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Rural Health
Resources by State: Kentucky

Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Availability of Health Insurance Literacy Resources Fails to Meet Consumer Needs in Rural, Appalachian Communities: Implications for State Medicaid Waivers
Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, gender, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
Type: Document
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The High Obesity Program: A Collaboration Between Public Health and Cooperative Extension Services to Address Obesity
Describes the activities of Programs to Reduce Obesity in High Obesity Areas, also known as High Obesity Program (HOP), developed by the Centers for Disease Control and Prevention (CDC) in partnership with land grant universities and local Cooperative Extension Offices. HOP was designed to implement evidence-based strategies to improve physical activity and nutrition in mostly rural communities with high rates of obesity to reduce obesity and prevent or control diabetes, heart disease, and stroke.
Author(s): Sahra Kahin, Ashleigh Murriel, Anu Pejavara, Terrence O'Toole, Ruth Petersen
Citation: Preventing Chronic Disease, 17
Date: 03/2020
Type: Document
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Predictors of Substance Use Disorder and Mental Health Treatment Use Among Rural Adults using Stimulants over Three Years
Details a study on the factors that predict mental health and substance use treatment utilization among rural stimulant users. Breaks down data from 2002 to 2008 by race, age, and substance use, among other measures.
Author(s): Michael A. Cucciare, Songthip T. Ounpraseuth, Geoffrey M. Curran, Brenda M. Booth
Citation: Substance Abuse, 40(3), 363-370
Date: 02/2020
Type: Document
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Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
Type: Document
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores a study on a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky. Breaks down day by age, gender, and site county, among other measures.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
Type: Document
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Kentucky's Primary Care Workforce: Current Status and Output of New Trainees, January 2020 Update
Presents data and information about the primary care workforce in Kentucky and trainee pipelines supplying new primary care physicians to Kentucky. Features statistics on expected shortfalls among Kentucky primary care physicians, numbers of primary care Advanced Practice Registered Nurses with breakdowns by practice locations in underserved and rural areas, and ratio of primary care physicians to Kentucky population by county and Health Professional Shortage Areas designation, as of 2018.
Author(s): Kevin A. Pearce, Sydney Thompson, Fran Feltner, R. Brent Wright, Joe E. Kingery
Date: 01/2020
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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HIV Testing Outcomes Among Blacks or African Americans — 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017
Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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