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Rural Health
Resources by Topic: Infectious diseases

A Large HCV Transmission Network Enabled a Fast-growing HIV Outbreak in Rural Indiana, 2015
Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
Type: Document
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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Q&A: HPV Vaccine Coverage Lacking among Rural Teens
Details a question and answer discussion with Dr. Robin C. Vanderpool on the barrier to vaccinating rural teenagers for human papillomavirus (HPV).
Author(s): Katherine Bortz
Date: 10/2018
Type: Document
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Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017
Reports on vaccination coverage for children aged 19-35 months, based on data from the 2017 National Immunization Survey-Child (NIS-Child). Includes data for nonmetropolitan areas. Coverage estimates are provided for the following vaccinations: diphtheria and tetanus toxoids and acellular pertussis (DTaP), poliovirus, measles, mumps, and rubella (MMR), Haemophilius influenzae type b conjugate (Hib), hepatitis B (HepB), varicella, pneumococcal conjugate vaccine (PCV), hepatitis A (HepA), and rotavirus.
Author(s): Holly A. Hill, Laurie D. Elam-Evans, David Yankey, James A. Singleton, Yoonjae Kang
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(40), 1123-1128
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South
Provides an overview of a pilot test of a faith-based intervention to address HIV-related stigma in rural Alabama. Discusses the factors that contribute to HIV stigma among African-Americans in the South.
Author(s): Erin L.P. Bradley, Madeline Y. Sutton, Eric Cooks, et al.
Citation: Health Promotion Practice, 19(5), 730-740
Date: 09/2018
Type: Document
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Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
Type: Document
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The Costs and Benefits of Expanding Hepatitis C Screening in the Indian Health Service
Estimates whether increasing hepatitis C screening for American Indians and Alaskan Natives would be cost-effective and provides recommendations for the Indian Health Service.
Author(s): Divya Vohra, Monica Huang, So O'Neil
Date: 09/2018
Type: Document
Sponsoring organization: Mathematica
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Implementing Treatment of Opioid Use Disorder in Rural Settings: A Focus on HIV and Hepatitis C Prevention and Treatment
An overview of the epidemiology of opioid use disorder (OUD) with a focus on HIV and Hepatitis C transmission in the rural U.S. and particularly in rural Indiana. Identifies evidence-based treatments for OUD and their effectiveness in reducing other health issues associated with OUD. Discusses barriers to care and policy and research issues for increasing access to treatment of OUD in rural areas.
Author(s): Jennifer R. Havens, Sharon L. Walsh, P. Todd Korthuis, David A. Fiellin
Citation: Current HIV/AIDS Reports,15(4), 315–323
Date: 08/2018
Type: Document
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