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Rural Health Information Hub

Rural Health
Resources by Topic: Appalachia

As the South Grows: Strong Roots
Explores the connection between community-driven economic development and equity in the South, particularly in the Lowcountry and Coal Country. Focuses on promoting systemic, long-term economic change in the South through culturally sensitive, locally controlled philanthropic investments.
Additional links: Executive Summary
Author(s): Ryan Schlegel, Stephanie Peng
Date: 06/2017
Sponsoring organization: National Committee for Responsive Philanthropy
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Older Rural- and Urban-Dwelling Appalachian Adults With Mild Cognitive Impairment
Study comparing Mild Cognitive Impairment (MCI) symptom severity for older urban and rural residents of Appalachia when seeking neuropsychological testing. Discusses prevalence of MCI and its association with Alzheimer's disease and dementia. Analyzes data from the National Alzheimer's Coordinating Center Uniform Data Set for a sample of 289 patients.
Author(s): Meghan K. Mattos, Beth E. Snitz, Jennifer H. Lingler, et al.
Citation: Journal of Rural Health, 33(2), 208-216
Date: 04/2017
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Identifying Community Perspectives for a Lung Cancer Screening Awareness Campaign in Appalachia Kentucky: The Terminate Lung Cancer (TLC) Study
Reports on the Terminate Lung Cancer (TLC) study, an ongoing program to encourage community awareness about the importance of lung cancer screening with low-dose computed tomography (LDCT) in high need areas of Eastern Appalachia Kentucky. Offers recommendations for disseminating information about lung cancer screening for healthcare providers and patients seeking to learn more about LDCT screening.
Author(s): Roberto Cardarelli, Karen L. Roper, Kathryn Cardarelli, Frances J. Feltner, et al.
Citation: Journal of Cancer Education, 32(1), 125-134
Date: 03/2017
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Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia
Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
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Examination of Cardiovascular Risk Factors and Rurality in Appalachian Children
Results of a study to examine risk factors in a representative sample of 73,014 5th grade students from West Virginia. Features statistics including breakdowns by six levels of population density, sex, race, mother's education, body-mass index, blood pressure, and levels of cholesterol and triglycerides.
Author(s): Christa L. Lilly, Amna Umer, L. Cottrell, L. Pyles, W. Neal
Citation: Rural and Remote Health, 17(1), 4200
Date: 03/2017
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Community Health Workers Get Trained to Reduce Oral Health Disparities
Highlights programs serving the Navajo Nation, Texas colonias, and Appalachian Maryland that use community health workers to provide oral health education and improve access dental care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Sponsoring organization: Rural Health Information Hub
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Residing in Economically Distressed Rural Appalachia is Independently Associated with Excess Body Weight in College Students
Results of a study comparing body weights and obesity risks of college students aged 18-25 years, 55 of whom who were lifelong residents of rural Eastern Appalachian Kentucky and 54 from urban central Kentucky. Features statistics including age, education, sex, insurance status, household income, and health behaviors, with breakdowns by rural or urban status.
Author(s): Demetrius Abshire, Terry Lennie, Gia Mudd-Martin, Debra Moser
Citation: Rural and Remote Health, 17(1), 3984
Date: 03/2017
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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
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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
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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