Chronic Disease in Rural America – Resources

Telemedicine Use Among Adults With and Without Diagnosed Prediabetes or Diabetes, National Health Interview Survey, United States, 2021 and 2022
Examines telemedicine usage among adults with prediabetes, diabetes, or no diabetes diagnosis. Utilizes 2021-2022 National Health Interview Survey data to examine telemedicine usage and diabetes diagnoses according to sex, age, race/ethnicity, education, family income, health insurance, rural versus urban residence, and U.S. Census region.
Author(s): Ibrahim Zaganjor, Ryan Saelee, Stephen Onufrak, et al.
Citation: Preventing Chronic Disease, 21
Date: 11/2024
view details

Process Evaluation Findings from Strong Hearts, Healthy Communities 2.0: A Cardiovascular Disease Prevention Intervention for Rural Women
Examines the impact and delivery of a 24-week cardiovascular disease prevention program administered to women in rural New York. Utilizes quantitative and qualitative data from 182 participants to analyze implementation measures such as program reach and length, participant attendance and satisfaction, program effectiveness, and more.
Author(s): Jacob Szeszulski, Laura J. Rolke, Priscilla Ayine, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 21, 122
Date: 10/2024
view details

Prevalence of Self-Reported Diagnosed Diabetes Among Adults, by County Metropolitan Status and Region, United States, 2019–2022
Examines rural versus urban diabetes disparities according to U.S. region. Utilizes 2019-2022 National Health Interview Survey data to analyze disparities according to demographic variables such as age, sex, race/ethnicity, education, income, and bodyweight; urbanicity of large central metro, large fringe metro, small/medium metro, or nonmetro; and region of Northeast, Midwest, South, or West.
Author(s): Stephen Onufrak, Ryan Saelee, Ibrahim Zaganjor, et al.
Citation: Preventing Chronic Disease, 21
Date: 10/2024
view details

The Burden of Cardiovascular Disease in the United States: Patterns and Barriers to Care
Provides an overview of cardiovascular disease (CVD), including related adverse health outcomes, risk factors, and prevention and treatment options. Discusses disparities in CVD burden, barriers patients may face in accessing care, and the economic costs of insufficient CVD prevention and treatment. Presents an analysis of 2019 data on the prevalence of CVD, risk factors, complications, and healthcare utilization and spending among fee-for-service Medicare beneficiaries by sex, age, race/ethnicity, Medicaid enrollment, and rural/urban residence. Highlights U.S. Department of Health and Human Services (HHS) initiatives to address CVD.
Date: 08/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details

Discharge Disposition for Home Health Care Patients with Alzheimer's Disease and Related Dementia: The Role of Living Arrangements and Rural Living
Examines rural versus urban differences in living arrangements and their impact on discharge disposition of patients with Alzheimer's disease and related dementia (ADRD). Analyzes 531,269 Medicare fee-for-service patient records with data breakdowns for living arrangement, such as living alone, living at home with others, or living in a congregate setting, as well as sociodemographic and health condition variables. Discusses rural versus urban disparities when a patient discharges to their community or an institution and the impact of social support on ADRD patients.
Author(s): Daniel Jung, Jeong Ha (Steph) Choi, Kerstin Gerst Emerson
Citation: Journal of Rural Health
Date: 08/2024
view details

Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
view details

2024 Public Health Actions to Reduce the Burden of Asthma: Influenza and COVID-19 Vaccination Uptake Among People with Asthma
Analyzes barriers to influenza and COVID-19 vaccination in people with asthma. Utilizes 2022 survey data from 350 people with asthma to provide asthma and vaccination status with breakdowns according to sociodemographic variables, including urban, rural, or suburban location.
Author(s): Hannah Jaffee, Sanaz Eftekhari, Melanie Carver
Citation: Preventing Chronic Disease, 21
Date: 08/2024
view details

Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program — United States, March 2023–March 2024
Reports on people who ordered and used a direct-to-consumer HIV self-test through the Together TakeMeHome HIV self-test distribution program. Also provides data on related testing and services used by those requesting the self-test. Includes data by participant location for metropolitan, micropolitan, and noncore areas.
Author(s): Travis Sanchez, Robin J. MacGowan, Jennifer Hecht, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(24), 558-564
Date: 06/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details

Risk of Chronic Obstructive Pulmonary Disease and Receipt of a Breathing Test in 26 States and the District of Columbia, 2017–2018
Examines prevalence of having chronic obstructive pulmonary disease (COPD), having risk factors for COPD, and receiving a breathing test according to corresponding risk level. Analyzes 2017-2018 Behavioral Risk Factor Surveillance System (BRFSS) data from 26 states and the District of Columbia, with breakdowns according to sex, race/ethnicity, education, and large central metro, large fringe metro, medium metro, small metro, micropolitan, or rural (noncore) location.
Author(s): Kathleen B. Watson, Janet B. Croft, Anne G. Wheaton, et al.
Citation: Preventing Chronic Disease, 21
Date: 05/2024
view details

Preventable Premature Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Counties, United States, 2010–2022
Analyzes National Vital Statistics System mortality data between 2010 and 2022 to find the 5 leading causes of preventable deaths for people less than 80 years old. Discusses trends across time in metropolitan, micropolitan, and noncore regions and the impact of COVID-19 on the findings. Offers recommendations for future data analysis.
Author(s): Macarena C. García, Lauren M. Rossen, Kevin Matthews, et al.
Citation: MMWR Surveillance Summaries, 73(2), 1-11
Date: 05/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details