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Rural Health Information Hub

Rural Health
Resources by Topic: Diabetes

Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Respecting Tribal Voices in the Development of a Gestational Diabetes Risk Reduction Preconception Counseling Program for American Indian/Alaska Native Adolescent Females: A Qualitative Study
Investigates the relationship among obesity, pregnancy, and gestational diabetes mellitus (GDM) and the impact on American Indians and Alaska Natives (AI/AN) adolescents. Provides feedback from AI/AN girls at-risk for GDM and their mothers regarding culturally relevant preconception counseling interventions.
Author(s): Kelly R. Moore, Sarah A. Stotz, Martha Ann Terry, et al.
Citation: BMC Pregnancy and Childbirth, 23, 552
Date: 08/2023
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North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
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Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
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Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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Associations Between Social Vulnerability and Providing Evidence-Based Diabetes Prevention and Management Activities in South Carolina, 2019
Examines the abilities of Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) in South Carolina to implement evidence-based diabetes prevention and management activities in counties with high burden of heart disease, diabetes, and associated social vulnerabilities. Includes a state map showing location of RHCs and FQHCs and data on associations between social vulnerability measures and diabetes prevention and management activities.
Author(s): Jennifer Mandelbaum, Courtney Brightharp, Kristian Myers, Shauna Hicks
Citation: Preventing Chronic Disease, 20
Date: 02/2023
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"Ancestral Recipes": A Mixed-Methods Analysis of MyPlate-Based Recipe Dissemination for Latinos in Rural Communities
Examines the adoption of a MyPlate-informed cookbook culturally tailored toward Latinx communities to improve nutrition, healthy lifestyles, and knowledge related to chronic diseases such as diabetes. Discusses results of holding 20 cooking demonstrations with pre- and post-test surveys as well as focus group interviews with 19 participants.
Author(s): Ann Marie Cheney, William J. McCarthy, María Pozar, et al.
Citation: BMC Public Health, 23, 216
Date: 02/2023
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