Socioeconomic Distress and Health Status: The Urban-Rural Dichotomy of Services Utilization for People with Sickle Cell Disorders in North Carolina

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Joseph Telfair, Professor (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:

Abstract: Research on sickle cell disorder has not focused attention on the socioeconomic background and geographic distribution of people with the disease. This study examines 1,189 persons with sickle cell disorder in North Carolina during 1991 to 1995. Three indices were developed using clients' medical, psychosocial and socioeconomic characteristics for the purpose of analyzing the urban-rural difference in treatment for sickle cell disease. The study observed a wide disparity in these indices between urban and rural population groups. Also, differences were observed in the utilization of services and clients' health status. The findings suggest that utilization of services is directly related to socioeconomic condition facing clients and clinic distance front clients. They further suggest that people in rural areas who have high distress levels and are far from clinics have limited access to health care. The limited availability of medical and health care in rural areas, as well as other support systems calls for an increase in community based healthcare services. These findings should be of particular interest to the state level sickle cell disorder program in North Carolina and other areas with a large rural population. Enhanced support for all persons with sickle cell disorder in North Carolina, particularly those in rural areas, is critical. Accompanying slides from a presentation at the 24th Annual meeting of the National Sickle Cell Program, Philadelphia, PA, March 11, 2000. Original presentation available at:

Additional Information

Journal of Rural Health, 16(1): 43-55
Language: English
Date: 2000
sickle cell disorder, North Carolina, health status, rural, urban, health services

Email this document to

This item has the format:

TitleLocation & LinkType of Relationship
Association of Socioeconomic and Age Group Status with Self-reported Health Outcomes of Persons with SCD in Rural and Urban Areas of North Carolina. described resource existed before the related resource, which is essentially the same intellectual content presented in another format.