Rural residents are at a disadvantage with regard to health status and access to health promotion activities. In many rural communities, public libraries offer support through health information provision; there are also opportunities for engagement in broader community health efforts. In a collaborative effort between an academic researcher and a…

Non-pediatric nurses in rural areas often care for children in adult units, emergency departments, and procedural areas. A half-day program about pediatric nursing using constructivist teaching strategies including an advance organizer, case studies, and simulation was offered at a community hospital in Western North Carolina. Nurses reported a…

Background: Little is known about access to medicine among immigrant Latinos in the United States (US). This study explored access to, and use of, prescription drugs obtained from nonmedical sources among recently arrived, Spanish-speaking immigrant Latinos in rural North Carolina (NC). Methods: Our community-based participatory research…

Young adolescents, age 10-15 years, have increasing psychosocial and biomedical health care needs, yet are some of the lowest users of conventional health services. In eastern North Carolina, school-based health centers (SBHCs) provide primary health care to thousands of school-age children in the most rural, medically underserved areas. SBHCs…

Access to transportation to transverse the large distances between residences and health services in rural settings is a necessity. However, little research has examined directly access to transportation in analyses of rural health care utilization. This analysis addresses the association of transportation and health care utilization in a rural…

Big dreams often start small. For the Wayne County Public Schools in eastern North Carolina, those dreams started with the vision to improve adolescent health care at school. Now seven years later, the system is proud to operate five full-time school-based health centers, which have contributed to a decline in teen-age pregnancies and an increase…

The article describes North Carolina's precedent setting Office of Rural Health Services, its background and design, and its significant role in the development of primary health care clinics such as that in Balsom Grove which is staffed by a family nurse practitioner and enjoying wide community support. (SB)

In rural Madison County (North Carolina), a project to plan community health services began with 40 community "listening sessions" in which local people discussed health needs and problems. These sessions led to a community coalition that actively cooperates with health professionals in planning health services and trainings,…

Questionnaire data from 81 North Carolina communities were analyzed in 1981 to test the hypothesis that 5 institutional subcategories (education, general community services, transportation, agricultural services, and health and sanitation) exhibit the underlying characteristic of unidimensionality and that they reflect comparable levels of…

A State Task Force on Rural Health was formed (January 1973) by the State Rural Development Committee to identify and analyze major rural health problems in North Carolina and to recommend alleviation strategies. The Task Force submitted open-ended questionnaires to members of the County Rural Development Panels to secure their perceptions of…

This manual is a how-to-do-it guide to building coalitions of health and human service agencies, organizations, businesses, churches, and other community-based groups for collaborative research, planning, and action to improve resident health and quality of life. Most of the information provided was discovered and developed during the 4-year life…

James B. Duke established the Duke Endowment in 1924. This document examines what the Carolinas have accomplished since that time--both through the endowment's investments and otherwise--and what remains to be achieved. The first chapter describes the Carolinas' of the 1920s. While the rest of the nation enjoyed economic prosperity, the rural…