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Rural Health
Resources by State: Kentucky

Gender and Age Are Associated with Healthy Food Purchases via Grocery Voucher Redemption
Explores the association of age, gender, education, and income level with purchasing healthy foods using a grocery voucher in rural Appalachian Kentucky, an area considered a food desert with higher rates of chronic disease. Includes data on the purchase of a designated voucher food item by age, sex, education, and income.
Author(s): Frances Hardin-Fanning, Yevgeniya Gokun
Citation: Rural and Remote Health, 14(3), 2830
Date: 07/2014
Type: Document
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Delays in Diagnosis of Congenital Hearing Loss in Rural Children
Analyzes Kentucky's newborn hearing-screening program data to determine the frequency of congenital hearing loss for both rural Appalachia and non-Appalachia regions of the state. Includes Appalachia and non-Appalachia hearing loss data by the number of births, failed newborns screenings, types of hearing loss, percent of families obtaining diagnostic testing following a failed screening test, and children enrolled in an early intervention program.
Author(s): Matthew L. Bush, Kristin Bianchi, Cathy Lester, et al.
Citation: Journal of Pediatrics, 164(2), 393-397
Date: 02/2014
Type: Document
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The CHANGE Study: A Healthy-Lifestyles Intervention to Improve Rural Children's Diet Quality
Describes the Creating Healthy, Active and Nurturing Growing-Up Environments (CHANGE) study. CHANGE is a community- and school-based intervention used to assess the quality of students' diets with the goal of preventing unhealthy weight gain among rural school-aged children.
Author(s): Juliana F. W. Cohen, Vivica I. Kraak, Silvina F. Choumenkovitch, Raymond R. Hyatt, Christina D. Economos
Citation: Journal of the Academy of Nutrition and Dietetics, 114(1)
Date: 01/2014
Type: Document
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Clinical, Sociodemographic and Service Provider Determinants of Guideline Concordant Colorectal Cancer Care for Appalachian Residents
Presents a study of Appalachian colorectal cancer patients diagnosed between 2006-2008 regarding their adherence to treatment guidelines by measuring rates of chemotherapy, lymph node assessment, and radiation treatments. Breaks down results by participants' age, race, and type and severity of comorbidity, as well as several treatment facility factors, such as bed size and surgical volume, among others.
Author(s): Steven T. Fleming, Heath B. Mackley, Fabian Camacho, et al.
Citation: Journal of Rural Health, 30(1), 27-39
Date: 01/2014
Type: Document
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Gender Differences in Circumstances Surrounding First Injection Experience of Rural Injection Drug Users in the United States
Discusses the gender differences between first time drug injection users in Appalachian Kentucky who primarily use prescription opioids.
Author(s): April M. Young, Nika Larian, Jennifer R. Havens
Citation: Drug and Alcohol Dependence, 134, 401-405
Date: 01/2014
Type: Document
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Farmers' Market Use Is Associated with Fruit and Vegetable Consumption in Diverse Southern Rural Communities
Examines the socio-demographic characteristics of farmers market participants, the barriers and facilitators to farmers market shopping in southern rural communities, and the associations between farmers market use with fruit and vegetable consumption and body mass index (BMI). Seeks to assess the potential for using farmers markets to increase access to and the consumption of fruits and vegetables in rural areas.
Author(s): Stephanie B. Jilcott Pitts, Alison Gustafson, Qiang Wu, et al.
Citation: Nutrition Journal, 13(1)
Date: 2014
Type: Document
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Risky Sex in Rural America: Longitudinal Changes in a Community-Based Cohort of Methamphetamine and Cocaine Users
Analyzes the relationship between stimulant use and sexual behavior in a community-based study of rural users in select counties in Arkansas, Kentucky, and Ohio.
Author(s): Tyrone F. Borders, Katharine E. Stewart, Patricia B. Wright
Citation: American Journal on Addictions, 22(6), 535-542
Date: 11/2013
Type: Document
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"Living With a Ball and Chain": The Experience of Stroke for Individuals and Their Caregivers in Rural Appalachian Kentucky
Describes a qualitative study based on interviews with 13 stroke survivors and 12 caregivers in rural Appalachian Kentucky. Analyzes the transcripts for qualitative data giving insight into the experience of stroke victims from the time of onset, through their treatment in the healthcare system, to their reintegration into their home and community.
Author(s): Megan M. Danzl, Elizabeth G. Hunter, Sarah Campbell, et al.
Citation: Journal of Rural Health, 29(4), 368-382
Date: 10/2013
Type: Document
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Perspectives on Healthy Eating Among Appalachian Residents
Reports on a study based on a focus group made up of rural Appalachian Kentuckians, discussing perceptions of healthy eating, barriers to maintaining a healthy diet, and recommendations for making improvements within their communities. Results are distributed by participant demographics, such as age, race, and annual income, among others.
Author(s): Nancy E. Schoenberg, Britteny M. Howell, Mark Swanson, Christopher Grosh, Shoshana Bardach
Citation: Journal of Rural Health, 29(s1), 25-34
Date: 08/2013
Type: Document
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Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky
Examines healthcare providers' perceived barriers and motivations for women ages 18-26 in Appalachian Kentucky to receive the HPV vaccine. Includes suggested strategies from healthcare providers for improving vaccination rates and participant characteristics.
Author(s): Katharine J. Head, Robin C. Vanderpool, Laurel A. Mills
Citation: Public Health Nursing, 30(4), 351-360
Date: 07/2013
Type: Document
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