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Rural Health Information Hub

Kentucky Resources

Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
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Association of First Primary Cancer with Risk of Subsequent Primary Cancer among Survivors of Adult-Onset Cancers in Kentucky and Appalachian Kentucky
Evaluated 148,509 Kentucky first primary cancer survivors to determine risk of subsequent primary cancers. Compared outcomes for rural Appalachian residents with urban non-Appalachian residents as well as other variables such as cancer type, sex, and more.
Author(s): Quan Chen, Bin Huang, Abigail M. Anderson, et al.
Citation: Frontiers in Oncology, 13
Date: 2023
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Preparing for and Rebuilding from a Natural Disaster in Graves County, KY
Case study discussing how Jackson Purchase Medical Center (JPMC) and the West Kentucky Healthcare Coalition (WKYHCC) implemented an emergency response plan in the aftermath of a December 2021 tornado. Discusses the regional emergency preparedness plan and its effectiveness, as well as JPMC's expansion of employee assistance and behavioral health services to meet community needs.
Date: 08/2022
Sponsoring organization: American Hospital Association
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health. Transcript available below description.
Date: 07/2022
Sponsoring organization: Rural Health Information Hub
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A Cluster Randomized Controlled Trial for a Multi-Level, Clinic-Based Smoking Cessation Program with Women in Appalachian Communities: Study Protocol for the "Break Free" Program
Results of a study to increase smoking cessation among women living in rural Appalachia, by embedding a smoking cessation program within a larger cervical cancer prevention program. Uses data from focus groups comprising 510 women from West Virginia, Ohio, Kentucky, and Virginia.
Author(s): Joanne G. Patterson, Tia N. Borger, Jessica L. Burris, et al.
Citation: Addiction Science & Clinical Practice, 17(11)
Date: 02/2022
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Exceptional Survival Among Kentucky Stage IV Non-Small Cell Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations
Explores a study on rates of exceptional survival (5 years or more post-diagnosis) of stage IV lung cancer patients in Appalachian and non-Appalachian Kentucky. Breaks down data by insurance type, treatment type, and length of survival, among other measures.
Author(s): Vira Pravosud, Nathan L. Vanderford, Bin Huang, et al.
Citation: Journal of Rural Health, 38(1), 14-27
Date: 01/2022
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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 eight 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
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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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
Sponsoring organization: Appalachian Regional Commission
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Additional resources are available. See a full list of Kentucky Resources.