Rural Health
Resources by State: North Carolina
The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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New SASI Analysis: In the Deep South, Significant Percentages of People Most Impacted by HIV Live Outside Large Urban Areas Demonstrating a Need for Increased Federal Resources
Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Type: Document
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Type: Document
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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A Rural Hospital Gets A Second Chance
Describes efforts undertaken in 2016 and 2017 to save an independent rural North Carolina hospital from closure, by affiliating with a larger healthcare system.
Author(s): Dana M. Weston
Citation: North Carolina Medical Journal, 79(6), 373-374
Date: 11/2018
Type: Document
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Describes efforts undertaken in 2016 and 2017 to save an independent rural North Carolina hospital from closure, by affiliating with a larger healthcare system.
Author(s): Dana M. Weston
Citation: North Carolina Medical Journal, 79(6), 373-374
Date: 11/2018
Type: Document
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Looking Back But Leaning Forward: New Opportunities and Challenges for North Carolina's Rural Communities
Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
Type: Document
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Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
Type: Document
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Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes
Results of a study examining associations between childhood trauma and adult outcomes among 1,420 participants from 11 predominantly rural North Carolina counties, with interviews taking place between 1999-2015.
Author(s): William E. Copeland, Lilly Shanahan, Jennifer Hinesley, et al.
Citation: JAMA Network Open 1(7)
Date: 11/2018
Type: Document
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Results of a study examining associations between childhood trauma and adult outcomes among 1,420 participants from 11 predominantly rural North Carolina counties, with interviews taking place between 1999-2015.
Author(s): William E. Copeland, Lilly Shanahan, Jennifer Hinesley, et al.
Citation: JAMA Network Open 1(7)
Date: 11/2018
Type: Document
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Ensuring Access to Healthy Food in Beaufort County
Describes a collaborative community effort establishing a city market to increase access to healthy food in rural Beaufort County, North Carolina. The Washington City Market provides a venue for local growers to sell their products and matches restaurants in the region with local growers and their products.
Date: 10/2018
Type: Document
Sponsoring organization: Kate B. Reynolds Charitable Trust
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Describes a collaborative community effort establishing a city market to increase access to healthy food in rural Beaufort County, North Carolina. The Washington City Market provides a venue for local growers to sell their products and matches restaurants in the region with local growers and their products.
Date: 10/2018
Type: Document
Sponsoring organization: Kate B. Reynolds Charitable Trust
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Examining the Association Between Intervention-Related Changes in Diet, Physical Activity, and Weight as Moderated by the Food and Physical Activity Environments among Rural, Southern Adults
Study examining changes in weight, diet, and physical activity in rural adults who took part in a lifestyle intervention in rural Lenoir County, North Carolina. Reports data on self-reported and objectively-measured changes over 6 months, covering access to different kinds of food retailers, gyms, and parks, as well as community walkability, crime, and barriers to physical activity.
Author(s): Stephanie B. Jilcott Pitts, Thomas C. Keyserling, Larry F. Johnston, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 117(10), 1618-1627
Date: 10/2018
Type: Document
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Study examining changes in weight, diet, and physical activity in rural adults who took part in a lifestyle intervention in rural Lenoir County, North Carolina. Reports data on self-reported and objectively-measured changes over 6 months, covering access to different kinds of food retailers, gyms, and parks, as well as community walkability, crime, and barriers to physical activity.
Author(s): Stephanie B. Jilcott Pitts, Thomas C. Keyserling, Larry F. Johnston, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 117(10), 1618-1627
Date: 10/2018
Type: Document
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Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Migrant Farmworker Nutritional Strategies: Implications for Diabetes Management
Presents findings of interviews with 200 Latino migrant farmworkers in North Carolina on food security and means of obtaining, preparing, and consuming food. Identifies common supports and barriers of dietary self-management and provides data on population characteristics. Highlights implications for migrant farmworkers with diabetes, and identifies strategies for improving access to suitable food.
Author(s): Sara A. Quandt, Augusta Groeschel-Johnson, Hannah Kinzer, et al.
Citation: Journal of Agromedicine, 23(4), 347-354
Date: 09/2018
Type: Document
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Presents findings of interviews with 200 Latino migrant farmworkers in North Carolina on food security and means of obtaining, preparing, and consuming food. Identifies common supports and barriers of dietary self-management and provides data on population characteristics. Highlights implications for migrant farmworkers with diabetes, and identifies strategies for improving access to suitable food.
Author(s): Sara A. Quandt, Augusta Groeschel-Johnson, Hannah Kinzer, et al.
Citation: Journal of Agromedicine, 23(4), 347-354
Date: 09/2018
Type: Document
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