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Rural Health
Resources by Topic: Appalachia

Ohio Health Policy Brief: Connections Between Water Quality and Health
Examines water quality in Ohio, the health impacts of polluted water, and water policy to address potential harm. Provides data on harmful algal bloom, percent of households without complete plumbing facilities by county type, per capita H2Ohio funding for lead service line replacements by county type, and counties with drinking water violations. Includes discussion about environmental health disparities in disadvantaged populations, such as Appalachian and rural.
Author(s): Lexi Chirakos, Robin Blair-Ackison, Tonni Oberly, Jacob Santiago, Anna Sheeran
Date: 03/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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Factors Associated With Myocardial Infarction in a Rural Population With Peripheral Arterial Diseases
Examines the association between sociodemographic and clinical risk factors and myocardial infarction (MI) in patients with peripheral arterial diseases (PAD) in Central Appalachia. Uses data from 5,574 patients in 230 counties across Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia. Features statistics on characteristics of patients with PAD based on presence or absence of MI.
Author(s): Adeola O. Awujoola, Moboni T. Mokikan, Olufeyisayo O. Odebunmi, et al.
Citation: Angiology, 0(0)
Date: 02/2024
Type: Document
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Access in Appalachia Pilot Implementation Project
Explores transportation accessibility within Appalachia by measuring, analyzing, and visualizing Appalachian residents' access to jobs, education, healthcare, entertainment, and intermodal freight facilities. Mentions rural throughout, and includes a section on healthcare deserts. Features maps with shadings indicating economic status and urbanicity level of Appalachian counties.
Author(s): Saumya Jain, Eric Lind, Andrew Owen, Shirley Shiqin Liu
Date: 02/2024
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Testing the Feasibility of the QuitAid Smoking Cessation Intervention in a Randomized Factorial Design in an Independent, Rural Community Pharmacy
Examines a pharmacist-delivered smoking cessation intervention in rural Appalachia. Analyzes an ask-advise-connect model conducted with 24 adult smokers between September and November 2021, observing recruitment, retention, treatment adherence, and fidelity. Includes data on participant demographics, participant satisfaction, and pharmacist perceptions.
Author(s): Melissa A. Little, Taylor Reid, Matthew Moncrief, et al.
Citation: Pilot and Feasibility Studies, 10(41)
Date: 02/2024
Type: Document
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Net Migration Spurs Renewed Growth in Rural Areas of the United States
Discusses population migration data showing trends in metropolitan and nonmetropolitan population migration between 2019 and 2022 and within rural regions across the country. Notes impact of COVID-19 on trends.
Author(s): John Cromartie
Date: 02/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Geographic Differences in Preconception Health Indicators Among Ohio Women Who Delivered Live Births, 2019–2021
Examines preconception health indicators in Ohio women based on geographical differences. Utilizes data from the 2019–2021 Ohio Pregnancy Assessment Survey to analyze indicators such as health behaviors and conditions, substance use, and wanted versus unwanted pregnancy according to metropolitan, Appalachian, rural non-Appalachian, and suburban location.
Author(s): Natalie DiPietro Mager, Michelle Menegay, Connie Bish, Reena Oza-Frank
Citation: Preventing Chronic Disease, 21
Date: 02/2024
Type: Document
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Community-Engaged Transdisciplinary Approaches to Cervical Cancer Prevention in Appalachia
Provides an overview of the Take CARE (Clinical Avenues to Reach Health Equity) program to reduce cervical cancer incidence and mortality in Appalachian Kentucky, Ohio, Virginia, and West Virginia. Describes implementation of Take CARE's human papillomavirus (HPV) vaccination, smoking cessation, and cervical cancer screening initiatives.
Author(s): Electra D. Paskett
Date: 01/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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The Impact of Fentanyl on State- and County-Level Psychostimulant and Cocaine Overdose Death Rates by Race in Ohio from 2010 to 2020: A Time Series and Spatiotemporal Analysis
Analyzes the role of fentanyl in overdose deaths in Ohio. Examines 2010-2020 state- and county-level overdose mortality rates with data further broken down by drug type and race/ethnicity. Discusses related geographical factors such as rurality and Appalachian region.
Author(s): Angela T. Estadt, Brian N. White, JaNelle M. Ricks, et al.
Citation: Harm Reduction Journal, 21, 13
Date: 01/2024
Type: Document
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Recruitment in Appalachian, Rural and Older Adult Populations in an Artificial Intelligence World: Study Using Human-Mediated Follow-Up
Evaluates the effectiveness of a research study recruitment strategy using multiple contact methods for the rural, older adult population in Appalachian Pennsylvania. Includes rural and urban comparisons within Appalachian Pennsylvania and discusses common barriers to research participation for this group.
Author(s): Tabitha Milliken, Donielle Beiler, Samantha Hoffman, Ashlee Olenginski, Vanessa Troiani
Citation: JMIR Formative Research, 8(2024), 38189
Date: 2024
Type: Document
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