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Rural Health
Resources by State: North Carolina

Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Applicability of Precision Medicine Approaches to Managing Hypertension in Rural Populations
Discusses the Heart Healthy Lenoir Project study using a precision medicine approach in a rural population to gain knowledge on blood pressure (BP) control and BP intervention. The focus of the study is on single nucleotide polymorphisms (SNPs), a common type of genetic variation, to determine if SNPs corresponding with hypertension variation found in previous studies of populations near major medical organizations, are relative to BP control in subjects from a rural population.
Author(s): Jacqueline R. Halladay, Kaitlin C. Lenhart, Kimberly Robasky, et al.
Citation: Journal of Personalized Medicine, 8(2), 16
Date: 06/2018
Type: Document
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Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
Type: Document
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Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina
Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
Type: Document
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Social Determinants of Health: Transforming the Buzz Phrase to a Rural Action Item
Discusses how rural healthcare organizations can use social risk assessments as a tool to improve population health. Highlights the work of two rural organizations, CommWell Health in North Carolina and Tift Regional Health System in Georgia, to assess social risks and address patients' social determinants of health (SDOH).
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Industrial Hog Farming Is Associated with Altered Circulating Immunological Markers
Highlights a study of immunological changes among hog farmers. Draws data from the Agricultural Health Study. Breaks down data by race, education, and body mass index, among other measures.
Author(s): Jonathan N. Hofmann, Meredith S. Shiels, Melissa C. Friesen, et al.
Citation: Occupational and Environmental Medicine, 75(3), 212-217
Date: 03/2018
Type: Document
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What's MAT Got to Do with It? Medication-Assisted Treatment for Opioid Use Disorder in Rural America
Provides an overview of medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder, with information on the science behind the disorder and how three MAT medications work. Highlights rural health organizations providing MAT treatment.
Author(s): Kay Miller Temple
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Epidemiological Study of People Living in Rural North Carolina for Novel Respiratory Viruses
Pilot study at an outpatient clinic in North Carolina examining individuals with influenza-like symptoms to identify respiratory viruses among people residing in a rural area with dense swine and poultry farming. Includes results from nasal swab and air samples as well as participant characteristics, including sex, age, animal exposure, and antibiotic and hospitalization history.
Author(s): X. Wang, B. D. Anderson, L. A. Pulscher, et al.
Citation: Zoonoses and Public Health, 65(1), e265–e269
Date: 02/2018
Type: Document
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