Rural Health
Resources by State: Kentucky
The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Patterns of Buprenorphine Use and Risk for Re-Arrest among Highly Vulnerable Opioid-Involved Women Released from Jails in Rural Appalachia
Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
Type: Document
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Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
Type: Document
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Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment
Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
Type: Document
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Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
Type: Document
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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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Evaluating a Teen Pregnancy Prevention Program in Rural Kentucky
Reports on an evaluation of an adapted, shorter "Reducing the Risk" teen pregnancy prevention curriculum delivered in rural Kentucky high schools by local health departments. Evaluated student outcomes using survey data one year and two years after the programs were delivered.
Author(s): Brian Goesling, Joanne Lee, Robert G. Wood, Susan Zief
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Reports on an evaluation of an adapted, shorter "Reducing the Risk" teen pregnancy prevention curriculum delivered in rural Kentucky high schools by local health departments. Evaluated student outcomes using survey data one year and two years after the programs were delivered.
Author(s): Brian Goesling, Joanne Lee, Robert G. Wood, Susan Zief
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Domestic and Intimate Partner Violence: Some Do's and Don'ts for Health Providers
Discusses the role rural healthcare providers can play in screening for and helping address domestic violence (DV) and interpersonal violence (IPV). Features a Kentucky physician assistant educator, universal screening at an Oregon Federally Qualified Health Center (FQHC), and insights from a Missouri orthopedic trauma surgeon and a national DV/IPV technical assistance provider.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the role rural healthcare providers can play in screening for and helping address domestic violence (DV) and interpersonal violence (IPV). Features a Kentucky physician assistant educator, universal screening at an Oregon Federally Qualified Health Center (FQHC), and insights from a Missouri orthopedic trauma surgeon and a national DV/IPV technical assistance provider.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Characteristics of Prescription Opioid-Impaired and Other Substance-Impaired Drivers in Rural Appalachian Kentucky
Study examining characteristics and behaviors of prescription opioid-impaired drivers in the rural Appalachian region of Kentucky, Makes comparisons with other substance-impaired drivers using data from research interviews with 118 study participants who had been convicted of a DUI in the same county where they lived. Discusses prevalence of substance use, frequency of impaired driving, criminal activity, and mental health for prescription opioid-impaired, other drug-impaired, and alcohol only-impaired drivers.
Author(s): J. Matthew Webster, Megan F. Dickson, Faiyad Mannan, Michele Staton
Citation: Journal of Psychoactive Drugs, 59(5), 373-381
Date: 09/2018
Type: Document
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Study examining characteristics and behaviors of prescription opioid-impaired drivers in the rural Appalachian region of Kentucky, Makes comparisons with other substance-impaired drivers using data from research interviews with 118 study participants who had been convicted of a DUI in the same county where they lived. Discusses prevalence of substance use, frequency of impaired driving, criminal activity, and mental health for prescription opioid-impaired, other drug-impaired, and alcohol only-impaired drivers.
Author(s): J. Matthew Webster, Megan F. Dickson, Faiyad Mannan, Michele Staton
Citation: Journal of Psychoactive Drugs, 59(5), 373-381
Date: 09/2018
Type: Document
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Body Mass Index Category Moderates the Relationship Between Depressive Symptoms and Diet Quality in Overweight and Obese Rural-Dwelling Adults.
Examines questionnaire responses from adults in rural Kentucky to determine whether overall diet quality varies according to body mass index (BMI) category and presence of depressive symptoms in people with or at increased risk of cardiovascular disease (CVD). Contains data comparing healthy eating habits among depressed and non-depressed individuals who are overweight or obese, including breakdowns by age, sex, race/ethnicity, marital status, education, comorbidities, and other characteristics.
Author(s): Demetrius Abshire, Terry Lennie, Misook Chung, et al.
Citation: Journal of Rural Health, 34(4), 377-387
Date: 09/2018
Type: Document
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Examines questionnaire responses from adults in rural Kentucky to determine whether overall diet quality varies according to body mass index (BMI) category and presence of depressive symptoms in people with or at increased risk of cardiovascular disease (CVD). Contains data comparing healthy eating habits among depressed and non-depressed individuals who are overweight or obese, including breakdowns by age, sex, race/ethnicity, marital status, education, comorbidities, and other characteristics.
Author(s): Demetrius Abshire, Terry Lennie, Misook Chung, et al.
Citation: Journal of Rural Health, 34(4), 377-387
Date: 09/2018
Type: Document
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Making the EHR Work: Rural Healthcare Organizations Use Data Extraction to Improve Patient Care
Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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