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Rural Health
Resources by State: Kentucky

Rural Youth Fight for Tobacco-Free Communities
Highlights teen-led programs to prevent tobacco use in rural Kentucky, Vermont, and Montana. Discusses the impact youth can have on local and state policy related to tobacco, and well as the effectiveness youth have in reaching their peers on this issue.
Author(s): Allee Mead
Location: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Marketing Strategies to Encourage Rural Residents of High-Obesity Counties to Buy Fruits and Vegetables in Grocery Stores
Examines the relationship between 17 rural Appalachian Kentucky grocery stores' social marketing efforts to promote healthy eating and the frequency of fruit and vegetable purchases. Features statistics on survey participants' demographics and influence of recipe cards on purchase of ingredients including fruits and vegetables.
Author(s): Emily Liu, Tammy Stephenson, Jessica Houlihan, Alison Gustafson
Location: Preventing Chronic Disease, 14
Date: 10/2017
Type: Document
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A Community-Based Marketing Campaign at Farmers Markets to Encourage Fruit and Vegetable Purchases in Rural Counties With High Rates of Obesity, Kentucky, 2015-2016
Examines effectiveness of the Plate it Up Kentucky Proud program, targeting farmers market shoppers in 6 rural Kentucky counties in the Delta and Appalachian regions, from September 2014-September 2016. Features statistics including age, sex, income, and rate of consumption of fruit, salad, and other vegetables.
Author(s): Emily DeWitt, Margaret McGladrey, Emily Liu, et al.
Location: Preventing Chronic Disease, 14
Date: 08/2017
Type: Document
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Appalachian Diseases of Despair
Presents mortality data on overdoses, suicides, and alcoholic liver disease/cirrhosis among people ages 15-64, from the 2015 Multiple Cause of Death database. Features statistics with breakdowns by region, Appalachian state, gender, and metropolitan or nonmetropolitan location.
Author(s): Michael Meit, Megan Heffernan, Erin Tanenbaum, Topher Hoffmann
Date: 08/2017
Type: Document
Sponsoring organizations: Appalachian Regional Commission, NORC Walsh Center for Rural Health Analysis
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Health Disparities in Appalachia
Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Cecil G. Sheps Center for Health Services Research, PDA, Inc.
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing a study to explore how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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“Doing Something Exceptional”: Rural Communities and Colorectal Cancer Screening
Discusses the importance of colorectal cancer screening and the challenges of providing this service in rural communities. Highlights colorectal cancer screening programs in rural Kentucky and Idaho.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Adapting an Evidence-based Curriculum in a Rural Setting: The Early Impacts of Reducing the Risk in Kentucky
Reports on the short-term impacts of a comprehensive sex education and teen pregnancy prevention program provided at rural high schools in Kentucky.
Author(s): Brian Goesling, Robert G. Wood, Joanne Lee, Susan Zief
Date: 05/2017
Type: Document
Sponsoring organization: Administration for Children and Families
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from eight states with significant rural populations, and examines ADE rates based on hospital characteristics and across four main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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