Rural Health
Resources by Topic: Cardiovascular disease
Social Induction via a Social Behavioral Intervention on Changes in Metabolic Risk Factors: A Randomized Controlled Trial in Rural Appalachia, United States
Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
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Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
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Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program
Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
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Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
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Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
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This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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Food Deserts and Hypertension Prevalence in the Central Valley
Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Regional and Rural-Urban Patterns in the Prevalence of Diagnosed Hypertension among Older U.S. Adults with Diabetes, 2005–2017
Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
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Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
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Health Wanted: Finding Care in Rural America
Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and cultural farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and cultural farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Preventable Premature Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Counties, United States, 2010–2022
Analyzes National Vital Statistics System mortality data between 2010 and 2022 to find the 5 leading causes of preventable deaths for people less than 80 years old. Discusses trends across time in metropolitan, micropolitan, and noncore regions and the impact of COVID-19 on the findings. Offers recommendations for future data analysis.
Author(s): Macarena C. García, Lauren M. Rossen, Kevin Matthews, et al.
Citation: MMWR Surveillance Summaries, 73(2), 1-11
Date: 05/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Analyzes National Vital Statistics System mortality data between 2010 and 2022 to find the 5 leading causes of preventable deaths for people less than 80 years old. Discusses trends across time in metropolitan, micropolitan, and noncore regions and the impact of COVID-19 on the findings. Offers recommendations for future data analysis.
Author(s): Macarena C. García, Lauren M. Rossen, Kevin Matthews, et al.
Citation: MMWR Surveillance Summaries, 73(2), 1-11
Date: 05/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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