Chronic Disease in Rural America – Resources

QuickStats: Age-Adjusted Death Rates for Stroke Among Adults Aged ≥ 65 Years, by Region and Metropolitan Status — National Vital Statistics System, United States, 2020
Bar chart showing stroke death rates among adults 65 and older, overall and for metropolitan and nonmetro areas. Includes data for the U.S. as a whole as well as by region for the Northeast, Midwest, South, and West.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(43), 1386
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
view details

Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes
Analyzes the implementation of Advanced Comprehensive Diabetes Care (ACDC) to address type 2 diabetes (T2D) in rural patients. Examines 230 patients receiving ACDC through Veterans Health Administration (VHA) Home Telehealth (HT) infrastructure. Discusses the potential of telehealth to deliver specialty care to hard-to-reach populations.
Author(s): Elizabeth A. Kobe, Allison A. Lewinski, Amy S. Jeffreys, et al.
Citation: Journal of General Internal Medicine, 37(12), 3080-3088
Date: 09/2022
view details

Impact of Social Vulnerability on Comorbid Cancer and Cardiovascular Disease Mortality in the United States
Examines racial and social disparities as related to cancer and cardiovascular disease (CVD) mortality. Utilizes 2015-2019 data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze mortality rates and 2014-2018 data from the CDC's Agency for Toxic Substances and Disease Registry to estimate the respective county-level social vulnerability index (SVI). Includes demographic breakdowns of mortality rates according to age, sex, race/ethnicity, and large metropolitan, medium small metropolitan, or micropolitan/noncore (nonmetropolitan) location.
Author(s): Sarju Ganatra, Sourbha S. Dani, Ashish Kumar, et al.
Citation: Journal of American College of Cardiology: CardioOncology, 4(3), 326-337
Date: 09/2022
view details

Urban–Rural Disparities in Diabetes-Related Mortality in the USA 1999–2019
Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
view details

Urban and Rural Differences in New Onset Type 2 Diabetes: Comparisons Across National and Regional Samples in the Diabetes Lead Network
Examines the likelihood of new onset type 2 diabetes (T2D) by community type. Utilizes 3 longitudinal study samples about diabetes in the United States to track new onset T2D by U.S. region as well as higher density urban, lower density urban, suburban/small town, and rural community type. Includes further demographic breakdowns by age, sex, race/ethnicity, socio-economic factors, and smoking behaviors.
Author(s): Tara P. McAlexander, Gargya Malla, Jalal Uddin, et al.
Citation: SSM - Population Health, 19, 101161
Date: 09/2022
view details

Rural-Urban Disparities in Diagnosis of Early-Onset Dementia
Results of a study conducted from February 2021 to March 2022 of 71,799 patients with early-onset Alzheimer disease and related dementias. Features demographics and statistics on differences in service use and clinician visits around diagnosis, with breakdowns by rural and urban areas.
Author(s): Wendy Y. Xu, Jeah Jung, Sheldon M. Retchin, Yiting Li, Soumyadipta Roy
Citation: JAMA Network Open, 5(8)
Date: 08/2022
view details

Chronic Conditions Among Adults Aged 18─34 Years — United States, 2019
Examines prevalence of 11 chronic conditions among adults aged 18-34 years, with data for urban and rural locations. Provides data on obesity, depression, high blood pressure, high cholesterol, asthma, arthritis, and other chronic conditions.
Author(s): Kathleen B. Watson, Susan A. Carlson, Fleetwood Loustalot, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(30), 964-970
Date: 07/2022
Sponsoring organization: Centers for Disease Control and Prevention
view details

Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
view details

HIV Prevention and Treatment Challenges in Rural America
A webinar recording that covers issues related to HIV healthcare in rural communities and presents HIV data in the United States. Discusses populations who should be offered pre-exposure prophylaxis (PrEP), current options in HIV treatment, and rural health issues such as stigma, medical and mental health shortage areas, and LGB discrimination. Provides healthcare options available in Kansas.
Date: 07/2022
Sponsoring organizations: AIDS Education and Training Centers National Coordinating Resource Center, University of Kansas Medical Center
view details

Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
view details