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Rural Health
Resources by Topic: Appalachia

Declines in Infant Mortality in Appalachia and the Delta: 1995-1996 Through 2017-2018
Compares infant mortality nationwide to rates in the Delta and Appalachia, examining maternal demographic changes including age, race, and ethnicity. Draws data from the National Vital Statistics System.
Citation: National Vital Statistics Reports, 70(6), 1-13
Date: 05/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Characterization of Mental Illness Among US Coal Miners
Describe the prevalence of and risk factors for mental illness among 2,808 active and former coal miners from central Appalachia who received clinical care at Stone Mountain Health Services Black Lung Clinic between 2018-2020. Features statistics with breakdowns by degree of depression, pulmonary risk factors, and length of time spent working as a miner.
Author(s): Drew Harris, Timothy McMurry, Amanda Caughron, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Tri-Area Community Health Provides Community-Focused Integrated Care
Features a rural Virginia Federally Qualified Health Center that provides integrated primary care and behavioral health services. Discusses how services have been adapted to meet the needs of a growing Hispanic population, and describes a behavioral health training program offered in partnership with Radford University.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 05/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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How Grayson County is Getting Connected
Discusses efforts to build broadband infrastructure in Grayson County, Virginia in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Type: Document
Sponsoring organization: AARP
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Spatial Analysis of Health Care Utilization among Medicare Beneficiaries with Coal Workers' Pneumoconiosis and Other Related Pneumoconiosis
Results of a study to determine and map the geographical distribution of healthcare utilization patterns among 8,625 Medicare beneficiaries with black lung disease (CWP) and other related respiratory diseases from 2011-2014. Features statistics with breakdowns by type of coal work-related disease and county-level maps showing healthcare utilization rates for beneficiaries with CWP or other related pneumoconiosis as the diagnosis.
Author(s): Ahmed A. Arif, Claudio Owusu, Rajib Paul, et al.
Date: 04/2021
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Mapping Climate Risks by County and Community
Features maps depicting county-level data on various climate risks, including sea level rise, exposure to hurricanes and typhoons, extreme rainfall, and water and heat stress. Describes climate concerns facing rural communities, including Appalachia, Native American lands, and others. Discusses how heat stress can affect health.
Author(s): Ari Pinkus
Date: 02/2021
Type: Document
Sponsoring organization: American Communities Project
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Ensuring Contact: Calling Rural Appalachian Older Adults During the COVID-19 Epidemic
Presents a study on the well-being and healthcare needs of socially isolated adults 75 years and older during the COVID-19 pandemic in rural West Virginia. Bases conclusions on telephone interviews with seniors from April 1-22, 2020. Breaks down data by demographic characteristics, mental and physical health conditions, and comfort with different forms of communication technology, among other factors.
Author(s): Robert B Walker, Michael Grome, William Rollyson, Adam D Baus
Citation: Rural and Remote Health, 21(1), 6122
Date: 01/2021
Type: Document
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Claude Worthington Benedum Foundation: Taking a Leadership Role and Building Trust
An interview with Kim Barber Tieman, program director for health and human services for the Claude Worthington Benedum Foundation, sharing how the foundation has responded to the COVID-19 pandemic. Discusses efforts to help West Virginia organizations navigate and apply for federal funding opportunities, support for mobile COVID testing units to better reach communities of color, support for telehealth infrastructure, and a wide range of other activities to help meet the needs of the vulnerable and disenfranchised.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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