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Rural Health
Resources by Topic: Appalachia

Terminate Lung Cancer (TLC) Study - A Mixed-Methods Population Approach to Increase Lung Cancer Screening Awareness and Low-Dose Computed Tomography in Eastern Kentucky
Reports on a study of a community awareness intervention supporting low dose computed tomography (LDCT) cancer screening in two high-risk regions of Eastern Appalachia Kentucky. Rates of awareness and LDCT screening in the intervention regions were compared to a control region where the intervention had not been implemented.
Author(s): Roberto Cardarelli, David Reese, Karen L. Roper, et al.
Citation: Cancer Epidemiology, 46, 1-8
Date: 02/2017
Type: Document
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Communities in Action: Pathways to Health Equity
Identifies elements of effective solutions to advance health equity at the local or community level. Featured examples include the Delta Health Center, a rural Federally Qualified Health Center that uses a community-oriented primary care model to address population health. A brief overview of rural health disparities which includes a discussion on Appalachian health is found on pages 2-19 and 2-20. Appendix A provides a historical and legal context for understanding Native American health disparities.
Additional links: Read Online
Author(s): Committee on Community Based Solutions to Promote Health Equity in the United States
Date: 01/2017
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Nurse-Designed Care Models and Culture of Health: Review of Three Case Studies
Presents findings from three studies, examining how each aligns with the Robert Wood Johnson Foundation's vision of a culture of health, describing barriers and facilitators faced by the models, and noting what communities can learn in order to more clearly define roles and health sector contributions to a culture of health. Includes an examination of the INSIGHTS into Children's Temperament intervention as observed in a rural Appalachian county.
Author(s): Grant R. Martsolf, Diana J. Mason, Jennifer Sloan, Cheryl G. Sullivan, Antonia M. Villarruel
Date: 2017
Type: Document
Sponsoring organization: RAND Corporation
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Risk Factors for Smoking in Rural Women: The Role of Gender-Based Sexual and Intimate Partner Violence
Investigates the prevalence of sexual and intimate partner gender-based violence (GBV) in 3 Appalachian counties of Ohio. Supports health professionals' efforts to address the disproportionately high cervical cancer rates in these regions by analyzing the relationship between exposure to GBV and smoking behaviors.
Author(s): Julianna Nemeth, Amy Bonomi, Bo Lu, Richard Lomax, Mary Wewers
Citation: Journal of Women's Health, 25(12), 1282-1291
Date: 12/2016
Type: Document
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Resurgence of Progressive Massive Fibrosis in Coal Miners--Eastern Kentucky, 2016
Describes a sharp increase in cases of Progressive Massive Fibrosis (PMF) from January 2015 through August 2016, as reported by a radiologist treating 60 former or active coal miners in rural central Appalachia. Includes a chart showing percentages of miners with 25 or more years underground work experience in that region who were diagnosed with PMF from 1970-2016.
Author(s): David J. Blackley, James B. Crum, Cara N. Halldin, Eileen Storey, A. Scott Laney
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(49), 1385-1389
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Accuracy of Name and Age Data Provided about Network Members in a Social Network Study of People Who Use Drugs: Implications for Constructing Sociometric Networks
Presents as study on the accuracy of risk network reporting from drug users in rural Appalachia. Breaks down risk networks by participants' relationship to network members.
Author(s): April M. Young, Abby E. Rudolph, Amanda E. Su, et al.
Citation: Annals of Epidemiology, 26(11), 802-809
Date: 11/2016
Type: Document
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Community Adaptations to an Impending Food Desert in Rural Appalachia, USA
Reports on a study examining how rural Alderson, West Virginia addressed the forthcoming food desert when the only grocery store in town closed. Addresses the impact of a new food hub on the food desert.
Author(s): Wayne Miller, Denver Rogalla, Dustin Spencer, et al.
Citation: Rural and Remote Health, 16(4), 3901
Date: 11/2016
Type: Document
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Using i2b2 to Bootstrap Rural Health Analytics and Learning Networks
Describes a project to connect and share data among rural healthcare sites and researchers using the open-source Informatics for Integrating Biology and the Bedside (i2b2) data model in building the West Virginia/Kentucky Health Analytics and Learning Network. Includes map showing locations of clinics.
Author(s): Daniel R. Harris, Adam D. Baus, Tamela J. Harper, et al.
Citation: Conference Proceedings of the IEEE Engineering in Medicine and Biology Society 2016, 2533-2536
Date: 08/2016
Type: Document
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Spatial Access to Primary Care Providers in Appalachia Evaluating Current Methodology
Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
Type: Document
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The Effect of Changes in Health Beliefs among African-American and Rural White Church Congregants Enrolled in an Obesity Intervention: A Qualitative Evaluation
Investigates changes in health beliefs and attitudes pre- and post-intervention among overweight and obese adults participating in the Biomedical/Obesity Reduction Trial (BMORe) from two African-American churches in Tennessee and South Carolina, and one rural Appalachian church in Kentucky. Includes demographic data by gender, age group, education level, marital status, and race/ethnicity.
Author(s): Diane J. Martinez, Monique M. Turner, Mandi Pratt-Chapman, et al.
Citation: Journal of Community Health, 41(3), 518-525
Date: 06/2016
Type: Document
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