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Rural Health
Resources by State: Kentucky

Does a Program That Focuses on Lifestyle Changes Reduce Heart Disease Risk Factors in a Rural Community in Appalachian Kentucky?
Examines a tailored, culturally appropriate cardiovascular disease self-care intervention, HeartHealth, compared to a model of patient referrals to a primary care provider for standard care for cardiovascular risk factors in a rural Appalachian Kentucky community.
Author(s): Debra K. Moser, Frances Feltner, Martha J. Biddle, et al.
Date: 2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 2019
Type: Document
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Evaluating a Teen Pregnancy Prevention Program in Rural Kentucky
Reports on an evaluation of an adapted, shorter "Reducing the Risk" teen pregnancy prevention curriculum delivered in rural Kentucky high schools by local health departments. Evaluated student outcomes using survey data one year and two years after the programs were delivered.
Author(s): Brian Goesling, Joanne Lee, Robert G. Wood, Susan Zief
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Domestic and Intimate Partner Violence: Some Do's and Don'ts for Health Providers
Discusses the role rural healthcare providers can play in screening for and helping address domestic violence (DV) and interpersonal violence (IPV). Features a Kentucky physician assistant educator, universal screening at an Oregon Federally Qualified Health Center (FQHC), and insights from a Missouri orthopedic trauma surgeon and a national DV/IPV technical assistance provider.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Making the EHR Work: Rural Healthcare Organizations Use Data Extraction to Improve Patient Care
Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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