Rural Health
Resources by State: Kentucky
Contraceptive Method Provision Patterns Among Rural and Urban Kentucky Medicaid Enrollees
Describes contraceptive provision rates among Medicaid enrollees in Kentucky in 2019. Analyzes Kentucky Medicaid claims from calendar year 2019 to examine provider- and patient-related differences in the contraceptive methods provided, including variations by the rurality of the patient's residence.
Author(s): Dustin K. Miracle, Svetla Slavova, Jeffrey Talbert, Daniela C. Moga, Patricia R. Freeman
Citation: Journal of Rural Health, 42(2), e70160
Date: 05/2026
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Describes contraceptive provision rates among Medicaid enrollees in Kentucky in 2019. Analyzes Kentucky Medicaid claims from calendar year 2019 to examine provider- and patient-related differences in the contraceptive methods provided, including variations by the rurality of the patient's residence.
Author(s): Dustin K. Miracle, Svetla Slavova, Jeffrey Talbert, Daniela C. Moga, Patricia R. Freeman
Citation: Journal of Rural Health, 42(2), e70160
Date: 05/2026
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Feasibility Study of a Screening Decision Tool for Allocating Adults into Food Is Medicine Programs as an Effective Approach to Target Clinical and Dietary Outcomes among Rural and Urban Adults
Examines the feasibility of utilizing a food insecurity screening tool to identify hypertension patients in a Kentucky hospital system needing medically tailored meals (MTM) or grocery prescription (Rx). Provides rural versus urban program comparisons, with data on clinical results as well as qualitative feedback from participants. Discusses the screening tool's effectiveness in identifying nutrition needs in both rural and urban patients.
Author(s): Alison Gustafson, Carolyn Lauckner, Joshua L. Bush, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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Examines the feasibility of utilizing a food insecurity screening tool to identify hypertension patients in a Kentucky hospital system needing medically tailored meals (MTM) or grocery prescription (Rx). Provides rural versus urban program comparisons, with data on clinical results as well as qualitative feedback from participants. Discusses the screening tool's effectiveness in identifying nutrition needs in both rural and urban patients.
Author(s): Alison Gustafson, Carolyn Lauckner, Joshua L. Bush, et al.
Citation: Frontiers in Public Health, 14
Date: 04/2026
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2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Evaluating the Feasibility and Preliminary Effectiveness of a Tailored Diabetes Education Program for Rural Residents
Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Community Place Attachment as a Significant Correlate of Motivation to Change Substance Use Behavior among Adults who Inject Drugs in Rural U.S.
Explores the role of community place attachment (CPA) in motivating change in substance use behaviors (MCSUB) among 350 people who inject drugs in Appalachian Kentucky. Provides data on the relationship between CPA, MCSUB, and substance use treatment utilization, and discusses belongingness as an asset supporting SUD treatment in rural communities.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Keith J. Watts, Juma S. Mwenda, Hilary L. Surratt
Citation: Frontiers in Public Health, 14, 1746203
Date: 03/2026
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Explores the role of community place attachment (CPA) in motivating change in substance use behaviors (MCSUB) among 350 people who inject drugs in Appalachian Kentucky. Provides data on the relationship between CPA, MCSUB, and substance use treatment utilization, and discusses belongingness as an asset supporting SUD treatment in rural communities.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Keith J. Watts, Juma S. Mwenda, Hilary L. Surratt
Citation: Frontiers in Public Health, 14, 1746203
Date: 03/2026
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Wastewater Surveillance for SARS-CoV-2 in Rural Kentucky, 2021–2023
Examines results from SARS-CoV-2 wastewater testing in majority rural Eastern Kentucky counties. Analyzes 818 wastewater samples to provide information on COVID-19 incidence from 2021 to 2023. Discusses how wastewater surveillance in rural communities can assist in describing disease levels.
Author(s): James W. Keck, Reuben Adatorwovor, Ann Noble, et al.
Citation: Viruses, 18(3), 282
Date: 02/2026
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Examines results from SARS-CoV-2 wastewater testing in majority rural Eastern Kentucky counties. Analyzes 818 wastewater samples to provide information on COVID-19 incidence from 2021 to 2023. Discusses how wastewater surveillance in rural communities can assist in describing disease levels.
Author(s): James W. Keck, Reuben Adatorwovor, Ann Noble, et al.
Citation: Viruses, 18(3), 282
Date: 02/2026
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Clinical and Demographic Characteristics of Participants in a Hepatitis C Treatment Trial in Rural Kentucky: How Policies Around Treatment Access May Impact Elimination Efforts in the United States
Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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The Interaction of Tobacco Retailer Density and Rurality with Tobacco Use Prevalence in Kentucky
Explores the relationship between the prevalence of tobacco retailers and rates of tobacco use in rural counties in Kentucky. Highlights rates of smoking and smokeless tobacco use by county retailer density.
Author(s): Shyanika W. Rose, W. Jay Christian, Judy van de Venne, et al.
Citation: Journal of Rural Health, 42(1), e70106
Date: 01/2026
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Explores the relationship between the prevalence of tobacco retailers and rates of tobacco use in rural counties in Kentucky. Highlights rates of smoking and smokeless tobacco use by county retailer density.
Author(s): Shyanika W. Rose, W. Jay Christian, Judy van de Venne, et al.
Citation: Journal of Rural Health, 42(1), e70106
Date: 01/2026
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