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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Factors Influencing Evidence-Based Cardiovascular Disease Prevention Programming in Rural African American Communities: A Community-Engaged Concept Mapping Study
Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
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The Association Between Neighborhood Social Vulnerability and Community-Based Rehabilitation after Stroke
Examines the relationship between the timely use of community-based rehabilitation after a stroke and the social determinants of health. Analyzes 6,843 adults enrolled in a post-acute stroke program in North Carolina, with breakdowns according to patient SVI and therapy visits within 90 days of stroke. Includes discussion of rurality as a factor related to access and timely use of care.
Author(s): Shuqi Zhang, Elizabeth R. Mormer, Anna M. Johnson, et al.
Citation: BMC Health Services Research, 25, 55
Date: 01/2025
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Understanding Barriers and Facilitators to Implementation of a Patient Safety Bundle for Pregnancy-Related Severe Hypertension in 3 North Carolina Outpatient Clinics: A Qualitative Study
Examines the Alliance for Innovation on Maternal Health's Patient Safety Bundle (Bundle) implementation in North Carolina, which aims to address complications of pregnancy related hypertension. Utilizes feedback from 11 key informant interviews working at a rural outpatient Federally Qualified Health Center (FQHC) in central North Carolina. Discusses facilitators and barriers of the Bundle implementation, with a focus on access issues in rural and underserved communities.
Author(s): Aparna G. Kachoria, Hiba Fatima, Alexandra F. Lightfoot, et al.
Citation: Implementation Science Communications, 6, 7
Date: 01/2025
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Rural Obstetrical Care Workforce: A State-Level Analysis
Provides fact sheets on the rural obstetrical care workforce for select states in 2025. Includes maps and tables providing county-level data and rural-urban comparisons of provider to population ratios for obstetricians, advanced practice midwives, and midwives.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 2025
Sponsoring organization: WWAMI Rural Health Research Center
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Rural Behavioral Health Workforce: A State-Level Analysis
Provides fact sheets on the rural behavioral health workforce for select states in 2025. Includes maps and tables providing county-level data and rural-urban comparisons of provider to population ratios for psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and counselors.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 2025
Sponsoring organization: WWAMI Rural Health Research Center
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Rural Primary Care Workforce: A State-Level Analysis
Provides fact sheets on the rural primary care workforce for select states in 2025. Includes maps and tables providing county-level data and rural-urban comparisons of provider to population ratios for family physicians, general internists, general pediatricians, nurse practitioners, and physician assistants.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 2025
Sponsoring organization: WWAMI Rural Health Research Center
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2025 North Carolina Rural Health Snapshot
Presents data on rural North Carolina demographics, health information, and healthcare infrastructure. Offers statistics on issues including food access, income, healthcare coverage, maternal health, behavioral health, housing, internet access, and more. Features a county-level map with shadings showing rural and urban or suburban counties.
Date: 2025
Sponsoring organizations: Foundation for Health Leadership & Innovation, North Carolina Rural Health Association
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Disparities Between Rural and Urban Communities: Response to 18 Months of Diet and Exercise Versus Control for Knee Osteoarthritis and Overweight or Obesity
Examines intervention outcomes related to pain, function, mobility, BMI, and health-related quality of life among rural and urban dwellers in North Carolina. Utilizes data from the Weight Loss and Exercise for Communities with Arthritis in North Carolina (WE-CAN) program, which provided diet and exercise (D+E) and attention control (C) interventions to 823 older adults.
Author(s): Stephen P. Messier, Megan G. Monroe, Leigh F. Callahan, et al.
Citation: Arthritis Care & Research, 77(1), 69-76
Date: 11/2024
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Residential Instability, Neighborhood Deprivation, and Outcomes for Children
Examines the effects of residential instability and neighborhood deprivation on children's educational outcomes via an analysis of North Carolina births, lead testing, and standardized testing score data. Includes data on differences in study outcomes based on movement between rural and urban areas.
Author(s): Mercedes A. Bravo, Dominique Zephyr, Marie Lynn Miranda
Citation: BMC Public Health, 24, 3343
Date: 11/2024
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Expansion of an Academic Molecular Tumor Board to Enhance Access to Biomarker-Driven Trials and Therapies in the Rural Southeastern United States
Examines access to and availability of molecular tumor boards (MTBs) and comprehensive genomic profiling (CGP) to improve cancer outcomes in rural patients. Examines data from 151 patients from rural North Carolina enrolled in a clinical cancer trial and examines cancer types, actionable biomarkers, and provider feedback on barriers to enrollment in patient trial clinicals in rural areas.
Author(s): Anivarya Kumar, Jennifer R. Owen, Nicholette T. Sloat, et al.
Citation: Current Oncology, 1(11), 7244-7257
Date: 11/2024
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