Influences the Initiation and Completion of Treatment among Insured Cervical Cancer Patients
Study examining rates of cervical cancer treatment for patients in North Carolina, focusing on the role of geographic distance in healthcare disparities. Analyzes data for insured cervical cancer patients from 2004-2013, taken from a state registry. Discusses the differences in time between diagnosis and completion of concurrent chemoradiotherapy between rural and urban patients.
Author(s): Lisa Spees, Wendy Brewster, Mahesh Varia, et al.
Citation: Cancer, Epidemiology, Biomarkers and Prevention, 28(5), 882-889
Date: 05/2019
Type: Document
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The Balance Protocol: A Pragmatic Weight Gain Prevention Randomized Controlled Trial for Medically Vulnerable Patients Within Primary Care
Presents a study of a first-line weight gain prevention intervention for obese patients in central North Carolina. Explores the effectiveness of the intervention on a largely rural, uninsured, and majority Hispanic population.
Author(s): Miriam B. Berger, Dori M. Steinberg, Sandy Askew, et al.
Citation: BMC Public Health, 19, 596
Date: 05/2019
Type: Document
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A Pilot Project to Increase Health Literacy among Youth from Seasonal Farmworker Families in Rural Eastern North Carolina: A Qualitative Exploration of Implementation and Impact
Details a project to improve health literacy among young people from seasonal farmworker families in North Carolina. Evaluates the intervention's implementation and outcomes. Presents participants by age, gender, and year in school, as well as home internet access.
Author(s): Israel M. Mendez, Mary Lisa Pories, Leah Cordova, et al.
Citation: Journal of the Medical Library Association, 107(2), 179-186
Date: 04/2019
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: 04/2019
Type: Document
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The Health and Well-Being of North Carolina's Farmworkers: The Importance of Inclusion, Accessible Services and Personal Connection
Provides an overview of farmworker health in North Carolina. Covers demographics, barriers to healthcare access, health risks, and negative health outcomes experienced by migrants and women. Highlights the impact of farmworker health services provided by Federally Qualified Health Centers and the North Carolina Farmworker Health Program.
Author(s): Elizabeth Freeman Lambar, Gayle Thomas
Citation: North Carolina Medical Journal, 80(2), 107-112
Date: 03/2019
Type: Document
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Controlled Substance Use Among Psychiatric Patients in a Rural North Carolina Emergency Department
Features a study on common substances used by patients entering rural emergency departments (EDs) seeking mental health treatment. Focuses on a single ED in North Carolina and presents data by race, gender, and substance used.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Gregory Capece, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 20(2), 419-425
Date: 03/2019
Type: Document
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