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The North Carolina Medical Journal was founded in 1849 by the North Carolina Medical Society. Since 2002, the journal has been copublished by the North Carolina Institute of Medicine and The Duke Endowment. Peer-reviewed articles and letters to the editor are published on a rolling basis, and are read by a wide range of health care professionals, policy makers, government officials, business executives, educators, researchers, and interested lay people.

Major funding support for the NCMJ comes from The Duke Endowment.

Bibliographic citations and abstracts of articles published in the NCMJ are searchable via PubMed.

ISSN 0029-2559

STAFF
Ronny A. Bell, PhD
Editor in Chief
UNC

Peter J. Morris, MD, MPH, MDiv
Editor Emeritus
Urban Ministries of Wake County

Nathan A. Boucher, DrPH
Scientific Editor
Duke University

Adam J. Zolotor, MD, DrPH
Scientific Editor
UNC, AHEC

Ruby Brinkerhoff, MS
Assistant Managing Editor
email: ruby_brinkerhoff@nciom.org

PUBLISHERS
Michelle Ries, MPH
Co-publisher
North Carolina Institute of Medicine

Rhett N. Mabry, MHA
Co-publisher
The Duke Endowment

Kathy Colville, MSW, MSPH
Publisher Emeritus
North Carolina Institute of Medicine

Linwood B. Hollowell III
Associate Editor
The Duke Endowment

Mark Holmes, PhD
Associate Editor
University of North Carolina at Chapel Hill

EDITORIAL BOARD

Rebecca Brothers, MPH
Impact Officer, Dogwood Health Trust

Mary Beth Cox, MPH
Substance Use Epidemiologist, North Carolina Department of Health and Human Services, Raleigh

Marian Earls, MD
Pediatric Practice Consultant, Greensboro

Kelly Graves, PhD
Executive Director & Co-Founder, Kellin Foundation, Greensboro

Beverly A. Gray, MD
Associate Professor & Residency Program Director, Duke OB/GYN, Durham

David Jacobs, MD
Medical Director, Trauma Services, Atrium Health, Charlotte

Deepak Kumar, PhD
Director, Julius L. Chambers Biomedical/Biotechnology Research Institute, Durham

Jeremy Moseley, MPH
Associate Vice President, FaithHealth Division, Wake Forest Baptist Health, Winston-Salem

Belinda Pettiford, MPH
Branch Head, Women’s Health, NC Division of Public Health, Raleigh

James Powers, DO, FACEP, FAAEM
Interim Dean and Chief Academic Officer, Jerry M. Wallace School of Osteopathic Medicine, Campbell University, Buies Creek

Danny Scalise, MPH, MBA
Public Health Director, Burke County Health Department, Morganton

Chris Shank
President and CEO, The North Carolina Community Health Center Association, Raleigh

Maggie Sugg, PhD
Associate Professor & Department Honors Director, Geography and Planning, Appalachian State University, Boone

Wanda Wright, RN, DDS, MS, MSD
Assistant Dean for Diversity, Equity and Inclusion, ECU

725 MLK Jr. Blvd.
Chapel Hill
NC
27514
ISSN:0029-2559
Publisher:NCIOM, The Duke Endowment