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Rural Health
Resources by State: North Carolina

Occupational Exposure to Pesticides and the Incidence of Lung Cancer in the Agricultural Health Study
Presents an exploration of incidents of lung cancer in agricultural workers due to exposure from pesticides. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Matthew R. Bonner, Laura E. Beane Freeman, Jane A. Hoppin, et al.
Citation: Environmental Health Perspectives, 125(4), 544-551
Date: 04/2017
Type: Document
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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Rural Promising Practice Issue Brief: Rural OsteoPorosis Evaluation Service (ROPES)
Highlights the Rural Osteoporosis Evaluation Service (ROPES) as a promising practice for evaluating and treating osteoporosis in rural veterans. Features implementation information and results from the Durham VAMC in North Carolina.
Additional links: Overview
Date: 02/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Craving to Make a Difference in a Rural Community
Describes efforts to combat hunger and food insecurity in Ashe County, North Carolina through the Food Pantry Project, a food access screening program located within the local hospital.
Author(s): Melissa Lewis, Patty Parsons
Citation: North Carolina Medical Journal, 78(4), 259-260
Date: 2017
Type: Document
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The Effect of a Weight Gain Prevention Intervention on Moderate-Vigorous Physical Activity among Black Women: The Shape Program
Examines if an effective weight gain prevention intervention, called the Shape Program, increased moderate to vigorous physical activity among overweight or obese African American women in rural North Carolina. Includes participant characteristics for the initial and 12 month assessment by age, education, poverty level, marital status, number of children in the household, employment status, and more.
Author(s): Mary L. Greaney, Sandy Askew, Sherrie F. Wallington, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 14, 139
Date: 2017
Type: Document
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Farmers' Market Challenges in a Rural Setting: A Case Study of the Elaney Wood Heritage Farmers Market
Highlights challenges experienced by a farmers market in Snow Hill, North Carolina. Describes efforts to build both a customer base and a vendor base.
Date: 12/2016
Type: Document
Sponsoring organization: Rural Advancement Foundation International
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Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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Spatial Access to Primary Care Providers in Appalachia Evaluating Current Methodology
Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
Type: Document
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Colonoscopy Access and Utilization - Rural Disparities in the Carolinas, 2001-2010
Describes the geographic distribution of colonoscopy providers, the utilization rate for colonoscopies in urban and rural populations, and the influence of the availability of colonoscopy providers on patients when seeking care in their local area for North and South Carolina using ambulatory surgery discharge data for colonoscopies from 2001-2010.
Additional links: Fact Sheet
Author(s): Jan M. Eberth, Michele Josey, Tushar Trivedi, James Hibbert, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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