Chronic Disease in Rural America – Resources

The Challenges of Chronic Disease in Rural Areas: Chronic Obstructive Pulmonary Disease (COPD)
Video focused on chronic obstructive pulmonary disease (COPD) in rural America. Experts discuss the high prevalence rate in rural areas, possible causes of the disparity, COPD treatment options, and how we can better understand and address this disease.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Organization of Endovascular Thrombectomy: The Need for a 2-Tier System
Discusses the current state of stroke care and reasons behind establishing a two-tiered standard of care for tertiary healthcare centers and rural hospitals that perform acute stroke care.
Author(s): Mayank Goyal, Kathinka D. Kurz, Marc Fisher
Citation: Stroke, 50, 1325-1326
Date: 06/2019
Type: Document
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Suboptimal Geographic Accessibility to Comprehensive HIV Care in the US: Regional and Urban–Rural Differences
Discusses access to HIV care facilities in urban and rural areas based on travel distance to care sites. Analyzes national data to determine average driving time to care sites and percentage of people living with HIV who have a drive time of greater than 30 minutes. Figure 1 offers a map of the contiguous U.S. representing HIV care sites and the population living with HIV/AIDS by county based on 2014 data.
Author(s): Steven P. Masiano, Erika G. Martin, Rose S. Bono, et al.
Citation: Journal of the International AIDS Society, 22(5), e25286
Date: 05/2019
Type: Document
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Diagnoses of HIV Infection Among Adults and Adolescents in Metropolitan Statistical Areas-United States and Puerto Rico, 2017
Presents data on HIV infection diagnoses in 2017 and the prevalence of adults and adolescents living with diagnosed HIV infection at year-end 2016 residing in metropolitan and nonmetropolitan areas in the U.S. and Puerto Rico. Nonmetropolitan data is included at the end of each table, after all the Metropolitan Statistical Areas are listed. Nonmetro data is available on HIV infection diagnoses in adults and adolescents by sex, sex and age, sex and race/ethnicity, sex and transmission category, and race/ethnicity and transmission category. Also includes mortality data by sex for nonmetropolitan areas.
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State-Specific Severe Joint Pain and Physical Inactivity Among Adults with Arthritis — United States, 2017
Examines state-specific prevalence of arthritis and, among adults with arthritis, the prevalence of severe joint pain and of physical inactivity. Includes national data for metropolitan, micropolitan, and non-core counties.
Author(s): Dana Guglielmo, Louise B. Murphy, Michael A. Boring, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(17), 381-387
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Race-Specific Patterns of Treatment Intensification Among Hypertensive Patients Using Home Blood Pressure Monitoring: Analysis Using Defined Daily Doses in the Heart Healthy Lenoir Study
Presents the results of a cohort study to compare racial disparities in blood pressure control with a focus on identifying any racial differences in antihypertensive medication intensification (AMI). Participants in the study included 217 adult patients (57% Black and 66% women) from six rural primary care practices and who engage in home blood pressure monitoring (HBPM) and documentation.
Author(s): Doyle M. Cummings, Alyssa Adams, Jacquie Halladay, et al.
Citation: Annals of Pharmacotherapy, 53(4), 333-340
Date: 04/2019
Type: Document
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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The Changing Burden of Diabetes in Rural and Urban America
Recording and slides from an April 29, 2019 webinar with Timothy Callaghan and Alva O. Ferdinand from the Texas A&M University School of Public Heath. Provides an overview of diabetes mortality and trends in rural and urban areas. Covers data on in-hospital diabetes mortality, predictors of emergency department initiated diabetes care, and progress towards Healthy People 2020 goals to reduce diabetes mortality.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 04/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Ending the HIV Epidemic: A Plan for America (Presentation Slides)
Presentation slides from the 2019 Presidential Advisory Council on HIV/AIDS (PACHA). Includes 2016 and 2017 data on new HIV diagnoses in the U.S. and territories most affected by the epidemic: 48 counties with 50% of the new HIV diagnoses, 7 states with disproportionate HIV diagnoses located in rural areas, the District of Columbia, and San Juan, Puerto Rico. Discusses the implementation plan that includes a focus on working in rural and other areas with high incidences of HIV.
Date: 03/2019
Type: Presentation Slides
Sponsoring organizations: HIV.gov, U.S. Department of Health and Human Services
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Relationship Between Adherence to Antihypertensive Medication Regimen and Out-of-Pocket Costs Among People Aged 35 to 64 With Employer-Sponsored Health Insurance
Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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