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Rural Health Information Hub

Rural Health
Resources by Topic: Health conditions

The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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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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Advancing Health and Resilience in the Gulf of Mexico Region: Roadmap for Progress
Describes the current state of health and community resilience in the Gulf of Mexico region and identifies roadblocks to progress. Offers policy recommendations focused on addressing critical gaps in data and funding community resilience. Presents a road map for improving health and community resilience in the Gulf region. Includes rural references throughout.
Additional links: Read Online
Author(s): Committee on Progress Toward Human Health and Community Resilience in the Gulf of Mexico Region
Date: 06/2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain
Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and non-metro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nurses' Perceptions, Experiences, and Practices Regarding Human Papillomavirus Vaccination: Results from a Cross-Sectional Survey in Montana
Analyzes the roles and perceptions of nurses in administering the human papillomavirus (HPV) vaccination in predominantly rural and medically underserved areas. Examines data from 227 nurse respondents in Montana about their experiences and beliefs related to HPV, with a focus on barriers and facilitators of vaccine uptake.
Author(s): Juthika Thaker, Alexandria N. Albers, Sophia R. Newcomer
Citation: BMC Nursing, 22, 211
Date: 06/2023
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Self-Assessed Health Status and Obesity Vulnerability in Rural Louisiana: A Cross-Sectional Analysis
Examines the self-assessed health of rural residents in Louisiana utilizing the obesity vulnerability index, which factors in sex, race, education, caregiver status, exercise, and grocery store choice as potential risk factors for obesity. Provides 2021 data of residents from 3 rural counties, with obesity vulnerability index indicators broken down by fair, good, or excellent health status.
Author(s): Santosh Pathak, Hua Wang, Katherine Seals, Naveen C. Adusumilli, Denise Holston
Citation: PLoS One, 18(6)
Date: 06/2023
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Factors Associated with Depressive Symptoms among Mexican-Origin Adults in a Community Sample at the US Mexico Border Region
Evaluated 206 Mexican-origin adults at risk for chronic diseases in 3 U.S.-Mexico border counties in Arizona for factors associated with depressive symptoms. Discusses protective factors and includes recommendations to local healthcare and other community officials for education to reduce health disparities.
Author(s): Mario Morales, Maia Ingram, Kiera M. Coulter, et al.
Citation: International Journal of Environmental Research and Public Health, 20(11), 6017
Date: 06/2023
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National, State-Level, and County-Level Prevalence Estimates of Adults Aged ≥18 Years Self-Reporting a Lifetime Diagnosis of Depression — United States, 2020
Looks at U.S. adults 18 years and older self-reporting a lifetime diagnosis of depression. Includes a map showing county-level information, as well as a separate file providing model-based age-standardized county-level prevalence estimates.
Additional links: Supplementary Table: County-Level Estimates
Author(s): Benjamin Lee, Yan Wang, Susan A. Carlson, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(24), 644-650
Date: 06/2023
Sponsoring organization: Centers for Disease Control and Prevention
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"Hopeful Forecasting": Farmers Showing Increased Interest in Mental Health Resources
Discusses a growing openness among farmers to accessing mental health resources. Shares insights from experts regarding stigma reduction and challenges that remain in addressing farmers' mental health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2023
Sponsoring organization: Rural Health Information Hub
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CATCH-UP Vaccines: Protocol for a Randomized Controlled Trial Using the Multiphase Optimization Strategy (MOST) Framework to Evaluate Education Interventions to Increase Covid-19 Vaccine Uptake in Oklahoma
Utilizes the multiphase optimization strategy (MOST) to examine interventions that improve COVID-19 vaccine uptake in underserved areas of Oklahoma, including rural. Reviews process improvement, barrier elicitation and reduction, and teachable moment messaging as strategies to reduce vaccine health disparities in rural and underserved populations. Includes a map of Oklahoma showing vaccination rates by ZIP code.
Author(s): Amanda E. Janitz, Jordan M. Neil, Laura A. Bray, et al.
Citation: BMC Public Health, 23
Date: 06/2023
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