Chronic Disease in Rural America – Resources

Urban–Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial
Presents a study on the differences in mental and physical health outcomes for people with multiple chronic conditions in rural and urban areas with access to primary care providers. Breaks down data by demographic characteristics, such as age, income, and chronic conditions, among others.
Author(s): Levi N. Bonnell, Jessica Clifton, Gail L. Rose, et al.
Citation: International Journal of Environmental Research and Public Health, 19(23), 15580
Date: 11/2022
Type: Document
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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
Type: Chart/Graph
Sponsoring organization: Rural Health Information Hub
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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
Type: Document
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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 (CDC) and Prevention 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
Type: Document
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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
Type: Document
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2022 National Strategy to Support Family Caregivers
Report details and defines a national support strategy for family caregivers of all ages. Highlights strategies for caring for children, elderly adults, people with disabilities, people with chronic conditions, and post-acute conditions, among others. Also, discusses recommendations for caregivers residing in rural and underserved areas.
Additional links: Actions for States, Communities, and Others, Federal Actions, First Principles: Cross-Cutting Considerations for Family Caregiver Support
Date: 09/2022
Type: Document
Sponsoring organization: Administration for Community Living
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Demographic and Regional Trends in Stroke‐Related Mortality in Young Adults in the United States, 1999 to 2019
Examines mortality rates due to stroke from 1999 to 2019 in young adults aged 25-64. Analyzes 566,916 stroke‐related deaths recorded in the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research (WONDER) database. Includes demographic breakdown of data by sex, race/ethnicity, age, and large metropolitan, medium/small metropolitan, or nonmetropolitan region.
Author(s): Robert W. Ariss, Abdul Mannan Khan Minhas, Jacob Lang, et al.
Citation: Journal of the American Heart Association, 11(8)
Date: 09/2022
Type: Document
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Assessment of Disparities in Diabetes Mortality in Adults in US Rural vs Nonrural Counties, 1999-2018
Explores disparities in diabetes mortality based on county urbanization, comparing data from 1999-2000 through 2017-2018. Includes statistics with breakdowns by sex, age group, region, four 2-year periods, and 3 levels of population density.
Author(s): Sagar B. Dugani, Christina M. Wood-Wentz, Michelle M. Mielke, Kent R. Bailey, Adrian Vella
Citation: JAMA Network Open, 5(9), e2232318
Date: 09/2022
Type: Document
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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
Type: Document
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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
Type: Document
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