Rural Health
Resources by Topic: Appalachia
Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, et al.
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
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Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, et al.
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
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Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
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"We're, Like, the Most Unhealthy People in the Country": Using an Equity Lens to Reduce Barriers to Healthy Food Access in Rural Appalachia
Examines barriers and facilitators for accessing healthy food in Martin County, Kentucky. Aims to develop socially-, culturally-, and historically-informed policy, systems, and environmental (PSE) interventions to reduce obesity in Appalachia and other areas.
Author(s): Kathryn Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Examines barriers and facilitators for accessing healthy food in Martin County, Kentucky. Aims to develop socially-, culturally-, and historically-informed policy, systems, and environmental (PSE) interventions to reduce obesity in Appalachia and other areas.
Author(s): Kathryn Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Buprenorphine Dispensing in an Epicenter of the U.S. Opioid Epidemic: A Case Study of the Rural Risk Environment in Appalachian Kentucky
Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
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Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
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Access in Appalachia Concept and Methodologies: Final Report
Provides an overview of the accessibility needs to goods and services - food, healthcare, broadband, education, as well as, customer, labor, and supplier markets - for the people and businesses of Appalachia. Looks at the current research on rural accessibility and economic development. Outlines methods for measuring accessibility, offers an analyses approach using accessibility metrics, and discusses other considerations in long range accessibility planning.
Date: 11/2020
Sponsoring organizations: Appalachian Regional Commission, EBP US, Inc.
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Provides an overview of the accessibility needs to goods and services - food, healthcare, broadband, education, as well as, customer, labor, and supplier markets - for the people and businesses of Appalachia. Looks at the current research on rural accessibility and economic development. Outlines methods for measuring accessibility, offers an analyses approach using accessibility metrics, and discusses other considerations in long range accessibility planning.
Date: 11/2020
Sponsoring organizations: Appalachian Regional Commission, EBP US, Inc.
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Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Willingness to Participate in At-Home HIV Testing Among Young Adults Who Use Opioids in Rural Appalachia
Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, sex, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
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Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, sex, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
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Health Policy Brief: Adverse Childhood Experiences (ACEs) Health Impact of ACEs in Ohio
Examines the impact of adverse childhood experiences (ACEs) on health and wellbeing of Ohio residents and provides a state map that examines ACE prevalence by region. Includes discussions about the potential adverse consequences of ACEs as well as the percentage of residents who have experienced multiple ACEs, broken down by urban, suburban, Appalachian, non-Appalachian, and rural county.
Date: 08/2020
Sponsoring organization: Health Policy Institute of Ohio
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Examines the impact of adverse childhood experiences (ACEs) on health and wellbeing of Ohio residents and provides a state map that examines ACE prevalence by region. Includes discussions about the potential adverse consequences of ACEs as well as the percentage of residents who have experienced multiple ACEs, broken down by urban, suburban, Appalachian, non-Appalachian, and rural county.
Date: 08/2020
Sponsoring organization: Health Policy Institute of Ohio
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A Profile of Substance Use in Ohio: 2019 Update
Reports on the prevalence of tobacco, alcohol, and drug use among adults in Ohio, based on 3 sets of survey data, including the 2019 Ohio Medicaid Assessment Survey (OMAS). Provides information on substance use broken down by rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Megan Roberts, Nathan Doogan, Amy Ferketich, et al.
Date: 08/2020
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Reports on the prevalence of tobacco, alcohol, and drug use among adults in Ohio, based on 3 sets of survey data, including the 2019 Ohio Medicaid Assessment Survey (OMAS). Provides information on substance use broken down by rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Megan Roberts, Nathan Doogan, Amy Ferketich, et al.
Date: 08/2020
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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