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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina
Evaluates the Baby-Friendly Hospital Initiative's impacts on breastfeeding support and practice in North Carolina. Performs a geographic analysis of data from birth certificates between 2011–2014, including births at a participant hospital, county of residence, and whether mothers live in the same county as a Baby-Friendly hospital. Discusses disparities in breastfeeding support in North Carolina, offering county-level maps that illustrate the accessibility of Baby-Friendly hospitals.
Author(s): Abigail Liberty, Kathryn Wouk, Ellen Chetwynd, et al.
Citation: Journal of Human Lactation, 35(1), 114-126
Date: 02/2019
Type: Document
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Latinx Child Farmworkers in North Carolina: Study Design and Participant Baseline Characteristics
Details a study on the health and wellness of Latinx children from ages 10 to 17 employed as agricultural workers in North Carolina. Bases conclusions on survey interviews of 202 children and presents data by year in school, years as a farm worker, and type of crops farmed, among other measures.
Author(s): Thomas A. Arcury, Taylor J. Arnold, Joanne C. Sandberg
Citation: American Journal of Industrial Medicine, 62(2), 156-167
Date: 02/2019
Type: Document
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promising Practice: NC Office of Rural Health Helps Rural Providers Get Connected to HIT
Highlights the North Carolina Office of Rural Health Information Technology (ORH HIT) program. ORH HIT is working to connect behavioral health and other healthcare providers through a state health information exchange (HIE).
Author(s): Beth Blevins
Date: 02/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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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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