Chronic Disease in Rural America – Resources
Selected recent or important resources focusing on Chronic Disease in Rural America.
Integrating Family and Friend Support, Information Technology, and Diabetes Education in Community-Centric Diabetes Self-Management
Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
Type: Document
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Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
Type: Document
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Rural HIV Prevalence and Service Availability in the United States: A Chartbook
Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Examines state- and county-level human immunodeficiency virus (HIV) prevalence in 2016 as well as availability of HIV-related prevention, testing, and treatment services in 2019. Includes data breakdowns by rural/urban status.
Author(s): Katherine Ahrens, Amanda Burgess, Louisa Munk, Erika Ziller
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas. Provides rural/urban/metropolitan data by age group, gender, and transmission category addressing: stage of diagnosis, linkage to care within one month of diagnosis, and viral suppression within 6 months of diagnosis.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas. Provides rural/urban/metropolitan data by age group, gender, and transmission category addressing: stage of diagnosis, linkage to care within one month of diagnosis, and viral suppression within 6 months of diagnosis.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Grantee Directory: Rural HIV/AIDS Planning Program, 2020
Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and Ending the HIV/AIDS Epidemic Key Strategies, including topics such as, planning and development of integrated HIV network, stigma, opioid use disorder, data tracking, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas and populations served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and Ending the HIV/AIDS Epidemic Key Strategies, including topics such as, planning and development of integrated HIV network, stigma, opioid use disorder, data tracking, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas and populations served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination 2021-2025
Functions as a comprehensive roadmap for federal and other stakeholders to decrease and ultimately eliminate viral hepatitis cases, prevent new infections, and enhance treatment and care in the U.S. Provides information on Hepatitis A, B, and C, including the number of reported and estimated cases from 2010-2018, current challenges, priority populations, and more.
Date: 01/2021
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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Functions as a comprehensive roadmap for federal and other stakeholders to decrease and ultimately eliminate viral hepatitis cases, prevent new infections, and enhance treatment and care in the U.S. Provides information on Hepatitis A, B, and C, including the number of reported and estimated cases from 2010-2018, current challenges, priority populations, and more.
Date: 01/2021
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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Urban-Rural Differences in Visits to Office-based Physicians by Adults With Hypertension: United States, 2014–2016
Examines urban-rural differences in office-based physician visits made by adults 18 and older with hypertension. Provides data by age group, by sex, and by race/ethnicity for non-Hispanic White, non-Hispanic Black, and Hispanic populations.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Danielle Davis, Pinyao Rui
Date: 11/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines urban-rural differences in office-based physician visits made by adults 18 and older with hypertension. Provides data by age group, by sex, and by race/ethnicity for non-Hispanic White, non-Hispanic Black, and Hispanic populations.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Danielle Davis, Pinyao Rui
Date: 11/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Joint Effect of Race/Ethnicity or Location of Residence and Sex on Low Density Lipoprotein-Cholesterol among Veterans with Type 2 Diabetes: A 10-year Retrospective Cohort Study
Details a study exploring the intersection of race/ethnicity, gender, and rurality in the effective management of cardiovascular disease by veterans with type 2 diabetes. Highlights the importance and difficulty of managing low-density lipoproteins (LDL) for patients with both cardiovascular disease and type 2 diabetes. Breaks down data by race, sex, and rural versus urban location.
Author(s): Erin R. Weeda, Kinfe G. Bishu, Ralph Ward, et al.
Citation: BMC Cardiovascular Disorders, 20, 449
Date: 10/2020
Type: Document
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Details a study exploring the intersection of race/ethnicity, gender, and rurality in the effective management of cardiovascular disease by veterans with type 2 diabetes. Highlights the importance and difficulty of managing low-density lipoproteins (LDL) for patients with both cardiovascular disease and type 2 diabetes. Breaks down data by race, sex, and rural versus urban location.
Author(s): Erin R. Weeda, Kinfe G. Bishu, Ralph Ward, et al.
Citation: BMC Cardiovascular Disorders, 20, 449
Date: 10/2020
Type: Document
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Development and Implementation of a Community Paramedicine Program in Rural United States
Describes a community paramedicine care model developed in a rural Wisconsin Critical Access Hospital (CAH) and Primary Care Clinic. Presents data on 32 patients receiving treatment for chronic disease or other high-need medical condition. Discusses potential for community paramedicine models to decrease high utilization of healthcare services.
Author(s): Lucas A. Myers, Peter N. Carlson, Paul W. Krantz, et al.
Citation: Western Journal of Emergency Medicine, 21(5), 1227-1233
Date: 09/2020
Type: Document
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Describes a community paramedicine care model developed in a rural Wisconsin Critical Access Hospital (CAH) and Primary Care Clinic. Presents data on 32 patients receiving treatment for chronic disease or other high-need medical condition. Discusses potential for community paramedicine models to decrease high utilization of healthcare services.
Author(s): Lucas A. Myers, Peter N. Carlson, Paul W. Krantz, et al.
Citation: Western Journal of Emergency Medicine, 21(5), 1227-1233
Date: 09/2020
Type: Document
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Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018
Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Arthritis
- Cardiovascular disease
- Chronic disease management
- Chronic respiratory conditions
- Diabetes
- Health screening
- HIV and AIDS
- Wellness, health promotion, and disease prevention
Last Updated: 6/11/2024