Improving Population Health in North Carolina

Population health examines the health outcomes of groups and the disparities in health among subgroups. This issue of the NCMJ illustrates population health efforts in the areas of obesity prevention, tobacco cessation, and clean water. Articles in this issue also discuss community health needs assessments, integrated health improvement, social determinants of health, and the Healthy North Carolina 2020 program. TABLE OF CONTENTS | FULL ISSUE (pdf) »

  • 76(1) Rural health
  • 76(2) Traumatic brain injury
  • 76(3) Patient engagement

The Impact of Maltreatment on the Developing Child

INVITED COMMENTARY Child maltreatment represents an extreme traumatic insult to the developing child. Chronic traumatic exposure during childhood may lead to persistent changes in brain structure and chemistry that contribute to long-term dysfunction.

BrdsNBz: A Text-Messaging Forum for Improving the Sexual Health of Adolescents in North Carolina

INVITED SIDEBAR The BrdsNBz Text Message Warm Line (hereafter, “BrdsNBz”) was launched by the Adolescent Pregnancy Prevention Campaign of North Carolina in February 2009 to address the sexual-health needs of our state’s teenage population. The primary objective of BrdsNBz is to provide a trusted forum for adolescents to ask questions and receive medically accurate information about their sexual health.

What Will Long-Term Care Be Like in 2040?

INVITED COMMENTARY Many innovative long-term care models can now be found in nursing homes, assisted living, and community home care settings. Key forces that will shape the future include the aging of the baby-boomer generation, personal choice, concerns about quality, new technologies, dementia research, payment issues, financial pressures, and workforce needs.

Breast Cancer Screening

INVITED COMMENTARY Mammography remains the primary technique for breast cancer screening. Women with dense breast tissue may benefit from digital mammography and tomosynthesis, and women at high risk may benefit from magnetic resonance imaging. However, false-positive results are problematic. The North Carolina breast density law necessitates education about screening options for women with dense breasts.


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