Rural Health
Resources by Topic: Diabetes
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.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
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.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Risk Factors Associated with Loneliness among Mexican-Origin Adults in Southern Arizona
Examines factors associated with symptoms of loneliness among Mexican-origin adults in the U.S.-Mexico border region. Utilizes data of 213 Mexican-origin adults at risk for diabetes or depression in Arizona's Pima, Yuma, and Santa Cruz counties. Evaluates factors including social supports, optimism, physical problem frequency and severity, age, place of birth, and length of residence in the U.S.
Author(s): Mario Morales, Ada M. Wilkinson-Lee, Maia Ingram, et al.
Citation: BMC Public Health, 24, 1694
Date: 06/2024
Type: Document
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Examines factors associated with symptoms of loneliness among Mexican-origin adults in the U.S.-Mexico border region. Utilizes data of 213 Mexican-origin adults at risk for diabetes or depression in Arizona's Pima, Yuma, and Santa Cruz counties. Evaluates factors including social supports, optimism, physical problem frequency and severity, age, place of birth, and length of residence in the U.S.
Author(s): Mario Morales, Ada M. Wilkinson-Lee, Maia Ingram, et al.
Citation: BMC Public Health, 24, 1694
Date: 06/2024
Type: Document
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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, gender, and urban or rural location.
Date: 05/2024
Type: Document
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, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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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
Type: Document
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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
Type: Document
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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
Type: Video/Multimedia
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
Type: Video/Multimedia
Sponsoring organization: American Heart Association
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COVID-19 Infection and Incident Diabetes in American Indian and Alaska Native people: A Retrospective Cohort Study
Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
Type: Document
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Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
Type: Document
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A Rapid Review of Interventions to Improve Care for People Who Are Medically Underserved with Multiple Sclerosis, Diabetic Retinopathy, and Lung Cancer
Literature review on interventions to improve health, promote access to care, and decrease disparities among patients with multiple sclerosis, diabetic retinopathy, and lung cancer. Analyzes 44 studies, highlighting findings related to underserved groups, including people in rural areas, throughout.
Author(s): Sarah Mossburg, Mona Kilany, Kimberly Jinnett, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 529
Date: 04/2024
Type: Document
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Literature review on interventions to improve health, promote access to care, and decrease disparities among patients with multiple sclerosis, diabetic retinopathy, and lung cancer. Analyzes 44 studies, highlighting findings related to underserved groups, including people in rural areas, throughout.
Author(s): Sarah Mossburg, Mona Kilany, Kimberly Jinnett, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 529
Date: 04/2024
Type: Document
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Diabetes and the Social, Biologic, and Behavioral Determinants of Endometrial Cancer in the United States
Examines factors associated with endometrial cancer, including biologic, behavioral, and social determinants of health (SDOH). Analyzes variables such as status of endometrial cancer and/or diabetes, behavioral health factors, biologic factors, and various SDOH, including rural versus urban county.
Author(s): Nour Massouh, Ayad A. Jaffa, Miran A. Jaffa
Citation: BMC Cancer, 24, 540
Date: 04/2024
Type: Document
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Examines factors associated with endometrial cancer, including biologic, behavioral, and social determinants of health (SDOH). Analyzes variables such as status of endometrial cancer and/or diabetes, behavioral health factors, biologic factors, and various SDOH, including rural versus urban county.
Author(s): Nour Massouh, Ayad A. Jaffa, Miran A. Jaffa
Citation: BMC Cancer, 24, 540
Date: 04/2024
Type: Document
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Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region
Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
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Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
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Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas
Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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